Inspection Reports for Brandywine Pennington
143 W Franklin Ave, Pennington, NJ 08534, United States, NJ, 08534
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Notice
Deficiencies: 0
Nov 19, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, NJDHSS Privacy Officer | Contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 84
Deficiencies: 0
Dec 6, 2022
Visit Reason
The inspection was conducted as a complaint investigation with a focus on infection control, triggered by complaint NJ 00137118.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.
Complaint Details
Complaint #: NJ 00137118; the facility was in substantial compliance based on this survey.
Report Facts
Sample size: 5
Inspection Report
Abbreviated Survey
Census: 81
Deficiencies: 2
Sep 13, 2022
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code infection control regulations and CDC recommended practices during a COVID-19 outbreak.
Findings
The facility was found not in compliance with infection control policies, specifically failing to take resident vital signs as required during a COVID-19 outbreak for 3 residents. Additionally, the facility failed to maintain routine monitoring and logging of hot water dishwasher temperatures as required by sanitation regulations.
Deficiencies (2)
| Description |
|---|
| Failure to implement and enforce the facility's COVID-19 Outbreak Response Plan regarding the frequency of vital signs assessment for residents during a COVID-19 outbreak. |
| Failure to comply with routine monitoring and logging of hot water dishwasher temperatures as required by N.J.A.C. 8:24. |
Report Facts
Resident sample size: 3
Dishwasher temperature log missing entries: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Failed to implement and enforce COVID-19 policies; stated dishwasher temperature should be checked and logged three times a day | |
| Director of Wellness | Stated nurses try their best to assess temperature and pulse ox of COVID positive residents; COVID negative residents did not have vital signs taken | |
| Wellness Nurses | Reported nurses only assess temperature and pulse ox of COVID positive residents daily and perform visual checks on COVID negative residents |
Inspection Report
Abbreviated Survey
Census: 90
Deficiencies: 0
Feb 17, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency on 02/16/2022 and 02/17/2022 to assess compliance with infection control regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices to prepare for COVID-19.
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