Inspection Reports for Brandywine Summit
41 Springfield Ave, Summit, NJ 07901, United States, NJ, 07901
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Notice
Deficiencies: 0
Nov 20, 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 details 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, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 6
Apr 3, 2024
Visit Reason
Complaint investigation triggered by complaint NJ00172111 regarding failure to comply with New Jersey Administrative Code standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance with multiple standards including failure to implement and enforce policies related to resident assessment and nursing documentation, failure to ensure resident safety and supervision, failure to conduct required resident assessments and care plans, failure to notify registered nurse and physician of significant resident changes, and failure to reconcile medications for a resident readmitted from hospital.
Complaint Details
Complaint #: NJ00172111. The complaint involved failure to comply with standards related to resident assessment, documentation, safety, notification of changes, and medication reconciliation for Resident #2.
Deficiencies (6)
| Description |
|---|
| Failure to implement and enforce policies and procedures regarding resident assessment and nursing documentation for Resident #2. |
| Failure to ensure safety and supervision of Resident #2 with history of behaviors, resulting in unsafe incidents. |
| Failure to conduct required resident assessments and develop care plans including health service plans for Resident #2. |
| Failure of Licensed Practical Nurse to notify Registered Nurse of Resident #2's significant change in condition. |
| Failure to notify resident's physician of significant changes in Resident #2's condition. |
| Failure to reconcile medications and follow up with physician for Resident #2 readmitted from hospital. |
Report Facts
Census: 45
Sample size: 3
Date of survey completion: Apr 3, 2024
Date of removal plan acceptance: Apr 2, 2024
Date of follow-up survey: Apr 3, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Failed to implement and enforce policies and procedures; provided removal plan. | |
| Wellness Director (Registered Nurse) | Interviewed regarding failure to be notified of resident's change in condition. | |
| Licensed Practical Nurse | Documented progress note but failed to notify RN or physician of resident's change in condition. | |
| Director of Nursing/Wellness Director | Interviewed regarding care plan and medication reconciliation deficiencies. |
Inspection Report
Capacity: 86
Deficiencies: 0
Dec 28, 2022
Visit Reason
A renovation survey was conducted to assess the facility which had 89 units and now has 86 units.
Findings
The facility was 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, based on this survey.
Report Facts
Units: 89
Units: 86
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