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 the notice |
Inspection Report
Complaint Investigation
Census: 109
Deficiencies: 3
Jul 10, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint #NJ00187808 regarding alleged abuse and neglect at Brighton Gardens of Florham Park.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards related to abuse, neglect, and resident rights. Deficiencies included failure of the administrator to ensure enforcement of policies, failure to ensure a safe environment, and failure to update service plans after incidents involving residents.
Complaint Details
Complaint #NJ00187808 was substantiated based on interviews, record reviews, and investigation of a Facility Reportable Event (FRE) involving resident-to-resident abuse incidents occurring at approximately 2:00 a.m. Resident #2 was discharged after the incident. The investigation revealed failures in policy enforcement and safety interventions.
Deficiencies (3)
| Description |
|---|
| Administrator failed to ensure implementation and enforcement of the facility policy titled 'Abuse, Neglect and Exploitation - Preventing, Reporting and Investigation' for 2 of 4 residents reviewed. |
| Facility failed to ensure a safe environment related to resident-to-resident abuse for 2 of 4 residents reviewed. |
| Facility failed to ensure the Service Plan was updated with interventions after two incidents to ensure resident safety for 2 of 4 residents reviewed. |
Report Facts
Sample Size: 4
Deficiencies cited: 3
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 1
Sep 6, 2023
Visit Reason
The inspection was conducted as a complaint investigation (Complaint # NJ00163535) to assess compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance due to failure of the Executive Director to implement and enforce policies ensuring timely response to resident emergency call system pendant alerts. Specifically, 24 out of 59 pendant alerts were answered after the required 10-minute response time.
Complaint Details
Complaint investigation based on Complaint # NJ00163535. The facility was found deficient in timely response to emergency call pendants. The complaint was substantiated by interviews and record reviews showing delayed responses.
Deficiencies (1)
| Description |
|---|
| Failure to implement and enforce the facility's 'Emergency Needs Response' policy regarding timely response to resident emergency call system pendant alerts. |
Report Facts
Census: 78
Pendant alerts exceeding 10-minute response time: 24
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| William Crawford | Executive Director | Named in the plan of correction and interviews related to failure to enforce emergency call response policies. |
Inspection Report
Routine
Census: 65
Deficiencies: 0
Jan 17, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.
Inspection Report
Abbreviated Survey
Census: 61
Deficiencies: 1
Mar 16, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices during the facility's COVID-19 outbreak period.
Findings
The facility was found not to be in compliance with New Jersey Administrative Code 8:36 infection control regulations. Specifically, the Executive Director failed to develop and implement a policy ensuring resident screenings were conducted in accordance with NJDOH Executive Directive No. 20-026 during Phase 0 of reopening, resulting in inconsistent documentation of vital signs and COVID-19 symptom screenings for 5 residents.
Deficiencies (1)
| Description |
|---|
| Failure to develop and implement a policy ensuring resident screenings including vital signs and COVID-19 symptom assessments were performed consistently during Phase 0 of reopening. |
Report Facts
Residents reviewed: 5
Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Named in deficiency related to failure to develop and implement resident screening policy |
| Resident Services Director | Resident Services Director | Interviewed regarding screening policy and compliance |
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