Deficiencies 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 as a Notice of Privacy Practices informing individuals about how their medical information may be used and disclosed by NJDHSS and related offices, and describing their rights related to their health 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, legal duties of NJDHSS, and contact information for privacy concerns.
Report Facts
Effective date: 2011
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, NJDHSS Privacy Officer | Listed as contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 3
Dec 26, 2023
Visit Reason
The inspection was conducted as a complaint investigation (Complaint # NJ00169611) to determine compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance with standards, specifically failing to ensure consistent RN assessments upon changes in resident condition, failure to update the General Service Plan to reflect changing resident needs, and failure to ensure the Consultant Pharmacist reviewed medication regimens quarterly for residents.
Complaint Details
Complaint # NJ00169611. The complaint investigation revealed deficiencies related to resident assessments, care plan updates, and pharmaceutical services.
Deficiencies (3)
| Description |
|---|
| Failure to ensure that the Registered Nurse consistently assessed a resident when there was a change in condition for 1 of 3 residents reviewed (Resident #2). |
| Failure to ensure that updates were documented on the General Service Plan to reflect the most current individualized changing needs and specific interventions for Resident #2. |
| Failure to ensure that the designated Consultant Pharmacist consistently reviewed residents' medication regimens on a quarterly basis for 2 of 3 residents reviewed (Resident #1 and Resident #2). |
Report Facts
Census: 55
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Mentioned in relation to documentation of resident condition and medication administration. | |
| Health Service Director (HSD), Registered Nurse | Mentioned in relation to resident assessments and interview about assessment frequency. |
Inspection Report
Routine
Census: 71
Deficiencies: 0
Nov 19, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with the infection control regulations and CDC recommended practices to prepare for COVID-19.
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