Inspection Reports for Cambridge Enhanced Senior Living
255 E Main Street, NJ, 08057
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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, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Apr 28, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ154237.
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 number NJ154237 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample Size: 3
Inspection Report
Abbreviated Survey
Census: 51
Deficiencies: 6
Dec 27, 2023
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 a COVID-19 outbreak.
Findings
The facility was found not in compliance with infection control regulations including failure to designate an alternate executive director in writing, failure to monitor residents and staff for COVID-19 symptoms, failure to maintain infection control credentials, lack of a registered nurse available at all times, failure to enforce mask usage among staff and visitors, cross contamination risks with meal service, and failure to maintain an accurate COVID-19 line listing during the outbreak.
Deficiencies (6)
| Description |
|---|
| Failure to designate an Alternate Executive Director in writing and ensure availability. |
| Failure to monitor residents and staff for signs and symptoms of COVID-19 and failure to implement outbreak response plan. |
| Failure to retain and provide Infection Control Preventionist credentials. |
| Failure to develop and implement written job description for Alternate Executive Director. |
| Failure to ensure a Registered Nurse was available at all times. |
| Failure to implement effective infection prevention and control techniques including mask usage, prevention of cross contamination during meal service, and maintenance of accurate COVID-19 line listing. |
Report Facts
Census: 51
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Long Term Care facility's Administrator | Alternate Executive Director | Identified as Alternate Executive Director since February 2020 but lacked written job description for this role. |
| Regional Director of Operations | Interviewed multiple times regarding Alternate Executive Director designation and infection control policies. | |
| Certified Medication Aide #1 | CMA | Reported residents were only visually monitored for COVID-19 symptoms without vital signs assessment. |
| Infection Control Preventionist | IP | Unable to provide infection control credentials and COVID-19 screening logs; stated staff were not screened for symptoms. |
| Certified Nursing Aide #1 | CNA | Reported employees were not screened for COVID-19 symptoms prior to shifts. |
| Home Health Aide #1 | HHA | Not required to complete COVID-19 symptom screening prior to shifts. |
| Licensed Practical Nurse #1 | LPN | Reported facility lacked a Director of Nursing for weeks prior to survey. |
| Maintenance Director | MD | Observed not wearing facial mask properly during survey. |
| Maintenance Staff Member #1 | MSM | Observed walking without facial mask. |
| Dietary Aide #1 | DA | Confirmed kitchen staff were not required to wear masks in kitchen and that plastic trays were used for all residents including COVID-19 positive. |
| Food Service Director | FSD | Stated kitchen staff instructed to wear masks only in residents' areas, not in kitchen. |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Apr 10, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ00162997.
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 number NJ00162997 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 3
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 0
Feb 17, 2022
Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ151722.
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 number NJ151722 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample Size: 5
Inspection Report
Routine
Census: 47
Capacity: 64
Deficiencies: 1
Dec 14, 2021
Visit Reason
The inspection was a standard survey of 64 residential units to assess compliance with New Jersey Administrative Code 8:36 for licensure of assisted living residences and related programs.
Findings
The facility was found not in substantial compliance due to failure to complete the required annual electrical inspection by a licensed electrician, which had the potential to affect all residents. The Director of Maintenance acknowledged the oversight, and the electrician was scheduled during the survey.
Deficiencies (1)
| Description |
|---|
| Failure to complete the required annual electrical inspection by a licensed electrician. |
Report Facts
Census: 47
Total capacity: 64
Sample size: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Director of Maintenance | Interviewed regarding failure to schedule annual electrical inspection. |
| Regional Director of Maintenance | Regional Director of Maintenance | Interviewed regarding responsibility for inspection scheduling oversight. |
| Executive Director | Executive Director | Interviewed about monitoring and scheduling of the annual electrical inspection. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Jul 15, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ00146522.
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 number NJ00146522 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 2
May 4, 2021
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00144557) to determine compliance with New Jersey Administrative Code 8:36 for Assisted Living Residences.
Findings
The facility was found not in substantial compliance due to failure to develop a Health Service Plan (HSP) addressing significant weight loss for Resident #1 and failure to notify the Registered Nurse (RN) of changes in condition for Residents #1, #2, and #3, resulting in inadequate nursing and medical interventions.
Complaint Details
Complaint #NJ00144557. The complaint investigation revealed deficiencies related to Resident #1's weight loss not being addressed in the HSP and failure to notify the RN of condition changes for Residents #1, #2, and #3. The complaint was substantiated by record reviews and interviews.
Deficiencies (2)
| Description |
|---|
| Failure to develop a Health Service Plan (HSP) with interventions to address weight loss for Resident #1. |
| Failure to notify the Registered Nurse (RN) of changes in condition for Residents #1, #2, and #3 to ensure appropriate nursing and medical interventions. |
Report Facts
Census: 45
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director of Operations | Registered Nurse (RN) | Interviewed and confirmed lack of Health Service Plan for Resident #1 and was the delegating nurse during the survey. |
| Executive Director | Interviewed and stated the Regional Nurse was not available during the survey. | |
| Licensed Practical Nurse (LPN) | Documented progress notes for Residents #1, #2, and #3 but did not notify RN of condition changes. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Mar 18, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ00143157.
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 number NJ00143157 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
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