Inspection Reports for Cambridge Enhanced Senior Living

255 E Main Street, Moorestown, NJ, 08057

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Inspection Report Summary

The most recent inspection on November 19, 2025, did not identify any deficiencies. Earlier inspections showed a mixed record, with some findings related mainly to infection control practices and care planning. Prior deficiencies included issues such as failure to implement effective infection prevention during a COVID-19 outbreak and incomplete health service plans addressing resident weight loss and condition changes. Complaint investigations were mostly unsubstantiated, except for one substantiated case involving inadequate nursing interventions related to resident weight loss. The facility’s inspection history suggests some improvement over time, with no deficiencies noted in the latest report.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 52 residents

Based on a April 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

40 48 56 64 72 Mar 2021 Jul 2021 Feb 2022 Dec 2023 Apr 2024

Notice

Deficiencies: 0 Date: 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
NameTitleContext
Devon L. GrafDirector, Office of Legal and Regulatory ComplianceListed as NJDHSS Privacy Officer contact for questions about the notice

Inspection Report

Complaint Investigation
Census: 52 Deficiencies: 0 Date: Apr 28, 2024

Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ154237.

Complaint Details
Complaint number NJ154237 was investigated and the facility was found to be in substantial compliance.
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.

Report Facts
Sample Size: 3

Inspection Report

Abbreviated Survey
Census: 51 Deficiencies: 6 Date: 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)
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
NameTitleContext
Long Term Care facility's AdministratorAlternate Executive DirectorIdentified as Alternate Executive Director since February 2020 but lacked written job description for this role.
Regional Director of OperationsInterviewed multiple times regarding Alternate Executive Director designation and infection control policies.
Certified Medication Aide #1CMAReported residents were only visually monitored for COVID-19 symptoms without vital signs assessment.
Infection Control PreventionistIPUnable to provide infection control credentials and COVID-19 screening logs; stated staff were not screened for symptoms.
Certified Nursing Aide #1CNAReported employees were not screened for COVID-19 symptoms prior to shifts.
Home Health Aide #1HHANot required to complete COVID-19 symptom screening prior to shifts.
Licensed Practical Nurse #1LPNReported facility lacked a Director of Nursing for weeks prior to survey.
Maintenance DirectorMDObserved not wearing facial mask properly during survey.
Maintenance Staff Member #1MSMObserved walking without facial mask.
Dietary Aide #1DAConfirmed 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 DirectorFSDStated kitchen staff instructed to wear masks only in residents' areas, not in kitchen.

Inspection Report

Complaint Investigation
Census: 56 Deficiencies: 0 Date: Apr 10, 2023

Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ00162997.

Complaint Details
Complaint number NJ00162997 was investigated and the facility was found to be in substantial compliance.
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.

Report Facts
Sample size: 3

Inspection Report

Complaint Investigation
Census: 47 Deficiencies: 0 Date: Feb 17, 2022

Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ151722.

Complaint Details
Complaint number NJ151722 was investigated and the facility was found to be in substantial compliance.
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.

Report Facts
Sample Size: 5

Inspection Report

Routine
Census: 47 Capacity: 64 Deficiencies: 1 Date: 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)
Failure to complete the required annual electrical inspection by a licensed electrician.
Report Facts
Census: 47 Total capacity: 64 Sample size: 5

Employees mentioned
NameTitleContext
Director of MaintenanceDirector of MaintenanceInterviewed regarding failure to schedule annual electrical inspection.
Regional Director of MaintenanceRegional Director of MaintenanceInterviewed regarding responsibility for inspection scheduling oversight.
Executive DirectorExecutive DirectorInterviewed about monitoring and scheduling of the annual electrical inspection.

Inspection Report

Complaint Investigation
Census: 46 Deficiencies: 0 Date: Jul 15, 2021

Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ00146522.

Complaint Details
Complaint number NJ00146522 was investigated and the facility was found to be in substantial compliance.
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.

Report Facts
Sample size: 4

Inspection Report

Complaint Investigation
Census: 45 Deficiencies: 2 Date: 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.

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.
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.

Deficiencies (2)
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
NameTitleContext
Regional Director of OperationsRegistered Nurse (RN)Interviewed and confirmed lack of Health Service Plan for Resident #1 and was the delegating nurse during the survey.
Executive DirectorInterviewed 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 Date: Mar 18, 2021

Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ00143157.

Complaint Details
Complaint number NJ00143157 was investigated and the facility was found to be in substantial compliance.
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.

Report Facts
Sample size: 4

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