Inspection Reports for Care One At Somerset Valley Assisted Living
1621 Route 22 West, NJ, 08805
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
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 regarding their health 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: 2
Aug 6, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #: NJ 00160638) 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 due to failure to implement and enforce medication administration policies, resulting in one resident (Resident #3) not receiving prescribed medication for a total of 5 days. Documentation deficiencies and lack of proper notification for missed medications were also noted.
Complaint Details
Complaint #: NJ 00160638. The complaint was substantiated based on observations, interviews, and record reviews indicating medication administration failures for Resident #3.
Deficiencies (2)
| Description |
|---|
| Failure to implement and enforce policies regarding medication administration, documentation, and notification for missed medication for Resident #3. |
| Failure to ensure medications were administered in accordance with prescriber's orders for Resident #3. |
Report Facts
Census: 52
Days medication not administered: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director of Clinical Services (RDCS) | Interviewed regarding medication administration and documentation. | |
| Administrator | Interviewed regarding medication administration issues and family complaint. | |
| Assistant Executive Director (AED) | Interviewed regarding medication administration. | |
| LPN Supervisor | Interviewed regarding medication administration. | |
| Licensed Practical Nurse (LPN) | Wrote progress notes regarding missing medication and ordering STAT medication. | |
| Former Director of Nursing (DON) | Worked with back-up pharmacy to obtain medication and should have documented follow-ups. |
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