Inspection Reports for
Careone At Hanover Township

Complaint #2569488 was substantiated. The investigation found that the facility failed to obtain an updated physician's order for TPN, resulting in missed administration from 7/18/25 to 7/22/25 and subsequent hospitalization of Resident #1 for severe hypokalemia and acute kidney injury.

The facility failed to ensure continuous administration of a customized TPN including 50 meq of Potassium Chloride, leading to severe hypokalemia, metabolic alkalosis, and acute kidney injury in Resident #1. Documentation and communication failures were identified among nursing staff and pharmacy, resulting in missed TPN doses and hydration for over 12 hours.

The facility was found deficient in multiple areas including failure to maintain call bells within reach and proper side rail padding for residents, failure to maintain a safe and clean environment, inaccurate Minimum Data Set (MDS) assessments, and deficiencies in pharmaceutical services including missed medication administrations, inaccurate medication packaging, and narcotic medication accountability.

Complaint #172250 was substantiated as the facility failed to meet minimum staffing requirements per New Jersey law on multiple day shifts during the review period.

The facility was found not in compliance with New Jersey staffing regulations, failing to maintain the required minimum direct care staff to resident ratios on 11 of 14 day shifts reviewed. The facility was cited for deficient CNA staffing and required to submit a Plan of Correction.

The facility failed to complete timely and accurate Minimum Data Set (MDS) assessments for several residents, failed to update care plans to reflect significant changes, failed to provide appropriate pressure ulcer care and prevent new ulcers, failed to prevent decline in range of motion resulting in contracture, failed to investigate falls adequately, failed to update physician orders for respiratory care, failed to inform residents properly about binding arbitration agreements, and failed to properly sanitize glucometers between residents.

Complaint #: NJ152404, NJ153519, NJ153897, NJ154244, NJ154252, NJ155977, NJ157896, NJ158712. Immediate Jeopardy was identified on 01/24/24 at 8:01 PM related to infection control failure with glucometer sanitization.

The facility was found not in substantial compliance with federal requirements based on deficiencies in multiple areas including infection control, comprehensive assessments, care plan revisions, pressure ulcer prevention, mobility maintenance, accident investigations, respiratory care, binding arbitration agreements, staffing ratios, and kitchen hood safety.

The complaint investigation (Complaint #: NJ00151419) found the facility was not in substantial compliance with 42 CFR Part 483, Subpart B. The medication error involved Resident #9 and LPN #1, who administered medications by mouth with applesauce instead of the prescribed route. The nurse was suspended and re-educated. The resident was assessed with no negative effects.

The facility failed to follow the Physician's Order for the correct route of medication administration for one resident, resulting in a medication error. The Licensed Practical Nurse administered medications orally with applesauce instead of the prescribed route. The resident was assessed with no negative effects found, and corrective actions were taken including suspension and re-education of the nurse.

The complaint investigation revealed substantiated deficiencies related to failure to investigate injuries, failure to provide ordered treatments, respiratory care deficiencies, medication management issues, and infection control breaches.

The facility failed to initiate timely investigations for injuries of unknown origin, failed to provide physician ordered treatments for residents, failed to maintain proper respiratory care including labeling and changing oxygen supplies, failed to ensure proper medication management for controlled substances, and failed to adhere to infection prevention and control protocols including proper use of PPE and hand hygiene.

The facility was found not in compliance with state-mandated minimum direct care staff-to-resident ratios during multiple shifts in August 2021. Observations and staffing reports revealed insufficient Certified Nursing Aides (CNAs) relative to resident census, with some CNAs assigned more residents than allowed by state regulations. The facility submitted a plan of correction including recruitment efforts and monitoring of staffing ratios.