Inspection Reports for
Careone At New Milford

Complaint #: NJ00184368. The facility was found to be deficient in CNA staffing for residents on 14 of 14 day shifts. The complaint was substantiated as the facility failed to meet minimum staffing ratios as required by New Jersey law.

The facility was found to be in substantial compliance with federal long-term care requirements but was not in compliance with New Jersey state staffing regulations, failing to meet minimum certified nurse aide staffing ratios on 14 of 14 day shifts reviewed.

Complaint NJ#166361, NJ#173486, NJ#176146, NJ#175735. The complaint investigations revealed failures in timely reporting of elopement, pressure ulcer care, medication administration, and supervision to prevent elopement.

The facility failed to timely report a resident's elopement, failed to adequately assess and prevent pressure ulcers, failed to provide or obtain routine medications for residents, and failed to provide adequate supervision to prevent a cognitively impaired resident from eloping. The facility implemented corrective actions including staff education, updated care plans, and security improvements.

Complaint NJ#166361 and NJ#173486 involved failure to timely report elopement and inadequate supervision of a cognitively impaired resident who eloped from the facility.

The facility was found deficient in multiple areas including failure to maintain a safe and homelike environment, delayed reporting of elopement, inaccurate assessments, failure to revise care plans, failure to follow psychotropic medication recommendations, inadequate fall and pain evaluations, failure to adjust medication times for dialysis, incomplete physician visit documentation, improper medication storage, inadequate hand hygiene, and incomplete staff training on QAPI.

Complaint #: NJ00172629. The facility was not in compliance with the standards in the New Jersey Administrative Code, Chapter 8:39, Standards for Licensure of Long Term Care Facilities. The facility must submit a Plan of Correction including completion dates. No residents were negatively affected by the CNA staffing deficiency.

The facility was found not in compliance with New Jersey staffing ratio requirements, failing to meet minimum Certified Nurse Aide (CNA) staffing ratios on 14 of 14 day shifts and deficient in total staff on 3 of 14 overnight shifts. Despite staffing deficiencies, no residents were negatively affected.

The complaint investigation involved multiple complaint numbers alleging abuse and staffing deficiencies. The facility failed to timely report injuries of unknown origin and failed to thoroughly investigate such incidents for residents R1 and R4. Staffing deficiencies were documented across multiple weeks with inadequate CNA staffing ratios on day and night shifts.

The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, based on failure to timely report and thoroughly investigate injuries of unknown origin for residents, and failure to maintain required minimum staffing ratios for certified nurse aides (CNAs) on multiple day and night shifts.

The complaint involved failure to timely report and investigate injuries of unknown origin for residents R1 and R4. The facility did not report R1's injury to the State Agency, Ombudsman, family, law enforcement, or Adult Protective Services. No incident report or investigation was conducted for R1's injury. For R4, although the injury was reported to the state health department, the facility failed to interview all relevant staff and residents or conduct a thorough investigation.

The facility failed to timely report an injury of unknown origin for one resident and failed to conduct thorough investigations related to injuries of unknown origin for two residents. Documentation and interviews confirmed lack of required reporting and investigation.

The facility was found to be in substantial compliance with emergency preparedness requirements but had several deficiencies related to resident care, grievance procedures, comprehensive care plans, nursing services, infection control, food safety, and life safety code violations.

The facility was found deficient in multiple areas including failure to ensure resident participation in care planning, inadequate grievance handling, incomplete and untimely care plans for pressure ulcers, failure to follow physician orders for assistive devices, incomplete fall risk assessments and interventions, inadequate nursing competencies related to wound care, failure to remove expired medications and reconcile medication inventory, unsanitary kitchen conditions, and lapses in infection prevention practices including hand hygiene and PPE use.

The facility was found not in substantial compliance due to failure to complete treatments according to physician orders and failure to obtain physician orders and maintain safe cleaning and storage of respiratory equipment. Deficiencies were observed in treatment administration and respiratory care practices.

The facility failed to complete wound treatment according to physician's orders for one resident and failed to obtain a physician's order for oxygen therapy for another resident. Additionally, the facility did not maintain proper cleaning and storage of BiPAP equipment, posing potential harm to residents.