Inspection Reports for
Careone At Teaneck

The complaint investigation was triggered by allegations of misappropriation involving Resident 93 and CNA1, as well as concerns about weight monitoring, food preferences, assistive devices, and staff training. The investigation found substantiated deficiencies in these areas.

The facility failed to complete a thorough investigation of an allegation of misappropriation involving a resident and a CNA, failed to ensure initial and weekly weights were obtained for residents, failed to honor a resident's food preferences, failed to provide special eating utensils to a resident, and failed to ensure effective staff training on misappropriation and abuse prevention.

The complaint investigation was triggered by allegations including denial of resident rights, misappropriation of resident property, improper medication administration, inadequate wound care, failure to monitor resident weights, failure to honor food preferences, incomplete clinical records, failure to hold required meetings, unsafe resident equipment, and inadequate staff training. The investigation included interviews, record reviews, and observations. Some allegations were substantiated such as denial of resident rights and misappropriation, while others revealed systemic issues.

The facility was found to have multiple deficiencies including denial of resident rights to leave the facility for a family outing, failure to protect a resident from misappropriation of property, failure to limit psychotropic medication orders to 14 days, incomplete investigations of alleged misappropriation, failure to obtain wound treatment orders timely, failure to monitor resident weights, improper medication administration through feeding tubes, failure to honor food preferences and provide assistive eating devices, incomplete clinical records, failure to hold quarterly quality assurance meetings, broken resident bed not repaired timely, and inadequate staff training on abuse prevention.

The facility was found deficient in accurately coding resident assessments, following physician orders for medications, documenting medication administration and treatments, and maintaining accurate and complete medical records for residents. Multiple residents had issues with medication administration outside ordered parameters and missing documentation of treatments and nursing notes.

Complaint numbers NJ 155949, 158851, 162976, 163790, 164500, 166683, 168298, 170251, 170584, 171165 were investigated during this survey.

Deficiencies were cited related to accuracy of resident assessments, failure to meet professional nursing standards including medication administration and documentation, failure to maintain accurate resident records, and life safety code violations including sprinkler system installation and maintenance, HVAC safety, and gas equipment storage and handling.

The facility was found deficient in multiple areas including failure to provide automatic fire sprinkler protection in all areas, failure to inspect and test the private fire hydrant, lack of protective mesh and proper carbon monoxide detection on a direct-vent gas fireplace, improper transport of compressed oxygen cylinders, and deficiencies in gas equipment storage. All deficiencies had the potential to affect all 87 residents.

The facility was found not in compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey related to COVID-19 infection control screening failures.

The facility failed to ensure that all staff and visitors entering the building were screened for COVID-19 signs and symptoms according to facility policy and CDC guidelines. Specifically, 3 of 10 employees and 6 of 10 visitors reviewed did not complete required screening or temperature checks prior to entry, violating infection prevention and control program requirements.

The facility was found deficient in clarifying physician orders for fluid consistency, labeling and dating enteral feeding bottles and water flush bags, proper wound care procedures including disinfection and hand hygiene, and proper labeling, storage, and disposal of medications in refrigerators. These deficiencies were associated with minimal harm or potential for actual harm affecting a few residents.

Deficiencies were cited related to staffing ratios, failure to clarify physician orders for fluid consistency, improper labeling and dating of feeding bottles, inadequate treatment of pressure ulcers, and improper labeling and storage of medications.

The facility was found to be in noncompliance with NFPA 96 regarding cooking facilities. Specifically, combustible items were stored on an operating electric training stove in the Physical Therapy room, posing a fire hazard.