Inspection Reports for Ciel of Washington Township

600 Medical Center Dr, Sewell, NJ 08080, United States, NJ, 08080

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Notice Deficiencies: 0 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 details 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: 88 Deficiencies: 0 Feb 10, 2025
Visit Reason
The inspection was conducted as a complaint investigation identified by Complaint #: NJ 00182948.
Findings
The facility was found to be in substantial compliance with N.J.A.C. Title 8 Chapter 36 standards for licensure of assisted living residences, comprehensive personal care homes, and assisted living programs for this complaint investigation.
Complaint Details
Complaint investigation NJ 00182948; facility found in substantial compliance.
Report Facts
Sample size: 3
Inspection Report Abbreviated Survey Census: 76 Deficiencies: 2 Aug 5, 2024
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey infection control regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found not in compliance with infection control standards, including failure to document resident assessments according to professional standards for 3 residents, and failure to implement and enforce an infection prevention and control program, specifically inadequate PPE availability and incomplete isolation precautions.
Deficiencies (2)
Description
Failure to document in accordance with professional standards for 3 residents' records.
Failure to implement and enforce infection prevention and control program, including inadequate PPE supplies and incomplete isolation precautions.
Report Facts
Residents reviewed: 3 Rooms observed with isolation signs: 11
Employees Mentioned
NameTitleContext
Director of NursingDirector of Nursing (DON)Documented progress notes late and confirmed isolation cart locations and PPE restocking responsibilities.
Licensed Practical NurseLicensed Practical Nurse (LPN)Interviewed regarding isolation cart location.
Inspection Report Complaint Investigation Census: 82 Deficiencies: 2 Feb 16, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00158708) to assess 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 the mechanical lifting devices program, including lack of staff training and maintenance documentation for Hoyer lifts, and failure to maintain complete medical records for discharged residents as required by state regulations.
Complaint Details
Complaint #NJ00158708 triggered the investigation. The complaint was substantiated based on findings of deficient practices related to mechanical lift training and medical record maintenance.
Deficiencies (2)
Description
Failure to implement and enforce the facility's policy on mechanical lifting devices, including lack of staff training on Hoyer lifts and absence of monthly maintenance inspections.
Failure to maintain and retain complete medical records for discharged residents #2 and #4 for the required 10-year period.
Report Facts
Census: 82 Sample Size: 3
Employees Mentioned
NameTitleContext
Director of Nursing (DON)Interviewed regarding mechanical lift policy and medical records; confirmed lack of staff training and incomplete medical records.
Executive Director (ED)Interviewed and unable to provide documentation of staff training or maintenance checklist for Hoyer lifts.
Hospice Aide (HA)Interviewed and stated lack of training on Hoyer lifts at the facility.
Home Health Aide (HHA)Interviewed and confirmed no training on Hoyer lifts at the facility.
Inspection Report Routine Census: 76 Deficiencies: 1 Mar 4, 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 related to COVID-19.
Findings
The facility was found not to be in compliance with infection control regulations, specifically failing to develop and implement an infection prevention and control program, including incomplete outbreak testing during a COVID-19 outbreak affecting residents and staff.
Deficiencies (1)
Description
Failure to develop and implement an infection prevention and control program as required by regulation, evidenced by incomplete outbreak testing during a COVID-19 outbreak.
Report Facts
Residents tested during outbreak: 27 Staff tested during outbreak: 8 Residents census: 76
Employees Mentioned
NameTitleContext
Licensed Practical Nurse #8Licensed Practical NurseInterviewed regarding outbreak testing and facility procedures
Executive DirectorExecutive DirectorInterviewed regarding outbreak origin and testing policies
Inspection Report Complaint Investigation Census: 93 Deficiencies: 0 Jan 25, 2023
Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ 00160784.
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.
Complaint Details
Complaint number NJ 00160784 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
Inspection Report Complaint Investigation Census: 70 Deficiencies: 3 Jul 20, 2022
Visit Reason
The inspection was conducted as a complaint and focused infection control survey related to COVID-19 compliance following complaint #NJ00154921.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code 8:36 standards for licensure and infection control regulations, including failure to enforce mask policies for employees and visitors, improper laundry sanitation practices, and inadequate hand hygiene technique by staff.
Complaint Details
Complaint #NJ00154921 triggered the survey. The facility was found not in substantial compliance with infection control and licensure standards.
Deficiencies (3)
Description
Failure of the Executive Director to implement and enforce mask use policies for employees and visitors during high community COVID-19 transmission.
Failure to ensure laundry detergent was provided for sanitation and infection control, with use of a non-sanitary product (Wellness Enhancer) in resident laundry machines.
Failure to perform proper hand hygiene technique by staff, including insufficient handwashing duration and improper disposal of paper towels.
Report Facts
Census: 70 Sample size: 3 Handwashing duration: 15 Staff observed for hand hygiene: 4 Staff failing hand hygiene: 2
Employees Mentioned
NameTitleContext
Executive DirectorExecutive DirectorFailed to enforce mask policies and acknowledged employees not wearing masks.
Maintenance DirectorMaintenance DirectorObserved removing Wellness Enhancer from laundry machines and unaware of product differences.
Executive ChefExecutive ChefObserved washing hands improperly and not following hand hygiene policy.
CookCookObserved washing hands properly but improperly touching trash can lid after handwashing.
Inspection Report Abbreviated Survey Census: 67 Deficiencies: 1 Feb 18, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and CDC recommended practices during the COVID-19 pandemic.
Findings
The facility was found not to be in compliance with infection control standards as 3 of 10 staff members were observed not wearing masks appropriately, posing a risk to all residents. The facility had ongoing training and policies but failed to ensure proper mask use during a period of high community transmission.
Deficiencies (1)
Description
Failure to implement infection control program ensuring staff wore masks appropriately covering mouth and nose during high COVID-19 transmission.
Report Facts
Census: 67 Sample size: 5
Employees Mentioned
NameTitleContext
Business Office ManagerBusiness Office ManagerObserved not wearing a mask during interaction with resident
Licensed Practical Nurse #1Licensed Practical NurseObserved wearing mask below jaw during conversation
Housekeeper #1HousekeeperObserved wearing mask below jaw while cleaning near resident
Executive DirectorExecutive DirectorProvided information on ongoing mask training and facility policies
Resident Care DirectorResident Care DirectorClarified facility COVID-19 outbreak status and ongoing training
Inspection Report Re-Inspection Census: 72 Capacity: 94 Deficiencies: 12 Sep 19, 2021
Visit Reason
The inspection was a standard survey of 94 residential units to assess compliance with New Jersey Administrative Code standards for assisted living residences.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including staff training, physical examinations, resident care plans, dining services, emergency procedures, physical plant maintenance, housekeeping, and infection control. Deficiencies were identified that had the potential to affect all residents. A follow-up revisit on 3/27/2022 confirmed all cited deficiencies were corrected.
Deficiencies (12)
Description
Facility failed to ensure staff received orientation and annual in-service education for 1 of 5 employees reviewed.
Facility failed to ensure employee files included records of physical examinations for 4 of 5 employees reviewed.
Facility failed to review general service plans semi-annually for 4 of 5 residents reviewed.
Facility failed to review health service plans quarterly for 4 residents receiving hospice care.
Facility failed to document annual physical examinations and certifications for 5 residents reviewed.
Facility failed to ensure Food Service Coordinator worked in consultation with a dietitian.
Facility failed to ensure dietary staff followed infection control policies, including hand hygiene and food handling.
Facility failed to ensure at least one employee trained in CPR was available for 10 shifts between 08/31/2021 and 09/19/2021.
Facility failed to ensure mechanical ventilation was functioning properly in 2 of 7 bathrooms.
Facility failed to ensure fire doors were manually closed and functioning properly; resident elopement occurred due to door malfunction.
Facility failed to conduct annual electrical inspections and maintain safe electrical conditions.
Facility failed to ensure all new employees received tuberculin skin testing upon hire.
Report Facts
Census: 72 Total Capacity: 94 Deficiencies corrected: 11 Sample Size: 6 Residents reviewed: 5 Residents reviewed: 4 Shifts without CPR certified staff: 10
Employees Mentioned
NameTitleContext
Licensed Practical Nurse #6Licensed Practical NurseNamed in findings related to lack of staff orientation, annual education, physical examination, and tuberculin skin testing.
Certified Medication Aide #5Certified Medication AideNamed in findings related to lack of physical examination and tuberculin skin testing.
Activity DirectorActivity DirectorNamed in findings related to lack of physical examination.
Certified Medication Aide #4Certified Medication AideNamed in findings related to lack of physical examination.
Food Service DirectorFood Service DirectorNamed in findings related to infection control and dietary consultation deficiencies.
Business Office ManagerBusiness Office ManagerNamed in multiple interviews confirming deficiencies and corrective actions.
AdministratorAdministratorNamed in interviews regarding staffing and CPR certification.
Inspection Report Complaint Investigation Census: 76 Deficiencies: 5 Aug 2, 2021
Visit Reason
Complaint investigation triggered by complaint NJ 00145752 regarding failure to negotiate a managed risk agreement and failure to implement smoking policies.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards for assisted living residences. Key deficiencies included failure to negotiate a managed risk agreement with Resident #1, failure to implement the smoking policy for Residents #1 and #2, failure to complete initial assessments by a registered nurse, failure to obtain medical certification for Resident #1's appropriateness for assisted living, and failure to update the General Service Plan for Resident #2.
Complaint Details
Complaint # NJ 00145752. The complaint was substantiated as the facility failed to meet multiple regulatory requirements related to resident safety and care planning.
Deficiencies (5)
Description
Failure to negotiate a managed risk agreement with Resident #1 who had a history of unsafe smoking behavior.
Failure to implement the facility's smoking policy for Residents #1 and #2, including lack of safe smoking evaluations and care plans.
Failure to ensure initial assessment by a registered nurse upon admission to determine resident needs and safety.
Failure to obtain medical certification from a physician, nurse practitioner, or physician assistant certifying Resident #1's appropriateness for assisted living.
Failure to develop and/or update the General Service Plan for Resident #2 to reflect required interventions and behaviors.
Report Facts
Sample size: 3 Residents evacuated: 76 Residents relocated: 15
Employees Mentioned
NameTitleContext
Executive DirectorInterviewed regarding resident agreements, smoking policy, and incident response
Director of NursingInterviewed regarding resident assessments and smoking policy implementation
Licensed Practical Nurse #1Completed Resident Review Tool and documented resident conditions
Licensed Practical Nurse #2Interviewed about resident smoking behavior and incident
Licensed Practical Nurse #3Responded to incident and confiscated resident's smoking materials
Certified Nursing Assistant #2Alerted staff about resident smoking incident
Inspection Report Abbreviated Survey Census: 77 Deficiencies: 0 Nov 25, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.

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