Inspection Reports for
Complete Care At Brick Llc
415 Jack Martin Blvd, Brick, NJ, 08724
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
14 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
169% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
40
30
20
10
0
Occupancy
Latest occupancy rate
87% occupied
Based on a June 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their health information may be used and disclosed, and their rights related to this information.
Findings
The notice explains 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
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for the notice |
Inspection Report
Routine
Deficiencies: 10
Date: Sep 12, 2025
Visit Reason
The inspection was a routine survey conducted to assess compliance with regulatory requirements related to resident dignity, care planning, medication administration, safety, and other aspects of nursing home operations.
Findings
The facility was found deficient in multiple areas including failure to ensure resident dignity during feeding, inaccurate code status documentation, incomplete baseline and comprehensive care plans, inadequate care of dialysis catheters, incorrect wound vac settings, entrapment hazards due to gaps between side rails and mattresses, failure to provide packed meals for dialysis patients, and medication administration errors.
Deficiencies (10)
Failure to ensure dignity during dining when staff stood while feeding a resident, risking humiliation and choking.
Failure to update code status in the electronic medical record to match physician orders, risking unwanted resuscitation.
Failure to develop and implement a baseline care plan including dialysis instructions within 48 hours of admission.
Failure to develop comprehensive care plans for outpatient therapy, dialysis, and dialysis catheter.
Failure to conduct regularly scheduled care conferences and invite residents to participate in care planning.
Failure to provide care for a dialysis catheter after dialysis was discontinued and failure to ensure correct wound vac settings.
Failure to ensure no large gap between side rail and mattress, creating entrapment hazard.
Failure to provide packed meals for dialysis according to physician orders.
Failure to assess entrapment risk of a new perimeter mattress used to prevent falls.
Failure to ensure resident was free from significant medication errors; underdosing of chemotherapy medication.
Report Facts
Residents sampled: 26
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Gap width: 4.5
Wound vac setting incorrect: 150
Wound vac setting ordered: 120
Medication dose ordered: 800
Medication dose administered: 400
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 1 | Registered Nurse | Administered incorrect dose of chemotherapy medication to resident R46 |
| Unit Manager 1 | Unit Manager | Observed staff standing while feeding resident R85 and verified side rail gap for resident R6 |
| Unit Manager 2 | Unit Manager | Changed dialysis catheter dressing for resident R51 |
| Director of Nursing | Director of Nursing | Confirmed dialysis catheter care issues and medication administration standards |
| Regional Registered Dietitian | Registered Dietitian | Confirmed staff should not stand while feeding resident R85 and expectations for packed meals |
| Director of Rehabilitation | Director of Rehabilitation | Discussed outpatient therapy services for resident R5 |
| Regional Social Worker | Social Worker | Discussed care plan conferences and resident participation |
| Maintenance Director | Maintenance Director | Confirmed side rail gap and bed safety assessments |
| Licensed Practical Nurse 1 | Licensed Practical Nurse | Discussed code status documentation for resident R78 |
| Palliative Nurse Practitioner 1 | Nurse Practitioner | Documented code status discussions for resident R78 |
| Regional Nurse Consultant | Nurse Consultant | Discussed care plan requirements for outpatient therapy |
| Registered Nurse 1 | Registered Nurse | Verified wound vac settings and medication administration |
| Hospice Aide 1 | Hospice Aide | Noted side rail gap hazard for resident R6 |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 7
Date: Jun 6, 2024
Visit Reason
The inspection was conducted based on multiple complaints regarding failure to notify family of changes in condition, inadequate incontinence care, pressure ulcer care deficiencies, insufficient nursing staff, incomplete medical record documentation, infection control breaches, and influenza outbreak management.
Complaint Details
The investigation was complaint-driven with multiple complaint numbers including NJ168787, NJ169666, NJ170088, NJ167481, and others related to notification failures, incontinence care, pressure ulcers, staffing, documentation, infection control, and influenza outbreak management.
Findings
The facility was found deficient in notifying resident representatives timely of changes in condition, providing timely and appropriate incontinence care, maintaining pressure ulcer prevention and treatment protocols, ensuring adequate staffing ratios, documenting medication and treatment administration accurately, following infection prevention and control protocols including transmission-based precautions, and conducting influenza testing during an outbreak.
Deficiencies (7)
Failure to notify resident's representative of change in condition in a timely manner for Resident #231.
Failure to provide timely and appropriate incontinence care, including use of double briefs and inadequate rounding, affecting Residents #12, #23, and #30.
Failure to ensure air mattress was set correctly to resident's weight and failure to investigate facility-acquired pressure ulcers for Residents #131 and #182.
Failure to maintain sufficient nursing staff to meet resident needs and mandated CNA to resident ratios.
Failure to document completion of medications and treatments accurately for Residents #19, #131, and #182.
Failure to follow transmission-based precautions including PPE use for Resident #63, lack of physician order for contact precautions for Resident #182, and failure to maintain urinary catheter bag off the floor for Resident #5.
Failure to test residents for influenza during an outbreak in accordance with CDC guidelines for Residents #2, #8, #231, #239, and #240.
Report Facts
Residents assigned per CNA: 9
Unit census: 42
Staffing ratios: 8
Staffing deficiencies: 6
Pressure ulcer size: 3.8
Pressure ulcer size: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Admitted to not wearing PPE for Resident #63 on contact isolation. |
| LPN/UM #1 | Licensed Practical Nurse/Unit Manager | Stated PPE should be worn for contact isolation and confirmed infection control practices. |
| LPN/UM #2 | Licensed Practical Nurse/Unit Manager | Confirmed nurses responsible for checking air mattress settings and documentation of treatments. |
| DON | Director of Nursing | Acknowledged deficiencies in notification, staffing, documentation, infection control, and influenza testing. |
| LNHA | Licensed Nursing Home Administrator | Confirmed staffing challenges and influenza outbreak management. |
| LPN/IP | Licensed Practical Nurse/Infection Preventionist | Provided infection control education and described transmission-based precautions. |
| CNA #3 | Certified Nursing Assistant | Described documentation of showers and care provided. |
| CNA #4 | Certified Nursing Assistant | Described staffing levels and care provision. |
Inspection Report
Routine
Deficiencies: 15
Date: Jun 6, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident care, infection control, medication management, staffing, and facility safety.
Complaint Details
Complaints NJ168787, NJ169584, NJ169666, NJ170088, NJ167481, NJ169916 were investigated related to resident care, infection control, staffing, medication management, and safety.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity, inadequate notification of family for change in condition, improper incontinence care, inaccurate care plan updates, insufficient staffing, medication administration errors, infection control breaches, incomplete medical record documentation, and food safety violations.
Deficiencies (15)
Failure to provide appropriate clothing protectors to maintain resident dignity for 1 of 19 residents.
Failure to notify resident's representative of change in condition for 1 of 22 residents.
Failure to maintain clean and safe environment including improper disposal of soiled briefs and gloves for 2 of 7 residents.
Failure to provide communication devices and update care plan for communication needs for 1 resident.
Failure to provide timely incontinence care and improper double/triple briefing for 3 residents on 1 unit.
Failure to ensure air mattress was set to resident's correct weight and failure to investigate facility acquired pressure ulcer for 2 residents.
Failure to ensure proper care and monitoring of enteral feeding including disconnected feeding pump and outdated irrigation syringe for 1 resident.
Failure to maintain adequate nursing staff ratios and provide scheduled showers and fall prevention.
Failure to properly complete narcotic shift count logs and medication administration documentation.
Failure to provide gradual dose reduction and psychiatric consult for psychotropic medication for 1 resident.
Failure to secure medications during administration and failure to secure resident's home supply medications.
Failure to properly label, date, and store potentially hazardous foods and maintain kitchen equipment.
Failure to document medication and treatment administration for 3 residents.
Failure to ensure required members present at quarterly Quality Assurance and Performance Improvement meetings.
Failure to follow transmission-based precautions, obtain physician orders for isolation, maintain urinary catheter bag off floor, and test residents for influenza during outbreak.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 3
Residents affected: 2
Residents affected: 1
Residents affected: 6
Residents affected: 3
Residents affected: 1
Residents affected: 2
Residents affected: 3
Residents affected: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Failed to wear PPE for resident on contact isolation |
| LPN #1 | Licensed Practical Nurse | Failed to sign narcotic count and medication administration |
| LPN #2 | Licensed Practical Nurse | Failed to sign narcotic count and medication administration |
| LPN/UM | Licensed Practical Nurse Unit Manager | Acknowledged deficiencies in care plan updates, staffing, and infection control |
| DON | Director of Nursing | Acknowledged deficiencies in infection control, staffing, and medication management |
| IP | Infection Preventionist | Provided infection control education and acknowledged staff noncompliance |
| LNHA | Licensed Nursing Home Administrator | Acknowledged staffing shortages and infection control issues |
Inspection Report
Annual Inspection
Census: 77
Capacity: 137
Deficiencies: 17
Date: Jun 6, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Complaint Details
Complaint investigations NJ # 167481, 167682, 167725, 168787, 169584, 169666, 169916, 170088, and 170896 were part of the survey.
Findings
Deficiencies were cited related to resident rights, notification of changes, safe environment, activities of daily living, incontinence care, pressure ulcer prevention, medication management, pharmacy services, psychotropic medication use, food safety, resident records, quality assurance, infection prevention and control, and life safety code compliance.
Deficiencies (17)
Failed to provide care and services in a manner that maintained and promoted dignity for Resident #24.
Failed to notify resident's representative of a significant change in condition for Resident #231.
Failed to maintain a safe, clean, comfortable, and homelike environment; observed unclean conditions and improper waste disposal.
Failed to provide care and services according to resident's needs and update care plans accurately for Resident #24.
Failed to provide timely incontinence care for Residents #23, #30, and #12.
Failed to ensure air mattress settings were appropriate and incident reports were initiated for newly developed wounds for Residents #131 and #182.
Failed to ensure sufficient nursing staff on a 24-hour basis to maintain required minimum direct care staff-to-resident ratios and provide appropriate care.
Failed to ensure shift-to-shift controlled substance counts were accurately documented.
Failed to ensure psychotropic medications were used appropriately with documented rationale and gradual dose reductions for Resident #24.
Failed to properly secure medications during administration and resident's home supply medications for Resident #28.
Failed to label, date, and store potentially hazardous foods appropriately and maintain kitchen equipment to prevent microbial growth.
Failed to maintain complete and accurate medical records documenting medication and treatment administration for Residents #19, #131, and #182.
Failed to ensure required members were present during quarterly Quality Assurance and Performance Improvement (QAPI) Program committee meetings.
Failed to follow infection prevention and control practices including use of personal protective equipment (PPE), obtaining physician orders for isolation, maintaining catheter care, and testing residents for influenza and COVID-19.
Failed to provide automatic fire sprinkler protection to all areas; sprinklers were missing under the first accessible landing for 3 of 4 stairwells.
Failed to ensure corridor doors resist passage of smoke; 6 of 52 resident room doors were warped and did not latch properly.
Failed to prohibit use of extension cords beyond temporary installation; 4 of 4 electrical wires for computer tablets were improperly installed through holes in walls and plugged into outlets.
Report Facts
CNA staffing deficiency days: 29
Residents affected by corridor door deficiencies: 42
Residents census: 77
Facility licensed capacity: 137
Residents affected by sprinkler deficiency: 50
Missing CNA staffing: 6
Missing signatures on controlled substance logs: 6
Residents with incomplete medication documentation: 3
Residents on contact isolation without proper PPE use: 1
Residents with improper catheter care: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Observed leaving medication bottle unsecured on medication cart. |
| LPN #2 | Licensed Practical Nurse | Observed leaving medication cart unlocked during medication administration. |
| CNA #1 | Certified Nursing Assistant | Observed providing care without PPE for resident on contact isolation. |
| CNA #2 | Certified Nursing Assistant | Observed providing care without PPE for resident on contact isolation. |
| Director of Nursing | Director of Nursing | Provided education and conducted audits for multiple deficiencies. |
| Environmental Services Supervisor | Environmental Services Supervisor | Re-educated staff on cleaning and waste disposal policies. |
| Food Service Director | Food Service Director | Conducted audits and re-educated dietary staff on food safety. |
| Maintenance Director | Maintenance Director | Oversaw repairs and inspections related to fire safety and electrical issues. |
| Infection Preventionist | Infection Preventionist | Provided education and audits on infection control practices. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 95
Deficiencies: 3
Date: Aug 31, 2023
Visit Reason
The inspection was conducted based on complaints NJ 166617 and NJ 166695 regarding medication self-administration, staffing shortages, and medication security at the facility.
Complaint Details
Complaint numbers NJ 166617 and NJ 166695 were investigated. Issues included failure to assess and care plan for medication self-administration, staffing shortages impacting resident care, and medication security breaches. Residents and family members reported concerns about delayed assistance and inadequate staffing. The Ombudsman expressed concern about staffing ratios. The complaint was substantiated with findings.
Findings
The facility failed to ensure proper assessment and care planning for residents self-administering medications, had insufficient nursing staff to meet resident needs causing delays in care, and failed to secure medication carts properly, placing residents at risk.
Deficiencies (3)
Failed to ensure residents who self-administered medications had a self-administration assessment, physician's order, and care plan completed.
Failed to have sufficient nursing staff to meet resident needs and provide timely care, resulting in extended wait times and unmet resident needs.
Failed to ensure medication carts were locked when unattended and medication was not left unsecured, risking inaccurate medication dosage.
Report Facts
Resident population: 89
Total licensed capacity: 95
Residents affected by staffing deficiency: 9
Residents affected by medication self-administration deficiency: 1
Residents affected by medication cart security deficiency: 1
Residents per CNA ratio: 9
Residents per CNA ratio: 45
Residents per CNA ratio: 30
Residents on floor during observation: 49
Residents assigned per CNA: 51
Residents assigned per CNA: 18
Residents assigned per nurse: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| R5 | Resident | Resident reviewed for medication self-administration deficiency; reported pain and lack of nurse response |
| Interim Director of Nursing | Regional Nurse | Interviewed regarding medication self-administration and medication cart security; unaware of residents self-administering medications |
| Administrator | Facility Administrator | Confirmed staffing issues during entrance conference |
| CNA1 | Certified Nursing Assistant | Reported staffing shortages and workload challenges |
| CNA8 | Certified Nursing Assistant | Reported working alone for 51 residents on a weekend |
| Director of Nursing | Director of Nursing | Discussed staffing scheduling and resident census |
| Unit Manager | Unit Manager | Reported occasional short staffing |
| Regional Administrator | Regional Administrator | Discussed staffing shortages and recruitment efforts; confirmed no response to resident council concerns |
| LPN1 | Licensed Practical Nurse | Reported caring for 24-25 residents due to call out |
| LPN2 | Licensed Practical Nurse | Observed medication cart left unlocked and unattended |
| CNA3 | Certified Nursing Assistant | Reported caring for approximately 15 residents and workload challenges |
| CNA4 | Certified Nursing Assistant | Reported caring for at least 15 residents and workload |
| CNA6 | Certified Nursing Assistant | Reported staffing shortages and safety concerns; communicated with management about understaffing |
| Volunteer Ombudsman | Volunteer Ombudsman | Noted staffing shortages during tenure |
| Ombudsman Coordinator | Ombudsman Coordinator for the State of New Jersey | Expressed concern about staffing ratios |
Inspection Report
Complaint Investigation
Census: 95
Deficiencies: 3
Date: Aug 31, 2023
Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health due to multiple complaint numbers between 08/29/23 and 08/31/23.
Complaint Details
The complaint investigation was based on multiple complaint numbers NJ00166461, NJ00166489, NJ00166505, NJ00166617, NJ00166695, NJ00164716. The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, for long term care facilities.
Findings
The facility was found not in substantial compliance with federal requirements for long term care facilities based on the complaint visit. Key findings included failure to ensure residents who self-administer medications had proper assessments, physician orders, and care plans; insufficient nursing staff to meet resident needs and provide timely care; and failure to secure medication carts and medications properly.
Deficiencies (3)
Failed to ensure residents who self-administered medications had a self-administration assessment, physician's order, and care plan.
Failed to have sufficient nursing staff to meet resident needs and provide timely care, resulting in extended wait times and unmet resident needs.
Failed to ensure medication carts were locked when unattended and medication was not left unsecured, placing residents at risk of inaccurate medication dosage.
Report Facts
Survey Census: 95
Sample Size: 18
Deficient CNA staffing days: 15
Deficient CNA staffing evening shifts: 11
Residents: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| R5 | Resident | Resident reviewed for self-administration of medications and interviewed regarding medication administration concerns. |
| Interim Director of Nursing | Regional Nurse | Interviewed regarding medication administration and staffing issues. |
| LPN2 | Licensed Practical Nurse | Observed leaving medication cart unlocked and unattended. |
| CNA1 | Certified Nursing Assistant | Interviewed about staffing shortages and resident care. |
| CNA6 | Certified Nursing Assistant | Reported staffing shortages and unsafe working conditions. |
| R15 | Resident Council President | Reported resident concerns about staffing shortages. |
| Regional Administrator | Administrator | Interviewed about staffing shortages and recruitment efforts. |
Inspection Report
Annual Inspection
Census: 73
Deficiencies: 3
Date: Jul 6, 2022
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to food safety practices including improper food labeling and sanitation, and infection prevention and control including inadequate hand hygiene practices. Additionally, the facility failed to maintain required minimum direct care staff-to-resident ratios as mandated by the State of New Jersey.
Deficiencies (3)
Facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness, including unlabeled opened food items and uncovered meat slicer.
Facility failed to perform adequate handwashing to prevent the spread of infection and failed to follow their own Hand Hygiene policy.
Facility failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the State of New Jersey.
Report Facts
Census: 73
Deficiencies cited: 3
CNA staffing deficiency counts: 3
CNA staffing deficiency counts: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Interviewed regarding food safety deficiencies and corrective actions | |
| Dietary Aide | Observed not wearing hair net in kitchen area | |
| Licensed Practical Nurse (LPN) | Observed and interviewed regarding inadequate hand hygiene during medication administration | |
| Registered Nurse (RN) Unit Manager | Interviewed regarding hand hygiene standards | |
| Director of Nursing (DON) | Interviewed regarding hand hygiene policy and staffing | |
| RN Educator | Interviewed regarding hand hygiene procedures and competencies | |
| Certified Nursing Assistant (CNA) | Interviewed regarding staffing levels and workload | |
| Licensed Nursing Home Administrator (LNHA) | Interviewed regarding staffing requirements and facility staffing status |
Inspection Report
Routine
Deficiencies: 3
Date: Jul 6, 2022
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food safety, infection prevention, and hand hygiene standards.
Findings
The facility was found deficient in properly labeling and handling potentially hazardous food items, maintaining sanitation in the kitchen, and ensuring staff compliance with hand hygiene policies during medication administration.
Deficiencies (3)
Failure to label opened food items in the walk-in freezer with open and use by dates, and failure to cover a sanitized meat slicer when not in use.
Dietary aide observed working without a hair net in the kitchen area.
Failure to perform adequate handwashing by a Licensed Practical Nurse during medication administration, not following facility hand hygiene policy.
Report Facts
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Interviewed regarding food labeling and sanitation deficiencies | |
| Licensed Practical Nurse (LPN) | Observed and cited for inadequate handwashing during medication administration | |
| Registered Nurse (RN) Unit Manager | Interviewed regarding handwashing standards | |
| Director of Nursing (DON) | Interviewed regarding handwashing policy | |
| RN Educator | Interviewed regarding handwashing procedures and competencies |
Inspection Report
Life Safety
Census: 78
Capacity: 137
Deficiencies: 8
Date: Jul 6, 2022
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 07/05/2022 to assess compliance with Medicare/Medicaid participation requirements and the 2012 NFPA 101 Life Safety Code for existing health care occupancy.
Findings
The facility was found to be in noncompliance with several Life Safety Code requirements including delayed egress door signage, stair tread marking, self-closing devices on hazardous area doors, sprinkler system maintenance, corridor door smoke resistance, electrical panel clearance, generator remote stop station, and improper use of extension cords. Corrective actions were planned and later verified as completed during a revisit on 10/05/2022.
Deficiencies (8)
Exit doors with delayed egress devices lacked required instructional signage.
Stair tread marking stripes were missing on all four stairwells.
Self-closing devices and hardware were not provided on doors to hazardous areas.
Sprinkler system ceiling was not smoke resistant and fire rated due to oversized ceiling cuts near sprinkler head.
Corridor doors failed to resist passage of smoke due to improper door hardware causing gaps.
Electrical panels and equipment lacked required 36 inch clearance; storage blocked access.
Generator lacked a remote manual stop station outside the enclosure housing the prime mover.
Extension cords were used beyond temporary installation as a substitute for fixed wiring in resident room.
Report Facts
Certified beds: 137
Census: 78
Deficiencies identified: 8
Rooms with door gaps: 6
Rooms with extension cord use: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Named in relation to multiple findings and confirmations during survey | |
| Regional Plant Operations Director | Named in relation to multiple findings and confirmations during survey | |
| Administrator | Informed of findings during exit conference | |
| Director of Plant Operations | Responsible for corrective actions and compliance audits |
Inspection Report
Abbreviated Survey
Census: 83
Deficiencies: 1
Date: May 31, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations related to COVID-19. However, a separate deficiency was noted regarding failure to maintain required minimum direct care staff to resident ratios as mandated by New Jersey state law.
Deficiencies (1)
Failure to maintain the required minimum direct care staff to resident ratios as mandated by the state of New Jersey, evident for 3 of 14 day shifts and deficient in Certified Nursing Assistants (CNAs) to total staff on 6 of 14 evening shifts.
Report Facts
Census: 83
Deficient day shifts: 3
Deficient evening shifts: 6
Sample size: 5
Inspection Report
Complaint Investigation
Census: 85
Deficiencies: 0
Date: May 9, 2022
Visit Reason
The inspection was conducted in response to complaint #NJ 152764 to assess compliance with regulatory requirements.
Complaint Details
Complaint #NJ 152764 was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for long term care facilities based on this complaint visit.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 84
Deficiencies: 0
Date: Apr 13, 2021
Visit Reason
The inspection was conducted as a complaint investigation based on complaint # NJ 141368.
Complaint Details
Complaint # NJ 141368 was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for long term care facilities based on this complaint visit.
Report Facts
Sample size: 4
Inspection Report
Routine
Census: 80
Deficiencies: 0
Date: Jan 27, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 8
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