Inspection Reports for Complete Care At Inglemoor, Llc

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The inspection was conducted based on Complaint #NJ00180296 to investigate allegations related to involuntary seclusion and abuse at the facility.

The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, due to failure to ensure a resident was free from involuntary seclusion. The investigation revealed that a nurse confined a resident in their room against their will during a night shift. The nurse was terminated and staff received training on abuse and involuntary seclusion policies.

Complaint #NJ00180296 was substantiated. The facility failed to prevent involuntary seclusion of Resident #1 by a nurse during the night shift on 12/03/2024. The nurse was suspended pending investigation and later terminated. Staff were in-serviced on abuse and involuntary seclusion policies.

A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.

Deficiencies were identified related to comprehensive care plans, nursing services, pharmacy services, infection control, emergency preparedness, and life safety code compliance. Several residents were found to be potentially affected by deficient practices, including medication errors and inadequate care planning.

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.

The facility was found not in compliance with 42 CFR §483.80 infection control regulations, specifically failing to ensure that all staff and residents were properly screened for COVID-19 signs and symptoms according to facility policy and CDC guidelines. Deficiencies involved 9 of 37 nursing employees and 4 of 5 residents reviewed.

The inspection was conducted as a complaint investigation based on complaint #N150898.

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.

Complaint #N150898 was investigated and the facility was found to be in substantial compliance.

The inspection was conducted to assess compliance with New Jersey Administrative Code standards for licensure of long term care facilities, specifically focusing on employee health screening and infection control requirements.

The facility was found not in compliance with mandatory infection control and sanitation standards, specifically failing to ensure that a recently hired employee received a required physical examination or nursing assessment within the mandated timeframe.

The survey was conducted to assess compliance with emergency preparedness requirements and life safety code regulations for the Inglemoor Center.

The facility was found noncompliant with emergency preparedness requirements due to insufficient emergency food supplies not matching the emergency menu, and noncompliance with life safety code due to unsealed vertical openings in the laundry area ceiling allowing passage of fire, smoke, and fumes between floors.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and recommended COVID-19 practices.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19.