Inspection Reports for Complete Care At Ocean Grove Llc
160 S Main St, NJ, 07756
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Notice
Deficiencies: 0
Nov 20, 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
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 3
May 15, 2025
Visit Reason
The inspection was conducted based on complaints NJ175245 and NJ184348 to investigate compliance with federal and state regulations related to staffing, nursing services, and resident records at Complete Care at Ocean Grove LLC.
Findings
The facility was found not in substantial compliance with requirements, specifically failing to ensure a Registered Nurse worked at least 8 consecutive hours for 1 of 21 days reviewed, and failing to maintain complete and accurate medical records for sampled residents. Additionally, the facility failed to meet staffing ratios for Certified Nursing Assistants on multiple days, potentially affecting all residents.
Complaint Details
Complaint numbers NJ175245 and NJ184348 triggered the investigation. The facility was found not in substantial compliance with federal and state regulations based on these complaints.
Severity Breakdown
Level D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure a Registered Nurse worked at least 8 consecutive hours for 1 of 21 days reviewed. | Level D |
| Failed to maintain complete and accurate medical records for Resident #2. | Level D |
| Failed to ensure staffing ratios met minimum requirements for Certified Nursing Assistants on multiple days. | Level D |
Report Facts
Census: 88
Sample Size: 4
Days RN coverage missing: 1
Days deficient CNA staffing: 18
Days deficient CNA staffing (specific dates): 13
Inspection Report
Complaint Investigation
Census: 98
Deficiencies: 4
Jun 28, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on multiple complaints (NJ00171706, NJ00171459, NJ00172188, NJ00172527, NJ00173104, and NJ00174056) regarding compliance with long term care facility regulations.
Findings
The facility was found not in compliance with several regulatory requirements including pharmacy services, medication administration, resident records, and staffing ratios. Deficiencies were identified in medication administration timeliness, documentation of resident care, and maintaining adequate staffing levels as mandated by state law.
Complaint Details
The visit was triggered by complaints NJ00171706, NJ00171459, NJ00172188, NJ00172527, NJ00173104, and NJ00174056. The facility was found not in compliance with 42 CFR Part 483, Subpart B, and New Jersey Administrative Code Chapter 8:39. Specific complaints included medication administration errors and inadequate staffing. Substantiation status is not explicitly stated.
Severity Breakdown
SS=E: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide routine and emergency pharmacy services and maintain accurate records of controlled drugs. | SS=E |
| Failure to administer medications according to the scheduled times for sampled residents. | SS=E |
| Failure to maintain resident records that are complete, accurate, accessible, and systematically organized. | SS=E |
| Failure to maintain required minimum direct care staff to resident ratios during day and evening shifts. | — |
Report Facts
Census: 98
Sample Size: 4
Deficiency Completion Date: Aug 7, 2024
Deficiency Completion Date: Aug 7, 2024
Staffing Deficiency Counts: 7
Staffing Deficiency Counts: 6
Staffing Deficiency Counts: 7
Inspection Report
Recertification And Complaint Survey
Census: 82
Capacity: 147
Deficiencies: 9
Feb 19, 2024
Visit Reason
A Recertification and Complaint Survey was conducted by Healthcare Management Solutions, LLC on behalf of New Jersey Department of Health (NJDOH) from 02/12/2024 to 02/19/2024.
Findings
The facility was found not in substantial compliance with federal and state regulations, including deficiencies in Medicaid/Medicare coverage notices, freedom from abuse and neglect, reporting of alleged violations, baseline care plans, activities of daily living, medication error rates, infection control, and resident records. Corrective actions and plans of correction were required.
Complaint Details
The survey included complaint investigations for multiple complaint numbers (NJ162382, NJ163457, NJ164001, NJ165865, NJ166922, NJ169240, NJ169555, NJ170247, NJ170346, NJ170898, NJ171116). Findings included substantiated failures in abuse prevention, reporting, and resident care.
Severity Breakdown
Level 3: 7
Level 4: 2
Deficiencies (9)
| Description | Severity |
|---|---|
| Failure to inform Medicaid-eligible residents in writing about items and services included in nursing facility services and charges. | Level 3 |
| Failure to ensure residents were free from abuse, neglect, misappropriation, and exploitation. | Level 4 |
| Failure to report resident incidents and injuries timely to the state survey agency. | Level 4 |
| Failure to develop and implement a baseline care plan within 48 hours of admission for residents. | Level 3 |
| Failure to provide scheduled showers to residents. | Level 3 |
| Failure to maintain medication error rates below 5 percent for two of five residents observed. | Level 3 |
| Failure to maintain medical records complete, accurate, and accessible. | Level 3 |
| Failure to ensure infection prevention and control program was effective, including proper PPE use and hand hygiene. | Level 3 |
| Failure to maintain minimum direct care staff-to-resident ratios as mandated by New Jersey. | Level 3 |
Report Facts
Survey Census: 82
Total Capacity: 147
Sample Size: 18
Medication Error Rate: 5
Number of Deficiencies: 9
Inspection Report
Life Safety
Census: 90
Capacity: 147
Deficiencies: 0
Feb 19, 2024
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Survey were conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health on 02/19/2024.
Findings
The facility was found to be in compliance with 42 CFR 483.73 for Emergency Preparedness and with 42 CFR 483.90(a), Life Safety from Fire, and the 2012 Edition of the NFPA 101 Life Safety Code, Chapter 19 Existing Health Care Occupancy.
Report Facts
Occupied beds: 90
Total licensed capacity: 147
Inspection Report
Renewal
Census: 98
Deficiencies: 1
Nov 17, 2021
Visit Reason
The visit was a recertification survey to assess compliance with New Jersey Administrative Code 8:39, Standards for Licensure of Long-Term Care Facilities.
Findings
The facility was found not in substantial compliance due to failure to meet minimum staffing ratios for 11 of 14 day-shifts reviewed, potentially affecting all residents. A plan of correction was required to address staffing shortages and ensure compliance with state staffing requirements.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staffing ratios were met for 11 of 14 day-shifts reviewed, violating mandatory access to care requirements. |
Report Facts
Census: 98
Deficiencies cited: 1
Staffing ratios: 13
Staffing ratios: 7
Staffing ratios: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Acknowledged staffing deficiencies and described corrective actions |
| Assistant Nursing Home Administrator | Assistant Nursing Home Administrator | Provided information on staffing bonuses and recruitment efforts |
Inspection Report
Life Safety
Deficiencies: 0
Nov 17, 2021
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health, Health Facility Survey and Field Operations to assess compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and the 2012 Edition of the NFPA 101 Life Safety Code.
Findings
Meridian Nursing and Rehabilitation at Ocean Grove was found to be in compliance with the Life Safety Code requirements. The facility is a 3-story Type II Protected building built in 1994 and divided into 8 smoke zones.
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 0
Jul 18, 2021
Visit Reason
The inspection was conducted in response to complaints NJ144377 and NJ145843 to assess compliance with 42 CFR Part 483, Subpart B for Long Term Care Facilities.
Findings
The facility was found to be in substantial compliance with the regulatory requirements based on this survey.
Complaint Details
Complaint numbers NJ144377 and NJ145843 were investigated; the facility was found in substantial compliance.
Report Facts
Sample Size: 10
Inspection Report
Routine
Census: 92
Deficiencies: 0
Feb 3, 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: 5
Inspection Report
Abbreviated Survey
Census: 91
Deficiencies: 0
Jan 5, 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: 5
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