Inspection Reports for Complete Care at Woodlands
1400 Woodland Ave, Plainfield, NJ 07060, NJ, 07060
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
7 residents
Based on a July 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 3
Nov 21, 2025
Visit Reason
The inspection was conducted based on Complaint #2648672 to investigate allegations that the facility failed to properly change an arterial ulcer treatment dressing according to physician orders, failed to document appropriately, and failed to notify the physician when the resident refused dressing changes.
Findings
The facility failed to change the arterial ulcer dressing as ordered, did not document the resident's refusal of treatment, and did not notify the physician of the refusals. These deficiencies were identified for one resident with pressure ulcers and were confirmed through record review, observations, and staff interviews.
Complaint Details
Complaint #2648672 involved failure to change arterial ulcer dressing as ordered, failure to document refusals, and failure to notify the physician. The complaint was substantiated based on observations, interviews, and record reviews.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to change an arterial ulcer treatment dressing in accordance with a physician order. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to document appropriately in accordance with professional standards of practice. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to notify the physician that resident refused dressing change. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed with pressure ulcers: 3
Residents affected: 1
Brief Mental Status score: 0
Deficiency severity count: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Observed preparing and completing arterial wound dressing change |
| LPN #2 | Licensed Practical Nurse | Admitted to failing to document resident's refusal of dressing change |
| UM | Unit Manager | Confirmed dressing change frequency and standards |
| DON | Director of Nursing | Explained expectations for treatment refusals and documentation |
| RN | Registered Nurse | Reported coding errors and failure to document refusals or notify physician |
| MD | Medical Doctor | Acknowledged lack of notification about refusals and importance of communication |
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 explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and NJDHSS's legal duties 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
Census: 7
Deficiencies: 1
Jul 24, 2025
Visit Reason
The inspection was conducted to evaluate medication administration practices and ensure the medication error rate was below five percent.
Findings
The facility failed to maintain a medication error rate below five percent, with two medication errors occurring during administration to one resident out of seven observed, resulting in a 6.45% error rate. The errors involved crushing medications that should not have been crushed, contrary to manufacturer recommendations and facility policy.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure medication error rates are not 5 percent or greater, specifically crushing medications that should not be crushed. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Medication error rate: 6.45
Residents observed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) 1 | Administered medications incorrectly by crushing medications that should not be crushed. | |
| Director of Nursing (DON) | Stated that staff were in-serviced on whether medications can be crushed. |
Inspection Report
Complaint Investigation
Census: 106
Deficiencies: 1
May 20, 2025
Visit Reason
The inspection was conducted based on multiple complaints received (NJ00174376, NJ00174932, NJ00181413, NJ00182680, NJ00182975, NJ00183400) to assess compliance with federal and state regulations for long term care facilities.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, due to failure to meet required minimum staffing ratios on 1 of 14 day shifts during the complaint investigation period. Specifically, the facility had insufficient Certified Nursing Assistants (CNAs) on 05/11/2025, with 12 CNAs for 104 residents instead of the required 13 CNAs.
Complaint Details
The complaint investigation included multiple complaint numbers and found the facility deficient in CNA staffing on one day shift during the period 05/04/2025 to 05/17/2025. The facility was not in substantial compliance based on this complaint visit.
Deficiencies (1)
| Description |
|---|
| Failed to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 1 of 14 day shifts. |
Report Facts
Census: 106
Sample Size: 8
Staffing Deficiency: 1
Certified Nursing Assistants on 05/11/2025: 12
Required Certified Nursing Assistants on 05/11/2025: 13
Inspection Report
Complaint Investigation
Census: 110
Deficiencies: 2
Sep 25, 2024
Visit Reason
The inspection was conducted based on Complaint #: NJ00175265 to investigate allegations related to the facility's compliance with 42 CFR Part 483, Subpart B, specifically regarding resident records and staffing.
Findings
The facility was found not in substantial compliance due to failure to maintain accurate and complete medical records for a resident with a change in condition and failure to meet required minimum staffing ratios for Certified Nursing Assistants on multiple day shifts.
Complaint Details
Complaint #: NJ00175265. The complaint investigation found the facility was not in substantial compliance with requirements based on failure to maintain proper resident records and inadequate staffing levels.
Severity Breakdown
SS=D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to maintain an accurate and complete medical record in accordance with accepted standards and practice, including failure to document a registered nurse's assessment of a resident with a change in condition. | SS=D |
| Failure to ensure staffing ratios met the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 3 day shifts. | — |
Report Facts
Census: 110
Sample Size: 3
Deficient CNA staffing day shifts: 3
Required CNAs on deficient days: 14
Actual CNAs on deficient days: 13
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 24, 2024
Visit Reason
The inspection was conducted based on a complaint regarding failure to maintain accurate and complete medical records, specifically the lack of documentation of a registered nurse's assessment of a resident who presented with a change in condition.
Findings
The facility failed to document a registered nurse's assessment of Resident #1 during episodes of vomiting and diarrhea, despite documentation by Licensed Practical Nurses. The facility also failed to follow its Charting and Documentation policy requiring documentation of changes in a resident's condition.
Complaint Details
Complaint#: NJ00175265. The complaint was substantiated based on observation, interview, and review of medical records showing lack of RN documentation despite changes in resident condition.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain an accurate and complete medical record by not documenting a registered nurse's assessment of a resident with a change in condition. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents affected: 1
Dates of observation: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse/Unit Manager | RN/UM | Interviewed regarding reporting and assessment procedures; admitted to assessing resident but not documenting |
| Director of Nursing | DON | Interviewed regarding expectations for reporting and documentation of changes in resident condition |
Inspection Report
Routine
Census: 110
Deficiencies: 0
Mar 15, 2024
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 and recommended practices for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample size: 8
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 15, 2024
Visit Reason
The inspection was conducted as a routine annual survey of the nursing home facility Complete Care at Woodlands to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection, indicating the facility met all required standards at the time of the survey.
Inspection Report
Annual Inspection
Census: 115
Capacity: 120
Deficiencies: 14
Feb 1, 2024
Visit Reason
The inspection was a Recertification and Complaint Survey conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health (NJDOH).
Findings
The facility was found not to be in substantial compliance with 42 CFR 483 subpart B. Deficiencies were identified related to resident rights, resident assessments, baseline care plans, professional standards of care, discharge planning, quality of care, and life safety code compliance.
Severity Breakdown
SS=D: 6
SS=E: 6
SS=F: 1
Deficiencies (14)
| Description | Severity |
|---|---|
| Failed to provide one resident a dignified dining experience by not providing regular silverware. | SS=D |
| Failed to ensure ten residents' Minimum Data Set (MDS) assessments were transmitted in a timely manner. | SS=E |
| Failed to develop baseline care plans for five residents including necessary interventions. | SS=E |
| Failed to follow professional standards of practice by leaving medications unattended for one resident. | SS=D |
| Failed to ensure safe discharge for residents leaving Against Medical Advice by not notifying community agencies or providing prescriptions. | SS=D |
| Failed to accurately screen residents for elopement risk and document exit seeking behaviors prior to use of wander guard for one resident. | SS=D |
| Failed to obtain physician orders for pressure ulcer treatment changes and admission care for two residents. | SS=D |
| Failed to maintain building structure meeting height and construction requirements; ceiling tiles lacked fire resistance rating. | SS=F |
| Failed to maintain one exit free of obstructions and impediments for instant use due to raised threshold. | SS=E |
| Failed to ensure illumination was available at the exit discharge from the Physical Therapy room. | SS=E |
| Failed to ensure three hazardous area room doors were compliant with fire safety codes. | SS=E |
| Failed to ensure two photo electric smoke detectors were installed greater than 36 inches from ceiling air diffusers. | SS=E |
| Failed to ensure natural gas fueled fireplace was installed and used in accordance with code; lacked combustion air and safety shutoff. | SS=E |
| Failed to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. | — |
Report Facts
Survey Census: 115
Total Capacity: 120
Sample Size: 27
Supplemental Residents: 10
Deficient CNA staffing days: 8
Deficient CNA staffing counts: 12
Smoke detectors: 2
Hazardous area doors: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN1 | Registered Nurse | Named in medication left unattended finding |
| LPN1 | Licensed Practical Nurse | Named in resident leaving AMA documentation finding |
| UM1 | Unit Manager | Named in resident leaving AMA and care plan findings |
| Physician 1 | Physician | Named in resident leaving AMA and discharge planning findings |
| LPN2 | Licensed Practical Nurse | Named in resident leaving AMA finding |
| LPN3 | Licensed Practical Nurse | Named in wander guard and resident care findings |
| CNA1 | Certified Nurse Aide | Named in wander guard and resident care findings |
| UM2 | Unit Manager | Named in pressure ulcer care findings |
| LPN4 | Licensed Practical Nurse | Named in pressure ulcer care findings |
| Maintenance Director | Maintenance Director | Named in fire safety and building construction findings |
Inspection Report
Routine
Deficiencies: 7
Feb 1, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident rights, assessment and transmission of Minimum Data Set (MDS) data, baseline care planning, medication management, discharge planning, elopement risk, and pressure ulcer care.
Findings
The facility was found deficient in multiple areas including failure to provide dignified dining utensils to a resident, late transmission of MDS assessments for multiple residents, failure to develop baseline care plans within 48 hours for several residents, improper medication handling, inadequate discharge planning and notification for residents leaving against medical advice, inaccurate elopement risk screening and inappropriate use of wander guards, and failure to obtain physician orders for wound care changes.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to provide one resident (R87) with regular silverware for 14 months despite no safety risk. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to transmit ten residents' MDS assessments within required timeframes. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to develop baseline care plans within 48 hours of admission for five residents (R159, R109, R160, R45, R32). | Level of Harm - Minimal harm or potential for actual harm |
| Left medications unattended at bedside that were not ordered for self-administration for one resident (R98). | Level of Harm - Minimal harm or potential for actual harm |
| Failed to notify physician and ensure safe discharge planning for residents leaving against medical advice (R105, R107). | Level of Harm - Minimal harm or potential for actual harm |
| Failed to accurately screen residents for elopement risk and document exit seeking behaviors prior to wander guard use for one resident (R76). | Level of Harm - Minimal harm or potential for actual harm |
| Failed to obtain physician orders for wound care changes and failed to obtain orders for wound care upon admission for two residents (R45, R32). | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents sampled: 27
Residents affected by MDS late transmission: 10
Residents affected by baseline care plan deficiency: 5
Residents affected by medication error: 1
Residents affected by discharge planning deficiency: 2
Residents affected by elopement risk screening deficiency: 1
Residents affected by wound care order deficiency: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Social Service Director (SSD) | Interviewed regarding plastic utensil use and discharge AMA procedures |
| Dietary Manager | Dietary Manager (DM) | Interviewed regarding plastic utensil use for resident R87 |
| Unit Manager 1 | Unit Manager (UM) 1 | Interviewed regarding plastic utensil use and discharge AMA procedures |
| Director of Nurses | Director of Nursing (DON) | Provided facility policies and interviewed regarding multiple deficiencies |
| MDS Coordinator | MDS Coordinator (MDSC) | Interviewed regarding late MDS assessment submissions |
| Licensed Practical Nurse 1 | Licensed Practical Nurse (LPN) 1 | Signed discharge AMA form and interviewed about discharge procedures |
| Licensed Practical Nurse 2 | Licensed Practical Nurse (LPN) 2 | Documented resident leaving AMA and interviewed about discharge procedures |
| Physician 1 | Physician | Interviewed regarding notification and discharge procedures for resident leaving AMA |
| Unit Manager 2 | Unit Manager (UM) 2 | Interviewed regarding wound care and baseline care plan deficiencies |
| Licensed Practical Nurse 3 | Licensed Practical Nurse (LPN) 3 | Interviewed regarding resident compliance and wander guard use |
| Certified Nurse Aide 1 | Certified Nurse Aide (CNA) 1 | Interviewed regarding resident independence and wander guard use |
| Licensed Practical Nurse 4 | Licensed Practical Nurse (LPN) 4 | Interviewed regarding wound care treatment and documentation |
Inspection Report
Complaint Investigation
Census: 102
Deficiencies: 4
Nov 16, 2023
Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health due to multiple complaints (NJ00157992, NJ00159180, NJ00165144, NJ00168238, and NJ00168734) from 11/14/23 through 11/16/23.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, for long term care facilities based on the complaint visit. Deficiencies included inaccurate resident assessments, failure to implement COVID-19 outbreak policies, unclean bedrails, and failure to maintain required staffing ratios.
Complaint Details
The complaint investigation involved multiple complaint numbers and found the facility not in substantial compliance with federal long term care requirements. Specific complaints included inaccurate assessments, infection control failures, environmental cleanliness, and staffing shortages.
Severity Breakdown
SS=D: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure the Minimum Data Set (MDS) assessment was accurately coded for one resident (Resident 4). | SS=D |
| Failure to implement COVID-19 outbreak policy to mitigate spread when an employee returned to work prematurely. | SS=D |
| Failure to ensure bedrails were clean in one resident room (room 124-B). | SS=D |
| Failure to maintain required minimum staff-to-resident ratios as mandated by New Jersey for Certified Nursing Assistants (CNAs). | — |
Report Facts
Survey Census: 102
Sample Size: 9
Staffing Deficiencies: 27
Staffing Deficiencies: 7
Staffing Deficiencies: 3
Staffing Deficiencies: 4
Staffing Deficiencies: 4
Staffing Deficiencies: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA1 | Certified Nursing Assistant | Named in infection prevention deficiency for returning to work prematurely during COVID-19 outbreak. |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for accurate MDS coding. |
| Registered Dietician | Registered Dietician | Responsible for coding section of MDS; verified coding error for Resident 4. |
| Housekeeping Director | Housekeeping Director | Observed unclean bedrails and responsible for housekeeping audits. |
| HK1 | Housekeeper | Assigned to clean room 124 but failed to clean bedrails properly. |
| Infection Preventionist | Infection Preventionist | Confirmed COVID-19 outbreak policy was not followed. |
| Administrator | Administrator | Acknowledged infection control policy breach and staffing issues. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Nov 16, 2023
Visit Reason
The inspection was conducted based on complaints regarding inaccurate resident assessments, failure to implement COVID-19 outbreak policies, and cleanliness issues related to bedrails in resident rooms.
Findings
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) assessment for one resident, did not follow COVID-19 outbreak policies for employee return to work after infection, and failed to maintain cleanliness of bedrails in one resident room.
Complaint Details
Complaint #NJ00157992 related to inaccurate MDS coding; Complaint #NJ00168238 related to COVID-19 outbreak policy noncompliance; Complaint #NJ00168734 related to cleanliness of bedrails.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure the Minimum Data Set (MDS) assessment was accurately coded for one of nine sampled residents regarding enteral feeding. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to implement COVID-19 outbreak policy when an employee returned to work without testing negative twice within 48 hours after infection. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure bedrails were clean in one of 28 resident rooms. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents sampled: 9
Employees tested positive: 1
Resident rooms inspected: 28
Hours worked: 5.75
Days home: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA1 | Certified Nursing Assistant | Employee who tested positive for COVID-19 and returned to work without following policy |
| MDS Coordinator | Confirmed inaccurate MDS coding for resident R4 | |
| Registered Dietician | RD | Responsible for coding section K swallowing and nutritional approaches on MDS |
| Director of Nursing | DON | Expected accurate MDS coding per RAI Manual |
| Housekeeping Director | Inspected bedrails and confirmed cleaning deficiencies | |
| HK1 | Housekeeper | Failed to clean inside of bedrails as assigned |
| Infection Preventionist | IP | Confirmed COVID-19 outbreak policy noncompliance |
| Administrator | Acknowledged infection control policy was not followed during COVID-19 outbreak |
Inspection Report
Routine
Census: 108
Deficiencies: 0
Oct 19, 2023
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 CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 9
Inspection Report
Annual Inspection
Deficiencies: 0
Oct 19, 2023
Visit Reason
The inspection was conducted as a routine annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Abbreviated Survey
Census: 113
Deficiencies: 0
Jan 13, 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 and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 5
Inspection Report
Follow-Up
Census: 46
Deficiencies: 1
Aug 19, 2021
Visit Reason
The visit was conducted to assess compliance with New Jersey Administrative Code standards for licensure of long term care facilities, specifically regarding mandatory minimum direct care staff-to-resident ratios.
Findings
The facility failed to maintain the required minimum direct care staff-to-resident ratios as mandated by New Jersey state law during multiple shifts in late July and early August 2021. The facility acknowledged staffing shortages and reported efforts to address them including increased wages and use of agency staff.
Deficiencies (1)
| Description |
|---|
| Failure to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. |
Report Facts
Census: 43
Census: 46
Deficiency dates: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA | Interviewed about resident assignments on 7-3 shift | |
| Staffing Coordinator | Interviewed and acknowledged awareness of staffing shortages and use of agency staff | |
| Regional Director of Operations | Interviewed and acknowledged staffing concerns and efforts to increase wages and use agencies |
Inspection Report
Routine
Deficiencies: 3
Aug 19, 2021
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in wound care, food handling, infection control, and other regulatory requirements at the nursing facility.
Findings
The facility failed to follow acceptable clinical practices related to wound care administration, accurate implementation of physician's orders, proper food handling and storage, and infection control practices including hand hygiene during wound treatment and meal service.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to follow acceptable standards of clinical practice related to wound care administration and accurate implementation of physician's orders for Resident #51. | Level of Harm - Minimal harm or potential for actual harm |
| Failure to properly handle and store potentially hazardous foods, maintain equipment and kitchen areas to prevent microbial growth and cross contamination, and maintain adequate infection control practices during food service. | Level of Harm - Minimal harm or potential for actual harm |
| Failure to maintain infection control standards and procedures including proper hand hygiene and safe wound treatment practices for Resident #51 and during meal service. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Deficiencies cited: 3
Dates of wound care orders: Orders dated 06/09/21 and 08/03/21 for wound care treatments
Dates of wound care observations: Wound care observed on 08/13/21
Dates of hand hygiene training: CNA #1 attended hand hygiene training on 04/19/2021, 07/15/21, and 08/03/21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Unit Manager | RN/UM | Interviewed regarding wound care order clarifications and infection control practices |
| Infection and Education Registered Nurse | IERN | Interviewed regarding infection control failures during wound care |
| Director of Nursing | DON | Provided wound care policy and interviewed regarding hand hygiene expectations |
| Account Manager | AM | Observed and interviewed regarding kitchen sanitation and food storage practices |
| Certified Nursing Assistant #1 | CNA | Observed failing to perform hand hygiene during meal service and feeding residents |
| Director of Operations | DO | Interviewed regarding hairnet use and handwashing procedures |
| Registered Nurse | RN | Observed performing wound care with multiple infection control breaches |
| Dietary Aide | DA | Observed performing improper handwashing technique in kitchen |
Inspection Report
Routine
Census: 88
Deficiencies: 0
Apr 26, 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: 3
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 0
Jan 6, 2021
Visit Reason
The inspection was conducted as a complaint survey related to complaint number NJ130683.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities on this complaint survey.
Complaint Details
Complaint number NJ130683 was investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample size: 8
Inspection Report
Routine
Census: 88
Deficiencies: 0
Jan 6, 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 and recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with 423 CFR 483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
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