Inspection Reports for
Continuing Care At Lantern Hill
537 Mountain Avenue, New Providence, NJ, 07974
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
95% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 3, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding a significant medication error where a Licensed Practical Nurse administered the wrong intravenous antibiotics to two residents.
Complaint Details
Complaint #2690327 involved a medication error on 12/3/25 where LPN #1 administered IV Meropenem to Resident #2 and IV Zosyn to Resident #1. Resident #1 had an allergic reaction and was hospitalized. The nurse was suspended and terminated. The facility submitted a Removal Plan and implemented corrective actions.
Findings
The facility failed to protect a resident from a significant medication error when the wrong IV antibiotics were administered to two residents, resulting in immediate jeopardy to resident health. One resident experienced an allergic reaction requiring hospital transfer. The facility took corrective actions including suspension and termination of the nurse involved, education, competency checks, and implementation of a new verification process.
Deficiencies (1)
Failure to ensure residents are free from significant medication errors, specifically wrong IV antibiotic administration to residents.
Report Facts
Date of medication error: Dec 3, 2025
Number of residents affected: 2
Duration of Zosyn order: 32
Medication doses: 1
BIMS score Resident #1: 14
BIMS score Resident #2: 11
Termination date of LPN #1: Dec 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Administered wrong IV antibiotics to residents, suspended and terminated |
| ADON | Assistant Director of Nursing | Educated and suspended LPN #1, assisted in investigation and corrective actions |
| CMRN | Clinical Manager Registered Nurse | Discovered medication error during IV pump alarm check and informed LPN #1 |
| DON | Director of Nursing | Interviewed by surveyor, stated LPN #1 did not follow medication administration procedures |
| LNHA | Licensed Nursing Home Administrator | Suspended and terminated LPN #1, involved in corrective action plan |
Notice
Deficiencies: 0
Date: 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
Routine
Census: 38
Deficiencies: 8
Date: Sep 12, 2024
Visit Reason
A recertification survey was conducted from 09/09/2024 through 09/12/2024 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facility. Complaint investigations were also completed during this survey.
Complaint Details
Complaint # NJ174676 was investigated during the survey. Deficiencies related to complaint allegations were cited.
Findings
The facility was found to have multiple deficiencies including failure to develop and implement comprehensive person-centered care plans, failure to maintain nursing professional standards of clinical practices, failure to maintain proper kitchen sanitation practices, and failure to comply with life safety code requirements. Deficient practices had the potential to affect all residents but no residents were directly affected. Corrective actions and plans of correction were submitted and some deficiencies were corrected by the revisit date.
Deficiencies (8)
Failure to develop and implement a comprehensive person-centered care plan for residents.
Failure to maintain nursing professional standards of clinical practices related to pain management and medication use.
Failure to maintain proper kitchen sanitation practices to prevent foodborne illness.
Failure to ensure exit discharge pathways were clear and properly marked in accordance with NFPA 101.
Failure to ensure quarterly Uniform Fire Safety Code inspections were conducted and documented.
Failure to ensure fire door assemblies were inspected and tested annually.
Failure to ensure sprinkler system gauges were replaced or recalibrated every 5 years.
Failure to ensure portable fire extinguishers were properly installed and maintained.
Report Facts
Census: 38
Sample Size: 15
Deficiencies cited: 8
Audit percentage: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Named in relation to care plan audits, education, and corrective actions |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding care plans and resident information |
| General Services Director | General Services Director (GSD) | Named in relation to fire safety and maintenance deficiencies |
Inspection Report
Routine
Deficiencies: 3
Date: Sep 12, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with regulatory standards related to care planning, nursing professional standards, pain management, and kitchen sanitation practices.
Findings
The facility failed to develop and implement comprehensive person-centered care plans addressing pressure ulcers, use of splints, anticoagulant medications, and pressure ulcer care for multiple residents. Additionally, the facility did not maintain proper nursing documentation for pain management and failed to maintain proper kitchen sanitation practices to prevent foodborne illness.
Deficiencies (3)
Failure to develop and implement a complete care plan addressing residents' needs including pressure ulcers, splints, and anticoagulant use.
Failure to maintain nursing professional standards by not documenting pain management assessments and medication use for Resident #11.
Failure to maintain proper kitchen sanitation practices including expired food items, improper labeling, and unclean equipment.
Report Facts
Residents reviewed for comprehensive person-centered care plan deficiencies: 5
Residents reviewed for unnecessary medications: 1
BIMS scores: 3
Medication administration dates: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding care plans and acknowledged concerns about missing care plans for pressure wounds, splints, and anticoagulant medications. | |
| Licensed Practical Nurse #1 | Interviewed and stated that splint use must be addressed in care plans but could not locate care plan for Resident #3's splint. | |
| Certified Nursing Assistant | Interviewed and stated they report resident pain complaints to nurses. | |
| Licensed Practical Nurse/Unit Manager | Interviewed and stated Resident #11's medical record had no pain assessment monitoring ordered by physician. | |
| General Manager of Dining Services | Observed kitchen sanitation deficiencies and confirmed expired food items and labeling issues. | |
| Licensed Nursing Home Administrator | Met with survey team to discuss concerns but provided no further information. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 25, 2024
Visit Reason
The inspection was conducted as a standard annual survey of the nursing home facility Continuing Care at Lantern Hill to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 37
Deficiencies: 0
Date: Jan 25, 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.
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: 5
Inspection Report
Annual Inspection
Census: 40
Capacity: 40
Deficiencies: 4
Date: Aug 18, 2023
Visit Reason
A Recertification and complaint survey was conducted to assess compliance with regulatory standards including complaint intakes and recertification requirements.
Complaint Details
No deficiencies were issued related to Complaint Intakes NJ162192, NJ163620, NJ163741, NJ164118, NJ164483, NJ164624, and NJ165562.
Findings
The facility was found to be in substantial compliance with 42 CFR 483 subpart B with no deficiencies related to complaint intakes. However, deficiencies were noted in staffing ratios, emergency lighting, fire extinguisher maintenance, and smoke barrier integrity.
Deficiencies (4)
Failed to maintain required minimum direct care staff-to-shift ratios for day shifts as mandated by New Jersey state law.
Emergency lighting was not provided at the emergency generator transfer switch as required by NFPA 110.
Stored-pressure fire extinguishers lacked six-year internal examination and verification of service collar as required by NFPA 10.
Penetrations in smoke barrier walls were not sealed, compromising smoke barrier continuity as required by NFPA 101.
Report Facts
Survey Census: 40
Sample Size: 12
Deficient CNA staffing day shifts: 5
Deficient CNA staffing day shifts count: 5
Occupied Beds: 37
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 18, 2023
Visit Reason
The inspection was conducted as a standard 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
Annual Inspection
Census: 35
Deficiencies: 0
Date: Oct 19, 2021
Visit Reason
The visit was a recertification survey 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 recertification survey.
Report Facts
Sample size: 22
Inspection Report
Life Safety
Deficiencies: 3
Date: Oct 19, 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 National Fire Protection Association (NFPA) 101, Life Safety Code.
Findings
The facility was found to be in noncompliance with fire safety requirements including failure to conduct required quarterly fire drills on all shifts, failure to annually inspect and test all fire-rated door assemblies, and failure to maintain and test the essential emergency power generator as required by NFPA standards. These deficiencies could potentially affect all 36 residents, staff, and visitors.
Deficiencies (3)
Failed to ensure required fire drills were conducted each quarter for each shift and under varying conditions; staff were not adequately trained and prepared for fire emergencies.
Failed to annually inspect and test all fire-rated door assemblies in accordance with NFPA 80 standards.
Failed to maintain and test the essential emergency power generator in accordance with NFPA 110, including missed weekly inspections and lack of documentation for monthly load testing.
Report Facts
Residents potentially affected: 36
Missed fire drills: 2
Weekly generator inspections completed: 7
Required monthly generator load tests: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Associate Executive Director | Acknowledged missing fire drills and lack of awareness of required annual fire door inspections. | |
| Senior Facility Manager | Acknowledged missing fire drills and generator inspections; received re-education on fire drills, door inspections, and generator maintenance; responsible for reviewing documentation and reporting to Administrator. | |
| Security Supervisor | Conducted in-service fire safety training for 1st and 3rd shifts on 11/11/21. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Oct 19, 2021
Visit Reason
The inspection was conducted as a standard annual survey of the nursing home facility Continuing Care at Lantern Hill.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Abbreviated Survey
Census: 35
Deficiencies: 0
Date: Jan 11, 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 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: 9
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