Inspection Reports for
Cranbury Center
292 Applegarth Road, Monroe Township, NJ, 08831
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
46% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
65% occupied
Based on a June 2025 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 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 NJDHSS's legal duties and responsibilities regarding 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: 100
Deficiencies: 1
Date: Jun 23, 2025
Visit Reason
The inspection was conducted in response to complaint NJ187234 to investigate staffing ratio compliance at the facility.
Complaint Details
Complaint NJ187234 was substantiated as the facility failed to meet minimum staffing requirements for CNAs on all 14 day shifts reviewed from 06/08/2025 to 06/21/2025.
Findings
The facility was found not in compliance with New Jersey Administrative Code 8:39 regarding staffing ratios, failing to meet minimum CNA staffing requirements on 14 of 14 day shifts reviewed, potentially affecting all residents.
Deficiencies (1)
Failed to ensure staffing ratios were met for 14 of 14-day shifts reviewed, deficient in CNAs for resident care.
Report Facts
Deficient CNA staffing days: 14
Census on 06/08/25: 106
Census on 06/09/25: 104
Census on 06/10/25: 104
Census on 06/11/25: 103
Census on 06/12/25: 103
Census on 06/13/25: 101
Census on 06/14/25: 99
Census on 06/15/25: 99
Census on 06/16/25: 99
Census on 06/17/25: 99
Census on 06/18/25: 99
Census on 06/19/25: 99
Census on 06/20/25: 99
Census on 06/21/25: 99
Inspection Report
Routine
Census: 128
Deficiencies: 5
Date: Jun 14, 2024
Visit Reason
The inspection was conducted to evaluate compliance with federal regulations regarding resident dignity, safe environment, care practices, infection control, and food handling in a nursing home setting.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity during feeding, failure to provide a homelike dining environment, failure to follow physician orders for use of a hand splint, improper storage of kitchen utensils, and failure to implement enhanced barrier precautions for infection control. All deficiencies were assessed as causing minimal harm or potential for actual harm.
Deficiencies (5)
Failure to maintain residents' dignity when staff stood while assisting residents to eat in the dining room for one of 17 residents reviewed for meal assistance.
Failure to ensure a homelike environment when staff delivered lunch meals on trays and did not remove food from trays for 16 of 55 residents on Unit C.
Failure to follow a physician's order for a right-hand splint device for one resident, potentially causing worsening contractures and decline in range of motion.
Failure to allow cooking vessels to completely air dry before storage in the kitchen, potentially enabling bacterial growth among 127 of 128 residents.
Failure to follow infection control and prevention guidelines by not implementing Enhanced Barrier Precautions (EBP) during catheter care for one resident, risking spread of multidrug resistant organisms.
Report Facts
Residents reviewed for meal assistance: 17
Residents sampled: 34
Residents on Unit C: 55
Residents affected by homelike environment deficiency: 16
Residents affected by hand splint deficiency: 1
Residents affected by infection control deficiency: 1
Total residents in facility: 128
Residents affected by kitchen utensil drying deficiency: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) 3 | Named in dignity deficiency for standing while feeding resident | |
| Director of Nursing (DON) | Interviewed regarding expectations for dignity and physician orders | |
| Interim Administrator | Interviewed regarding expectations for dignity and homelike environment | |
| Certified Nursing Assistant (CNA) 5 | Interviewed regarding food service practices | |
| Certified Nursing Assistant (CNA) 6 | Interviewed regarding food service practices | |
| Licensed Practical Nurse (LPN) 2 | Interviewed regarding hand splint application and infection control | |
| Chef Manager (CM) | Interviewed regarding kitchen utensil drying practices | |
| Food Services Director (FSD) | Interviewed regarding kitchen utensil drying practices | |
| Licensed Practical Nurse (LPN) 3 | Interviewed regarding infection control and EBP implementation | |
| Certified Nursing Assistant (CNA) 4 | Interviewed regarding infection control and EBP knowledge | |
| Nurse Manager | Interviewed regarding EBP implementation and infection control | |
| Certified Nursing Assistant (CNA) 7 | Interviewed regarding EBP implementation | |
| Interim Infection Preventionist (IP) | Interviewed regarding EBP implementation and policy | |
| Administrator | Interviewed regarding EBP implementation and staff training |
Inspection Report
Routine
Census: 105
Deficiencies: 0
Date: Dec 13, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with CMS and CDC recommended practices for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations related to COVID-19 practices.
Report Facts
Sample size: 6
Inspection Report
Follow-Up
Census: 118
Deficiencies: 1
Date: Sep 29, 2022
Visit Reason
The visit was conducted to assess compliance with New Jersey Administrative Code standards for long term care facilities and to follow up on previously identified deficiencies related to staffing ratios.
Findings
The facility was found deficient in maintaining the required minimum Certified Nurse Aide (CNA) staffing ratios for day shifts on multiple dates, affecting all residents. A plan of correction was submitted and a revisit on 11/17/2022 confirmed that the deficiency was corrected as of 10/01/2022.
Deficiencies (1)
Failure to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratios for Certified Nurse Aides (CNAs) on day shifts.
Report Facts
Census: 118
Sample Size: 5
Deficient CNA staffing days: 14
CNA staff vs required on 04/24/2022: 11
CNA staff vs required on 04/25/2022: 11
CNA staff vs required on 04/26/2022: 11
CNA staff vs required on 04/27/2022: 13
CNA staff vs required on 04/28/2022: 10
CNA staff vs required on 04/29/2022: 10
CNA staff vs required on 04/30/2022: 9
CNA staff vs required on 08/14/2022: 10
CNA staff vs required on 08/15/2022: 9
CNA staff vs required on 08/16/2022: 10
CNA staff vs required on 08/17/2022: 11
CNA staff vs required on 08/18/2022: 10
CNA staff vs required on 08/19/2022: 10
CNA staff vs required on 08/20/2022: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Educated on NJ minimum staffing mandate and involved in monitoring compliance | |
| Director of Nursing | Educated on NJ minimum staffing mandate and involved in monitoring compliance | |
| Staffing Coordinator | Educated on NJ minimum staffing mandate and involved in monitoring compliance | |
| Human Resources Manager | Responsible for managing recruitment efforts and documentation |
Inspection Report
Routine
Census: 122
Deficiencies: 0
Date: May 17, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with CMS and CDC recommended practices for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations related to COVID-19 practices.
Report Facts
Sample size: 6
COVID+ in house: 26
Inspection Report
Plan of Correction
Census: 104
Deficiencies: 1
Date: Mar 29, 2022
Visit Reason
The inspection was conducted to assess compliance with New Jersey Administrative Code standards for licensure of long term care facilities, specifically evaluating staffing ratios as mandated by state law.
Findings
The facility was found deficient in maintaining the required minimum direct care staff to resident ratios for the day shift, failing CNA staffing requirements for 12 of 14 day shifts between 02/27/22 and 03/12/22. The facility submitted a plan of correction to address these deficiencies.
Deficiencies (1)
Failed to maintain required minimum direct care staff to resident ratios for the day shift as mandated by the State of New Jersey, deficient in CNA staffing for 12 of 14 day shifts.
Report Facts
Residents present: 104
CNA staffing deficiency days: 12
CNA staffing required: 13
CNA staffing actual: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Payroll and Schedule Manager | Interviewed regarding staffing ratios and facility staffing practices | |
| Administrator | Named in plan of correction for re-education and monitoring staffing compliance | |
| Director of Nursing | Named in plan of correction for re-education and monitoring staffing compliance | |
| Staffing Coordinator | Named in plan of correction for re-education and monitoring staffing compliance |
Inspection Report
Life Safety
Deficiencies: 2
Date: Mar 29, 2022
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 03/29/2022 to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the 2012 Edition of the National Fire Protection Association (NFPA) 101 Life Safety Code for existing health care occupancies.
Findings
The facility was found noncompliant with fire safety requirements including failure to ensure illuminated exit signs in nine locations and inadequate fire sprinkler coverage in one resident shower area. Corrective actions included installation of nine illuminated exit signs and two sprinkler heads in the affected shower stalls.
Deficiencies (2)
Failure to ensure illuminated exit signs in nine locations to clearly identify exit access paths.
Failure to provide proper fire sprinkler coverage in one resident shower area as required by NFPA 13.
Report Facts
Number of illuminated exit signs missing: 9
Number of sprinkler heads missing: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Present during observations and responsible for contacting vendors for corrective actions. | |
| Administrator | Informed of findings during the Life Safety Code survey exit conference. |
Inspection Report
Routine
Deficiencies: 6
Date: Mar 29, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including documentation of advance directives, resident assessments, medication administration, treatment orders, kitchen sanitation, medical record maintenance, and infection control practices.
Findings
The facility was found deficient in multiple areas including failure to document advance directives and code status for residents, inaccurate coding of resident falls, improper medication administration, failure to follow treatment orders, poor kitchen sanitation practices, incomplete and untimely social service assessments documentation, and inadequate infection control practices related to PPE use.
Deficiencies (6)
Failure to provide documentation that Resident #50 declined an Advance Directive and failure to document code status and POLST.
Failure to accurately code Resident #2's falls in the Minimum Data Set (MDS).
Failure to obtain physician order for code status upon readmission for Resident #50, improper medication administration for Resident #308, and failure to follow treatment orders for Resident #757.
Failure to maintain proper kitchen sanitation practices including uncovered trash can near clean dishes and soiled utensils stored near plumbing.
Failure to maintain readily accessible and systematically organized medical records; incomplete and untimely social service assessments for multiple residents.
Failure to ensure Temporary Nurse's Aide properly donned and doffed N95 mask and disinfected eye protection when caring for resident on COVID-19 Transmission Based Precautions.
Report Facts
Residents reviewed for Advance Directives: 7
Residents reviewed for falls: 1
Residents observed during medication pass: 4
Medication pass opportunities observed: 25
Residents reviewed for skin conditions: 1
Residents reviewed for medical records: 25
Social Service Assessments completion timeframe: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Social Services (DSS) | Interviewed regarding advance directives and code status documentation for Resident #50 | |
| Licensed Practical Nurse/Charge Nurse (LPN/CN) | Confirmed lack of advance directive and code status for Resident #50 | |
| Assistant Director of Nursing (ADON) | Acknowledged missing advance directive and code status for Resident #50 | |
| Director of Nursing (DON) | Acknowledged multiple missed opportunities to document advance directive and code status | |
| Social Worker (SW) | Acknowledged Resident #50 declined advance directive but it was not documented | |
| Assistant MDS Coordinator | Acknowledged inaccurate coding of falls for Resident #2 | |
| MDS Coordinator | Acknowledged inaccurate coding of falls for Resident #2 | |
| Unit Manager/Licensed Practical Nurse (UM/LPN) | Observed administering medication incorrectly to Resident #308 | |
| Center Executive Nurse (CEN) | Provided medication education documentation and acknowledged treatment order deficiencies | |
| Licensed Practical Nurse (LPN) #1 | Acknowledged failure to apply wound dressings as ordered for Resident #757 | |
| Licensed Practical Nurse (LPN) #2 | Observed wound dressing but uncertain about protective dressing requirement for Resident #757 | |
| Dining Services Director (DSD) | Acknowledged kitchen sanitation deficiencies | |
| Center Nurse Executive (CNE) | Acknowledged incomplete social service assessments documentation | |
| Subacute Unit Social Worker (SUSW) | Acknowledged delayed documentation of social service assessments | |
| Temporary Nurse's Aide (TNA) | Observed improper donning and doffing of N95 mask and failure to disinfect eye protection | |
| Registered Nurse (RN) Unit Manager (UM) | Confirmed proper PPE procedures including N95 mask application and eye protection disinfection | |
| Infection Control (IC) RN | Confirmed PPE protocols and deficiencies observed with TNA |
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 1
Date: May 7, 2021
Visit Reason
The inspection was conducted based on a complaint visit regarding allegations of abuse, neglect, exploitation, or mistreatment at the facility.
Complaint Details
The visit was complaint-related due to allegations of abuse, neglect, exploitation, or mistreatment. The facility was found not in compliance with 42 CFR Part 483, Subpart B, based on this complaint visit.
Findings
The facility failed to thoroughly investigate an incident involving one resident (Resident #2) as required by the facility's policy. Documentation showed the resident was found with a tied object causing injury, and the incident was not properly entered or investigated in the Risk Management System as required.
Deficiencies (1)
Failure to thoroughly investigate an incident involving Resident #2 and failure to enter the incident into the Risk Management System as required by facility policy.
Report Facts
Sample size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding failure to investigate and document the incident |
| Administrator | Administrator | Interviewed regarding failure to investigate and document the incident |
| Physical Therapist Assistant | Physical Therapist Assistant (PTA) | Documented initial observation of the resident needing assistance and reported the incident |
| Registered Nurse | Registered Nurse (RN) | Documented findings and stayed with the resident until transfer to hospital |
Inspection Report
Routine
Census: 89
Deficiencies: 0
Date: Dec 22, 2020
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
Deficiencies: 0
Date: Nov 27, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction for Cranbury Center, summarizing the results of a regulatory survey completed on 2019-11-27.
Findings
No health deficiencies were found during the survey.
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