Inspection Reports for Delaire Nursing and Convalescent Center
400 W Stimpson Ave, Linden, NJ 07036, NJ
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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, the circumstances under which health information may be used or disclosed, the rights of individuals 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: 198
Capacity: 240
Deficiencies: 12
Mar 12, 2025
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities, including multiple complaints received. The survey included assessment of safe, clean, comfortable, and homelike environment, resident assessments, medication management, food safety, infection control, and life safety code compliance.
Findings
The facility was found deficient in multiple areas including maintaining a homelike environment, accurate resident assessments, medication storage and labeling, food safety and temperature control, infection prevention and control, and life safety code compliance. Several deficiencies were cited related to environmental cleanliness, resident care plans, medication management, and fire safety. Corrective actions and monitoring plans were outlined for each deficiency.
Complaint Details
The visit was complaint-driven with multiple complaints cited including NJ00167667, 00179925, 00162894, 00174453, 00162894, 00173600, 00183775, 00180893, 00183623, 00181312, 00172376, NJ00183795, NJ00173600, NJ00174453, and others. Substantiation status is not explicitly stated.
Deficiencies (12)
| Description |
|---|
| Facility failed to maintain a homelike environment that was clean, safe, and sanitary on 3 of 4 floors. |
| Facility failed to accurately transmit Minimum Data Set (MDS) assessments for residents #46 and #21 timely. |
| Facility failed to accurately assess the status of resident #100 in the MDS. |
| Facility failed to coordinate PASARR assessments and resident reviews for resident #100. |
| Facility failed to keep medications stored and labeled properly; identified loose tablets and capsules in medication cart. |
| Facility failed to ensure meal tickets reflected resident preferences and accuracy for residents #89 and #101. |
| Facility failed to ensure food temperature checks were completed and documented properly. |
| Facility failed to maintain sanitation and safe food storage, including improper labeling and storage of food brought in by visitors. |
| Facility failed to establish and maintain an infection prevention and control program including hand hygiene and use of personal protective equipment. |
| Facility failed to maintain adequate staffing ratios for certified nurse aides (CNAs) on multiple shifts prior to survey. |
| Facility failed to maintain life safety code compliance including fire door hardware, fire alarm system testing, and electrical outlet testing. |
| Facility failed to maintain kitchen range hood extinguishing system inspection every 6 months. |
Report Facts
Census: 198
Total Capacity: 240
Deficiencies cited: 12
Staffing Deficiencies: 7
Temperature Readings: 52
Temperature Readings: 46
Temperature Readings: 47
Inspection Date: Mar 12, 2025
Plan of Correction Completion Date: May 1, 2025
Inspection Report
Complaint Investigation
Census: 187
Deficiencies: 1
Feb 16, 2024
Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health to investigate multiple complaint numbers related to Aristacare at Parkside.
Findings
The facility was found to be in substantial compliance with federal long term care requirements but was not in compliance with New Jersey state licensure standards due to failure to meet minimum staffing ratios on 14 of 14 day shifts during the review period.
Complaint Details
Complaint numbers NJ00164948, NJ00168753, NJ00164612, NJ00150523, NJ00152921, NJ00159936, NJ00161522 were investigated. The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B, but deficient in meeting state staffing requirements.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 14 of 14 day shifts. |
Report Facts
Survey Census: 187
Sample Size: 13
Deficient day shifts: 14
Required CNAs per day shift: 23
Actual CNAs per day shift: 16
Actual CNAs per day shift: 22
Inspection Report
Complaint Investigation
Census: 172
Deficiencies: 1
Oct 12, 2023
Visit Reason
A Focused Infection Control and Complaint survey was conducted on behalf of the State of New Jersey Department of Health due to complaints NJ 149407, NJ 148909, and NJ 147668.
Findings
The facility was found to be in substantial compliance with infection control requirements but was not in compliance with New Jersey staffing regulations, failing to meet minimum CNA staffing ratios on 13 of 14 day shifts prior to the survey.
Complaint Details
Complaint numbers NJ 149407, NJ 148909, and NJ 147668 were investigated. The facility was found not in compliance with staffing requirements but was in substantial compliance with infection control requirements.
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 13 of 14 day shifts. |
Report Facts
Survey Census: 172
Sample Size: 10
Deficient CNA staffing days: 13
Required CNAs per day shift: 22
Actual CNAs on various days: Ranged from 11 to 20 CNAs on day shifts with census ranging from 170 to 179 residents.
Inspection Report
Annual Inspection
Census: 158
Capacity: 240
Deficiencies: 19
Jan 18, 2023
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to accuracy of assessments, professional standards of care, range of motion maintenance, medication storage and labeling, food safety, garbage disposal, quality assurance committee attendance, building rehabilitation, exit signage, cooking facilities, fire alarm and sprinkler system maintenance, portable fire extinguishers, corridor door functionality, smoke control systems, electrical system maintenance, and power cord usage.
Severity Breakdown
SS=E: 5
SS=F: 8
SS=D: 4
Deficiencies (19)
| Description | Severity |
|---|---|
| Failed to accurately complete Minimum Data Set (MDS) for residents. | SS=D |
| Failed to maintain professional standards of nursing practice including medication administration and hand hygiene. | SS=D |
| Failed to clarify and transcribe physician's order and document treatment for range of motion devices. | SS=D |
| Failed to properly store medications, maintain clean medication storage areas, and properly label opened multidose medications. | SS=E |
| Failed to properly handle and store potentially hazardous foods and maintain kitchen sanitation. | SS=E |
| Failed to keep garbage container area free of garbage and debris. | SS=E |
| Failed to ensure Medical Director attendance or designee at QAA/QAPI meetings. | SS=D |
| Failed to disclose extent of construction work, obtain required approvals, and ensure inspection prior to occupancy. | SS=F |
| Failed to conduct daily inspection of construction areas and means of egress. | SS=F |
| Failed to provide exit signs with continuous illumination indicating direction of travel where not apparent. | SS=E |
| Failed to ensure kitchen cooking equipment met NFPA 96 requirements; hood suppression system non-compliant. | SS=F |
| Failed to conduct and document semi-annual fire alarm system inspection and smoke alarm sensitivity testing. | SS=F |
| Failed to inspect automatic sprinkler system quarterly as required. | SS=F |
| Failed to perform and document monthly visual examination of portable fire extinguishers. | SS=E |
| Failed to ensure corridor doors resist passage of smoke and close properly. | SS=E |
| Failed to maintain smoke control systems (smoke dampers) in safe operating condition and provide documentation of inspection. | SS=F |
| Failed to functionally test electrical receptacles annually and maintain electrical outlets in optimal condition. | SS=F |
| Failed to certify generator transfer time within 10 seconds and document transfer times during monthly tests. | SS=F |
| Failed to prohibit use of extension cords beyond temporary installation and as substitute for fixed wiring. | SS=F |
Report Facts
Census: 158
Total Capacity: 240
Deficiency count: 17
CNA staffing deficiency: 11
Loose medication pills: 89
Expired IV catheters: 5
Expired heparin flush syringes: 7
Fire extinguisher inspection missing: 3
Generator monthly tests missing transfer times: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding MDS coding and medication administration deficiencies | |
| Licensed Practical Nurse #1 | Observed medication administration errors and hand hygiene deficiencies | |
| Licensed Practical Nurse #2 | Observed medication administration and hand hygiene deficiencies | |
| Licensed Practical Nurse #3 | Observed medication cart with loose pills | |
| Unit Manager Registered Nurse | Observed unsecured medication storage room door | |
| Pharmacy Consultant | Interviewed regarding medication storage and labeling | |
| Food Service Director | Interviewed regarding kitchen sanitation and food storage | |
| Licensed Nursing Home Administrator | Interviewed regarding construction, QAA/QAPI meetings, and facility compliance | |
| Regional Plant Operations Director | Interviewed regarding fire safety systems and maintenance | |
| Maintenance Staff Member | Observed fire extinguisher and electrical deficiencies | |
| Administrator | Interviewed regarding fire alarm and electrical system deficiencies |
Inspection Report
Abbreviated Survey
Census: 155
Deficiencies: 1
Sep 29, 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 not in compliance with 42 CFR §483.80 infection control regulations, specifically failing to ensure all staff entering the building were screened for signs and symptoms of COVID-19 in accordance with facility policy and CDC guidelines.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure all staff entering the building were screened for signs and symptoms of COVID-19 according to facility policy and CDC guidelines. | SS=E |
Report Facts
Employees not screened: 23
Sample size: 11
Inspection Report
Routine
Census: 162
Deficiencies: 0
Nov 9, 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 as it relates to CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 5
Inspection Report
Life Safety
Deficiencies: 3
Dec 14, 2020
Visit Reason
The inspection was conducted to assess compliance with the Life Safety Code 101:2012 and related fire safety regulations for the facility.
Findings
The facility was found not in substantial compliance with minimum Life Safety Code requirements, including failure to ensure self-closing doors on hazardous area kitchens, unresolved fire alarm system trouble conditions, and inadequate inspection and testing of the emergency generator.
Severity Breakdown
SS=D: 1
SS=C: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Door to hazardous area kitchen was not equipped with self-closing hardware, breaching smoke resistance requirements. | SS=D |
| Fire alarm system was in a trouble condition due to floor power booster issues and was not properly maintained. | SS=C |
| Emergency generator was not inspected weekly nor exercised under full load monthly as required. | SS=C |
Report Facts
Weekly inspections missing: 40
Monthly full load exercises missing: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding fire door deficiency, fire alarm system trouble, and emergency generator maintenance lapses |
Inspection Report
Annual Inspection
Census: 153
Deficiencies: 5
Dec 14, 2020
Visit Reason
Annual standard survey conducted to assess compliance with 42 CFR Part 483, Subpart B for long term care facilities.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including failure to develop comprehensive care plans for pain management, incomplete physician progress notes, medication administration errors exceeding 5%, improper kitchen sanitation practices, and breaches in infection control during treatment administration.
Severity Breakdown
SS=D: 4
SS=B: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to develop a comprehensive care plan addressing pain management for one resident. | SS=D |
| Physician progress notes were not signed and dated at each resident visit for 8 of 33 residents reviewed. | SS=B |
| Medication administration error rate of 7.6% observed during medication pass with two errors involving incorrect timing and administration of medications. | SS=D |
| Improper kitchen sanitation practices including wet nesting of trays and pans and failure to wear beard guard by dietary aide. | SS=D |
| Failure to adhere to infection control practices during wound treatment including inadequate hand hygiene, improper glove use, and long fingernails of nurse. | SS=D |
Report Facts
Census: 153
Sample Size: 33
Medication administration opportunities: 26
Medication administration errors: 2
Medication administration error rate: 7.6
Residents with unsigned physician notes: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse Unit Manager | Named in infection control breach during wound treatment and disciplined. | |
| Director of Nursing (DON) | Interviewed regarding care plan, medication errors, and infection control findings. | |
| Consultant Pharmacist (CP) | Interviewed regarding medication administration and OTC medication policies. | |
| Nurse Practitioner (NP) | Responsible for writing physician notes and conducting monthly face-to-face visits. | |
| Food Service Director (FSD) | Interviewed regarding kitchen sanitation and wet nesting practices. | |
| Regional Food Service Director (RFSD) | Interviewed regarding kitchen sanitation and wet nesting practices. | |
| Dietary Aide (DA) | Observed not wearing beard guard during food service. |
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