Inspection Reports for Elizabeth Nursing And Rehab
1048 Grove Street, NJ, 07202
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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, 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
Annual Inspection
Census: 86
Deficiencies: 10
Sep 19, 2024
Visit Reason
A recertification survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facility, including complaint investigations.
Findings
Deficiencies were cited related to reasonable accommodations for resident needs, medication labeling and storage, food procurement and sanitation, life safety code violations including exit signage, hazardous area enclosures, sprinkler system installation and maintenance, portable fire extinguishers, electrical equipment testing, and gas equipment storage.
Complaint Details
Complaint numbers NJ171411 and NJ175879 were investigated during the survey.
Severity Breakdown
SS=D: 2
SS=E: 2
SS=F: 6
Deficiencies (10)
| Description | Severity |
|---|---|
| Reasonable Accommodations Needs/Preferences - failure to provide safe medical equipment (wheelchair) for a resident. | SS=D |
| Label/Store Drugs and Biologicals - failure to remove discontinued medications and improper storage and labeling of medications. | SS=D |
| Food Procurement, Store/Prepare/Serve - Sanitary - failure to maintain proper kitchen sanitation, including black substance in ice machine. | SS=F |
| Exit Signage - failure to provide exit signs showing direction of travel in all required locations. | SS=E |
| Hazardous Areas - Enclosure - failure to ensure hazardous area doors had self-closing devices. | SS=F |
| Sprinkler System - Installation - failure to provide sprinkler coverage in right exit stairwell landing areas. | SS=F |
| Sprinkler System - Maintenance and Testing - missing escutcheon plates on sprinklers and missing ceiling tiles. | SS=F |
| Portable Fire Extinguishers - fire extinguishers blocked by kitchen plate storage rack. | SS=F |
| Electrical Equipment - Testing and Maintenance - failure to maintain inspection stickers and records for patient care related electrical equipment. | SS=F |
| Gas Equipment - Cylinder and Container Storage - failure to separate empty oxygen cylinders from full cylinders. | SS=E |
Report Facts
Sample Size: 20
Residents observed: 18
Medication carts inspected: 4
Resident beds first floor: 54
Resident beds second floor: 47
Oxygen cylinders empty: 4
Inspection Report
Abbreviated Survey
Census: 82
Deficiencies: 0
Aug 23, 2023
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control survey was conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and in substantial compliance with 42 CFR 483 subpart B for infection control.
Report Facts
Sample Size: 6
Inspection Report
Annual Inspection
Census: 78
Capacity: 102
Deficiencies: 11
May 15, 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 comprehensive nutritional assessments, food safety, staffing ratios, life safety code violations including exit door signage, illumination of means of egress, fire alarm system testing, hazardous area door compliance, electrical receptacle safety, and generator testing.
Severity Breakdown
SS=D: 2
SS=E: 5
SS=F: 3
Deficiencies (11)
| Description | Severity |
|---|---|
| Facility failed to provide comprehensive nutritional assessments within 14 days for newly admitted/re-admitted residents. | SS=D |
| Facility failed to store, label, and date potentially hazardous foods properly to prevent food-borne illness. | SS=D |
| Facility failed to maintain required minimum direct care staff-to-resident ratios as mandated by the State of New Jersey. | — |
| Exit doors locked with delayed egress devices lacked required instructional signage. | SS=F |
| Emergency illumination along means of egress was not provided or did not operate automatically in some occupied areas. | SS=E |
| Exit signs lacked continuous illumination indicator in some locations where direction of travel was not apparent. | SS=E |
| Fire-rated doors to hazardous areas were not self-closing, labeled, or properly separated by smoke resisting partitions. | SS=E |
| Fire alarm system smoke detector sensitivity testing was not documented as completed. | SS=F |
| Electrical outlet near water source was not equipped with required Ground-Fault Circuit Interrupter (GFCI) protection. | SS=E |
| Facility failed to functionally test non-hospital grade electrical receptacles in resident rooms annually. | SS=E |
| Generator transfer time to emergency power was not certified to be within 10 seconds as required. | SS=F |
Report Facts
Deficiencies cited: 11
Census: 78
Total licensed capacity: 102
Staffing deficiencies: 6
Staffing deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Named in relation to multiple findings including fire safety, electrical, and generator testing. | |
| Administrator | Named in relation to multiple findings and exit conferences. | |
| Registered Dietitian | RD | Named in relation to nutritional assessment deficiencies. |
| Director of Nursing | DON | Named in relation to staffing and nutritional assessment findings. |
| Food Service Director | FSD | Named in relation to food safety deficiencies. |
Inspection Report
Annual Inspection
Census: 57
Deficiencies: 2
Jun 11, 2021
Visit Reason
A Federal Comparative survey was conducted from 06/07/2021 to 06/11/2021 to assess compliance with 42 CFR Part 483, Subpart B, for long term care facilities.
Findings
The facility was found not to be in substantial compliance due to failure to investigate an unexplained discoloration on resident #49 and failure to maintain resident #51's clinical condition within an acceptable range, including inadequate monitoring and documentation of lab values.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to investigate and document an unexplained discoloration on resident #49. | SS=D |
| Failure to maintain resident #51's clinical condition within an acceptable range, including inadequate monitoring and documentation of lab values. | SS=D |
Report Facts
Census: 57
Sample Size: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #1 | Interviewed regarding the unexplained discoloration on resident #49 and lack of documentation. | |
| Assistant Director of Nursing (ADON) | Assistant Director of Nursing | Interviewed and acknowledged failure to investigate and document the incident involving resident #49; initiated staff training and investigation. |
| Certified Nursing Assistant (CNA) #1 | Certified Nursing Assistant | Interviewed about knowledge of the discoloration on resident #49. |
Inspection Report
Routine
Census: 58
Deficiencies: 4
Apr 29, 2021
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 reporting of alleged violations, drug regimen review, psychotropic drug use, and life safety code violations including inadequate bedroom square footage. Corrective actions and plans of correction were submitted and accepted.
Severity Breakdown
SS=D: 2
SS=E: 1
SS=B: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to report an allegation of abuse to the New Jersey Department of Health and failure to develop a policy on Abuse Prevention, Identification and Investigation for timely reporting. | SS=D |
| Failure to ensure a medication recommendation was acted upon in a timely manner for 1 of 6 residents reviewed for medication management. | SS=E |
| Failure to adequately monitor and document psychotropic medications and PRN use for 2 of 5 residents reviewed. | SS=D |
| Failure to comply with minimum square footage requirements for 4 of 4 resident rooms measured during the survey. | SS=B |
Report Facts
Census: 58
Sample Size: 25
Deficiencies cited: 4
Resident rooms measured: 4
Beds per room: 1
Inspection Report
Life Safety
Deficiencies: 1
Apr 26, 2021
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 4/26/21 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 to be in noncompliance due to failure to maintain the automatic sprinkler system in safe condition; specifically, 6 of 7 sprinkler heads in the kitchen were tarnished and covered with grease-laden dust, which could delay their operation.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Automatic sprinkler heads in the kitchen were tarnished with greenish discoloration and covered with grease-laden dust, potentially preventing or delaying their operation. | SS=D |
Report Facts
Number of affected sprinkler heads: 6
Completion date for corrective actions: May 18, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Facility Maintenance Director was present during observation, unaware of the sprinkler head condition, and was reeducated on checking sprinkler heads |
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Jan 8, 2021
Visit Reason
The inspection was conducted as a complaint survey based on multiple complaint numbers NJ00134874, NJ00133239, NJ00135883, and NJ00134686.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.
Complaint Details
Complaint numbers NJ00134874, NJ00133239, NJ00135883, and NJ00134686 were investigated and found to be in compliance.
Report Facts
Sample Size: 8
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Jan 8, 2021
Visit Reason
A COVID-19 Focused Infection Control and Complaint Survey was conducted to assess compliance with Medicare regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in substantial compliance with Medicare regulations at 42 CFR Part 483, Subpart B, and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Complaint Details
The survey was complaint-related and focused on COVID-19 infection control; the facility was found to be in substantial compliance.
Report Facts
Sample Size: 5
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