Inspection Reports for Family Of Caring At Teaneck Llc
1104 Teaneck Road, NJ, 07666
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Notice
Deficiencies: 0
Nov 19, 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, legal duties of NJDHSS, and the rights of individuals to access, amend, and restrict their health information.
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: 97
Deficiencies: 0
Aug 23, 2024
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted on behalf of 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: 5
Inspection Report
Routine
Census: 97
Deficiencies: 0
Feb 10, 2024
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted on behalf of 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 to prepare for COVID-19.
Report Facts
Sample Size: 9
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 1
Feb 23, 2022
Visit Reason
The inspection was conducted in response to complaint NJ152584 regarding staffing ratios at the facility.
Findings
The facility failed to maintain the required minimum staff-to-resident ratios as mandated by the State of New Jersey for multiple day and overnight shifts, affecting all residents. Deficiencies in Certified Nursing Assistant (CNA) staffing were noted for 14 of 14 day shifts and 7 of 14 overnight shifts reviewed.
Complaint Details
Complaint NJ152584 was substantiated based on facility document review and interviews indicating deficient staffing ratios during specified weeks.
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 and 7 of 14 overnight shifts reviewed. |
Report Facts
Census: 80
Deficient day shifts: 14
Deficient overnight shifts: 7
Required CNAs on 2/06/22 day shift: 10
Actual CNAs on 2/06/22 day shift: 5
Required total staff on 2/06/22 overnight shift: 6
Actual total staff on 2/06/22 overnight shift: 5
Inspection Report
Annual Inspection
Census: 88
Deficiencies: 12
Dec 16, 2021
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
The facility was found deficient in multiple areas including failure to complete thorough investigations of fall incidents, failure to ensure residents at risk for elopement wore wander guards, failure to follow restorative nursing programs, improper labeling and storage of medications, unsanitary food procurement and preparation practices, incomplete and inaccurate resident medical records, inadequate infection prevention and control practices, unsafe and unsanitary laundry environment, failure to maintain required staffing ratios, and deficiencies in life safety code compliance including fire alarm system and electrical safety.
Severity Breakdown
SS=D: 10
SS=F: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Failure to complete thorough investigation for fall incidents and notify physician and responsible party. | SS=D |
| Failure to ensure residents identified as elopement risks were wearing physician ordered wander guards and lack of elopement assessments. | SS=D |
| Failure to follow through with residents' Restorative Nursing Program and lack of appropriate orders and documentation. | SS=D |
| Failure to properly label, store, and dispose of medications including unlocked medication refrigerators and undated insulin vial. | SS=D |
| Failure to properly date, store, and dispose of potentially hazardous and dry foods and maintain sanitary kitchen environment. | SS=F |
| Failure to maintain complete, accurate, and readily accessible medical records including missing smoking and elopement assessments and incomplete dialysis communication logs. | SS=D |
| Failure to perform hand hygiene appropriately after wound treatment and garbage disposal by staff. | SS=D |
| Failure to provide a safe, sanitary, and comfortable environment in the laundry area including soiled carts, debris, dust, and lint buildup. | SS=D |
| Failure to maintain required minimum direct care staff to resident ratios as mandated by the State of New Jersey. | — |
| Failure to provide fire alarm notification by audible and visible signals in an enclosed courtyard. | SS=D |
| Failure to perform and document monthly visual examination of fire extinguishers on three extinguishers. | SS=D |
| Failure to ensure electrical outlet near water source had proper working Ground-Fault Circuit Interrupter (GFCI) protection. | SS=D |
Report Facts
Census: 88
Staffing Deficiencies: 14
Staffing Deficiencies: 2
Staffing Deficiencies: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in hand hygiene deficiency for failure to perform hand hygiene after wound treatment |
| Housekeeper (HK) | Housekeeping Staff | Named in hand hygiene deficiency for failure to perform hand hygiene after garbage disposal |
| Director of Nursing (DON) | Director of Nursing | Involved in multiple interviews and acknowledged deficiencies in investigations, documentation, and infection control |
| Maintenance and Environmental Services Director (MEVSD) | Maintenance and Environmental Services Director | Involved in fire alarm and fire extinguisher deficiencies and electrical outlet inspection |
| Staffing Coordinator (SC) | Staffing Coordinator | Interviewed regarding staffing shortages and compliance with state staffing ratios |
Inspection Report
Abbreviated Survey
Census: 82
Deficiencies: 2
Feb 10, 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 not to be in compliance with 42 CFR §483.80 infection control regulations, specifically failing to ensure appropriate hand hygiene practices for 3 of 9 staff observed and inadequate staff knowledge of cleaning chemical contact times for 3 of 3 staff. The facility implemented CMS and CDC recommended practices and provided in-service training to staff.
Severity Breakdown
SS=E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to practice appropriate hand hygiene for 3 of 9 staff observed, including wearing gloves in hallways and not performing hand hygiene after glove removal. | SS=E |
| Failure to ensure workers are knowledgeable of the cleaning chemical contact time used in the workplace for 3 of 3 staff. | SS=E |
Report Facts
Sample size: 5
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper #1 | Observed not removing gloves and not performing hand hygiene after exiting resident room | |
| Housekeeper #2 | Observed wearing gloves in hallway and unable to state disinfectant contact time; previously given verbal warning for glove use in hallway | |
| Housekeeper #3 | Observed not performing hand hygiene between glove changes and unable to state disinfectant contact time | |
| Licensed Practical Nurse #1 | Observed wearing gloves in nursing station and educated on glove use and hand hygiene | |
| Licensed Practical Nurse #2 | Unable to state disinfectant contact time | |
| Registered Nurse/Supervisor | RN/S | Stated staff should not wear gloves in hallways and should perform hand hygiene after glove removal |
| Infection Preventionist Nurse | IPN | In-serviced staff on hand hygiene and glove use according to CDC guidelines |
| Licensed Nursing Home Administrator | LNHA | In-serviced staff regarding cleaning chemicals and aware of concerns |
| Housekeeping and Laundry Director | HLD | Reported staff should not wear gloves in hallways and acknowledged lack of education on disinfectant contact time |
| Director of Nursing | DON | Unaware if staff were educated about disinfectant contact time |
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