Inspection Report Summary
The most recent inspection on November 19, 2025, did not identify any deficiencies and focused on informing recipients about privacy practices. Earlier inspections included a December 29, 2020 survey that found deficiencies related to infection control, specifically improper disposal of PPE and lack of signage for COVID-19 precautions. There were no fines, enforcement actions, or complaint investigations listed in the available reports. Prior issues centered on infection control measures during the COVID-19 pandemic. The facility appears to have addressed earlier concerns, as the latest report showed no deficiencies.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Notice
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
This document serves to inform recipients about the privacy practices of NJDHSS, including how personal health information may be used and disclosed, and the rights individuals have concerning their health 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
Abbreviated Survey
Census: 10
Deficiencies: 2
Date: Dec 29, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:37 infection control regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found not to be in compliance with infection control standards as staff failed to properly dispose of Personal Protective Equipment (PPE) in the rooms of COVID-19 positive residents. There was no signage on resident doors indicating contact and droplet precautions or instructions for donning and doffing PPE.
Deficiencies (2)
Failure to ensure staff properly disposed of PPE in residents' rooms positive for COVID-19, with PPE discarded in an open garbage can outside the room.
No signage on resident doors documenting contact and droplet precautions or PPE donning and doffing instructions.
Report Facts
Resident census: 10
COVID-19 positive residents: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Spoke with surveyor about census and infection control observations | |
| Director of Nurses (DON) | Spoke with surveyor by phone about PPE disposal and signage deficiencies | |
| Care Partner | Observed improperly disposing PPE and interviewed about PPE training |
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