Inspection Reports for Fox Trail Memory Care Living at Park Ridge

NJ, 07656

Back to Facility Profile
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 explains 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
NameTitleContext
Devon L. GrafDirector, Office of Legal and Regulatory ComplianceListed as NJDHSS Privacy Officer contact for questions about the notice
Inspection Report Complaint Investigation Census: 16 Deficiencies: 4 May 22, 2024
Visit Reason
The inspection was conducted in response to Complaint #NJ 00173875 to investigate compliance with New Jersey Administrative Code standards for licensure of dementia care homes.
Findings
The facility was found not in compliance with standards related to incident reporting, medication administration, and resident records. Deficiencies included failure to complete incident investigations, failure to notify the Department of Health of reportable events, medication administration errors, and failure to maintain complaint records.
Complaint Details
Complaint #NJ 00173875 was investigated. The complaint was substantiated as the facility failed to comply with multiple regulatory standards related to incident reporting, medication administration, and resident records.
Deficiencies (4)
Description
Facility Administrator failed to ensure the facility's policy on Incident Reports was implemented for Resident #2, including failure to complete an investigative report.
Facility failed to notify the Department of Health of reportable events for Resident #2.
Facility failed to administer medication as ordered by the resident's physician for Resident #2.
Facility failed to maintain a record of complaints made by or about Resident #2.
Report Facts
Census: 16 Sample size: 3 Dates of correction plan acceptance: Removal Plan submitted on 5/23/24 and accepted on 5/26/24
Inspection Report Complaint Investigation Census: 8 Deficiencies: 4 Apr 17, 2024
Visit Reason
The inspection was a complaint investigation triggered by complaint number NJ00172134 regarding noncompliance with New Jersey standards for licensure of dementia care homes.
Findings
The facility was found noncompliant with multiple standards including failure to follow incident reporting procedures, failure to properly label and account for residents' personal laundry, failure to administer medications as ordered, and failure to secure the kitchen area from residents' unsupervised access.
Complaint Details
Complaint # NJ00172134 was substantiated with findings that the facility failed to report an incident involving Resident #2, failed to label and account for Resident #2's personal laundry, failed to administer medications properly to Resident #2, and failed to secure the kitchen area from unsupervised resident access.
Deficiencies (4)
Description
Failure to follow incident reporting policy by not reporting a potential incident involving Resident #2.
Failure to ensure personal laundry was labeled to prevent loss or misplacement for Resident #2.
Failure to administer medications as ordered by the resident's physician for Resident #2, including multiple missed medication administrations and missing signatures on medication administration records.
Failure to secure the kitchen area from residents entering unsupervised, placing residents at risk.
Report Facts
Census: 8 Sample size: 3 Missed medication administrations: 6 Completion dates: Corrective actions completed by 07/22/2024 as per revisit report
Inspection Report Complaint Investigation Census: 11 Deficiencies: 1 Dec 20, 2022
Visit Reason
The inspection was conducted as a complaint investigation related to a failure to notify the Department of Health within 24 hours of a reportable event involving Resident #2.
Findings
The facility was found not in compliance with New Jersey Administrative Code standards for licensure of dementia care homes due to failure to timely report a facility reported event involving Resident #2. The investigation included review of medical records, progress notes, and interviews with staff.
Complaint Details
Complaint #NJ00159793 was substantiated based on the facility's failure to report a reportable event involving Resident #2 within the required timeframe.
Deficiencies (1)
Description
Failure to notify the Department of Health within 24 hours of a reportable event involving Resident #2.
Report Facts
Census: 11 Sample Size: 3
Inspection Report Complaint Investigation Census: 14 Deficiencies: 2 Jun 13, 2022
Visit Reason
The inspection was conducted based on Complaint # NJ 00154897 to investigate the facility's compliance with regulations regarding retention of a completed Universal Transfer Form and incident reporting.
Findings
The facility was found not in compliance with New Jersey Administrative Code Title 8 Chapter 43E and 8:37 standards, specifically failing to retain a completed Universal Transfer Form for a transferred resident and failing to notify appropriate parties about a reportable event involving Resident #2. The Executive Director failed to notify the Regional Clinical Director, Power of Attorney, and Physician as required.
Complaint Details
Complaint # NJ 00154897 was substantiated based on interviews and record reviews showing failure to retain transfer documentation and failure to notify required parties of a reportable event involving Resident #2.
Deficiencies (2)
Description
Facility failed to retain a completed Universal Transfer Form for Resident #2 transferred to hospital.
Executive Director failed to notify Regional Clinical Director, Power of Attorney, and Physician regarding a reportable event involving Resident #2.
Report Facts
Census: 14 Sample: 3
Employees Mentioned
NameTitleContext
Executive DirectorExecutive Director (ED)Named in findings for failure to notify Regional Clinical Director, Power of Attorney, and Physician and failure to retain transfer form
Regional Clinical DirectorRegional Clinical Director (RCD)Involved in communication and notification failures related to Resident #2
Inspection Report Abbreviated Survey Census: 7 Deficiencies: 0 Jan 6, 2021
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 to be in compliance with the infection control regulations and CDC recommended practices for COVID-19.

Loading inspection reports...