Inspection Reports for Hampton Ridge Healthcare And Rehabilitation
94 Stevens Road, NJ, 08755
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Notice
Deficiencies: 0
Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS regarding the use and disclosure of their medical information and their rights related to this information.
Findings
The notice explains 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
Annual Inspection
Census: 185
Capacity: 204
Deficiencies: 9
Oct 22, 2024
Visit Reason
The inspection was a Recertification Survey combined with a Complaint Investigation to determine compliance with federal and state regulations for long term care facilities.
Findings
The facility was found to have multiple deficiencies including failure to develop and implement comprehensive care plans, inadequate staffing ratios, fire safety code violations, and issues with emergency preparedness and physical environment maintenance. Corrective actions were planned and some deficiencies were corrected by the revisit date.
Complaint Details
Complaint numbers 154169, 161945, 170013, 172361, 172537, 1769295 were investigated. The complaint related to staffing deficiencies and care plan issues were substantiated as evidenced by deficient practices found during the survey.
Severity Breakdown
SS=D: 1
SS=F: 3
Deficiencies (9)
| Description | Severity |
|---|---|
| Failure to develop and implement a comprehensive person-centered care plan for residents. | SS=D |
| Failure to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. | — |
| Failure to provide two-hour fire resistance-rated elements and assemblies for fire separation doors in accordance with NFPA 101. | SS=F |
| Failure to ensure quarterly local fire inspections and certificates of compliance were documented. | — |
| Failure to maintain operational night lights in resident rooms. | — |
| Failure to maintain stable level walking surfaces at exit discharge points. | — |
| Failure to ensure hazardous areas were protected with self-closing fire doors. | SS=F |
| Failure to ensure bathroom exhaust fans were maintained in operational condition. | — |
| Failure to ensure emergency power supply (EPS) was tested and maintained according to NFPA standards. | — |
Report Facts
Census: 185
Total Capacity: 204
Deficiencies cited: 9
Staffing ratios: 1
Staffing ratios: 1
Staffing ratios: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding staffing levels and care plan compliance. |
| Maintenance Director | Maintenance Director | Interviewed regarding fire safety inspections, emergency preparedness, and physical environment deficiencies. |
| Administrator | Facility Administrator | Informed of deficiencies and participated in interviews regarding emergency preparedness and fire safety. |
Inspection Report
Life Safety
Census: 167
Capacity: 204
Deficiencies: 2
Jul 27, 2023
Visit Reason
The inspection was conducted to assess compliance with life safety code requirements, specifically focusing on exit discharge and illumination of means of egress.
Findings
The facility failed to maintain a level walking surface at one exit discharge and failed to provide emergency illumination that operates automatically along the means of egress in one occupied access area.
Severity Breakdown
SS=E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Exit discharge surface was not level and had a lifted concrete pad approximately 1 inch high, failing to provide a firm level walking surface free of obstructions. | SS=E |
| Emergency illumination was not provided automatically along the means of egress; two wall switches shut off all six light fixtures in a resident day room, leaving the means of egress unlit. | SS=E |
Report Facts
Certified beds: 204
Census: 167
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Present during observations and interviews related to deficiencies | |
| Regional Plant Operations Director | Present during observations and interviews related to deficiencies |
Inspection Report
Annual Inspection
Census: 167
Capacity: 204
Deficiencies: 8
Jul 27, 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, development and implementation of comprehensive care plans, mobility, respiratory care, medication storage and labeling, staffing ratios, and life safety code violations including exit discharge and illumination of means of egress.
Complaint Details
Complaint # NJ00153752 triggered the recertification survey. The complaint involved issues with accuracy of assessments and care plan development.
Severity Breakdown
SS=D: 5
SS=E: 2
Deficiencies (8)
| Description | Severity |
|---|---|
| Facility failed to accurately complete Minimum Data Set (MDS) assessments for 3 residents. | SS=D |
| Facility failed to develop and implement a comprehensive, person-centered care plan honoring resident preferences for 1 resident. | SS=D |
| Facility failed to provide device to prevent decrease in range of motion for 1 resident. | SS=D |
| Facility failed to store respiratory equipment properly and assess resident respiratory care for 1 resident. | SS=D |
| Facility failed to properly store medications, maintain clean medication storage areas, and label opened multidose medications. | SS=D |
| Facility failed to maintain required minimum direct care staff-to-resident ratios for multiple weeks in 2022 and 2023. | — |
| Facility failed to provide and maintain a level walking surface free of obstructions at an exit discharge. | SS=E |
| Facility failed to provide emergency illumination that operates automatically along means of egress in a resident day room. | SS=E |
Report Facts
Census: 167
Total Capacity: 204
Deficiencies cited: 7
Staffing ratios: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN1) | Observed medication storage deficiencies | |
| Licensed Practical Nurse (LPN2) | Observed medication storage deficiencies and confirmed unlabeled eye drop bottle | |
| Licensed Practical Nurse (LPN3) | Observed medication storage deficiencies | |
| Director of Nursing (DON) | Interviewed regarding staffing and medication storage policies | |
| Maintenance Director (MD) | Interviewed regarding exit discharge and illumination deficiencies | |
| Regional Plant Operations Director (RPOD) | Interviewed regarding exit discharge and illumination deficiencies | |
| Staffing Coordinator | Interviewed regarding staffing levels |
Inspection Report
Routine
Census: 163
Deficiencies: 0
May 4, 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.
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 for COVID-19.
Report Facts
Sample size: 5
Inspection Report
Life Safety
Deficiencies: 1
May 27, 2021
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health, Health Facility Survey and Field Operations on 05/25/21 and 05/26/21 to assess compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and the 2012 Edition of the NFPA 101 Life Safety Code.
Findings
The facility was found to be in noncompliance with Life Safety Code requirements due to failure to maintain all parts of the automatic sprinkler system in optimal condition, specifically corrosion and paint on sprinkler heads at the main entrance overhang.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Five sprinkler heads at the main entrance overhang showed signs of green coating of oxidation/corrosion; two of these had paint on the spray head. | SS=D |
Report Facts
Date sprinkler system last checked: Date not provided in the report
Deficiency citation date: Apr 22, 2021
Number of sprinkler heads observed with corrosion: 5
Number of sprinkler heads observed with paint: 2
Scheduled replacement date for corroded sprinkler heads: Jul 7, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed and acknowledged sprinkler head corrosion and paint | |
| Regional Plant Operations Director | Interviewed and acknowledged sprinkler head corrosion and paint |
Inspection Report
Routine
Census: 173
Deficiencies: 0
May 27, 2021
Visit Reason
A standard routine survey was conducted including a COVID-19 Focused Infection Control Survey by the New Jersey Department of Health.
Findings
The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B for Long Term Care Facilities and in compliance with infection control regulations related to COVID-19.
Report Facts
Sample size: 43
Inspection Report
Routine
Census: 168
Deficiencies: 0
Feb 24, 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.
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 for COVID-19.
Report Facts
Sample size: 3
Inspection Report
Routine
Census: 169
Deficiencies: 0
Jan 29, 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.
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 for COVID-19.
Report Facts
Sample size: 5
Inspection Report
Abbreviated Survey
Census: 176
Deficiencies: 1
Jan 4, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with CMS and CDC recommended practices for COVID-19 infection control.
Findings
The facility failed to follow proper infection control procedures including improper donning and doffing of PPE and inadequate hand hygiene between resident contacts on the SMART Unit. Observations showed staff inconsistently changing gowns and gloves between residents and lapses in hand hygiene during meal tray delivery and resident care.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to don and doff proper personal protective equipment for residents on transmission-based precautions and failure to perform hand hygiene between resident contacts on the SMART Unit. | SS=E |
Report Facts
Census: 176
Sample size: 7
Completion date for plan of correction: 2021
Transmission based precautions duration: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Observed delivering meals in full PPE and interviewed regarding PPE use |
| CNA #2 | Certified Nursing Assistant | Observed delivering meals without proper PPE and hand hygiene; interviewed about PPE practices |
| CNA #3 | Certified Nursing Assistant | Observed delivering meals and assisting residents; interviewed about PPE practices |
| CNA #4 | Certified Nursing Assistant | Observed delivering meals and removing trays without proper PPE or hand hygiene |
| Infection Preventionist | Interviewed regarding infection control policies and observations | |
| Administrator | Interviewed regarding infection control procedures | |
| Director of Nursing | Interviewed regarding infection control procedures |
Inspection Report
Routine
Census: 166
Deficiencies: 0
Dec 7, 2020
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 and had implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 3
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