Inspection Reports for Harmony Village at CareOne Valley
300 Old Hook Rd, Westwood, NJ 07675, United States, NJ, 07675
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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 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
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for the notice |
Inspection Report
Annual Inspection
Census: 88
Capacity: 93
Deficiencies: 6
Jun 10, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities. Complaint investigations were also completed during this survey.
Findings
Deficiencies were cited related to accuracy of assessments, respiratory care, pharmacy services, staffing ratios, emergency lighting, and cooking facilities. Plans of correction were provided and follow-up audits scheduled.
Complaint Details
Complaint investigations NJ173161, NJ173099, NJ169020 were completed during this survey.
Severity Breakdown
SS=D: 3
SS=F: 2
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to accurately code the Minimum Data Set (MDS) for 1 of 21 residents. | SS=D |
| Facility failed to follow physician orders related to respiratory care for 1 resident. | SS=D |
| Facility failed to properly store controlled and noncontrolled medications securely involving two residents. | SS=D |
| Facility failed to maintain required minimum direct care staff-to-resident ratios as mandated by New Jersey state law. | — |
| Facility failed to ensure emergency lighting was provided at the emergency generator enclosure and hardwired into the transfer switch. | SS=F |
| Facility failed to ensure fusible links for the kitchen's fire-extinguishing system were replaced semi-annually as required. | SS=F |
Report Facts
Census: 88
Total Capacity: 93
Deficiency count: 6
Staffing Deficiencies: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Clinical Reimbursement | Provided re-education to MDS staff regarding accurate coding | |
| Director of Nursing | Provided re-education on oxygen administration and conducted audits | |
| Licensed Practical Nurse #2 | LPN | Interviewed regarding medication administration error |
| Administrator | Licensed Nursing Home Administrator | Discussed staffing ratio concerns and corrective actions |
| Director of Environmental Services | Ensured emergency lighting and fire-extinguishing system corrections and conducted audits |
Inspection Report
Routine
Census: 81
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: 6
Inspection Report
Complaint Investigation
Census: 75
Deficiencies: 0
May 10, 2023
Visit Reason
The inspection was conducted as a complaint survey based on Complaint # NJ00155826.
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 # NJ00155826 was investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample Size: 4
Inspection Report
Plan of Correction
Census: 91
Deficiencies: 1
Dec 19, 2022
Visit Reason
The inspection was conducted to assess compliance with New Jersey state staffing requirements for nursing homes, specifically evaluating the facility's adherence to minimum direct care staff-to-resident ratios.
Findings
The facility was found not in compliance with the New Jersey minimum staffing requirements, failing to maintain the required certified nursing assistant (CNA) staffing ratios on all 14 day shifts reviewed between 11/27/22 and 12/10/22. The facility submitted a plan of correction detailing measures to address staffing shortages and improve recruitment and retention.
Deficiencies (1)
| Description |
|---|
| Failure to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. |
Report Facts
Residents present: 91
Certified Nursing Assistants required: 11
Certified Nursing Assistants present: 7
Deficient day shifts: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA#1) | Interviewed and acknowledged staffing shortages | |
| Licensed Nursing Home Administrator | Met with surveyor team to discuss staffing concerns |
Inspection Report
Routine
Census: 77
Deficiencies: 12
Aug 17, 2022
Visit Reason
Standard Survey conducted on 8/17/22 to assess compliance with long term care facility regulations including infection prevention and control, staffing, and life safety code requirements.
Findings
The facility was found not in substantial compliance with several regulatory requirements including infection prevention and control practices, minimum staffing ratios, and multiple life safety code deficiencies related to fire separation, exit discharge, emergency lighting, exit signage, hazardous area enclosures, fire alarm system installation, sprinkler system coverage, portable fire extinguisher placement, corridor door smoke resistance, and emergency generator remote stop station.
Severity Breakdown
SS=F: 5
SS=E: 5
SS=D: 2
Deficiencies (12)
| Description | Severity |
|---|---|
| Failure to appropriately put on PPE and handle contaminated items in COVID-19 isolation rooms, leading to infection control deficiencies. | SS=D |
| Failure to maintain required minimum direct care staff to resident ratios for day shift. | — |
| Failure to provide a two-hour fire separation between new construction and existing nonconforming building. | SS=F |
| Failure to provide stable, hard packed all-weather exit discharge paths free of obstructions. | SS=F |
| Failure to provide emergency illumination that operates automatically along means of egress. | SS=E |
| Failure to provide illuminated exit signs in four locations to clearly identify exit access paths. | SS=E |
| Failure to ensure hazardous areas are protected by fire barriers and self-closing doors. | SS=E |
| Failure to install fire alarm system wiring in metal conduit and lack of smoke detector in Magnolia room. | SS=F |
| Failure to provide proper fire sprinkler coverage in all areas including outside exit discharge door and recessed sprinkler head not level with ceiling. | SS=E |
| Failure to install portable fire extinguishers within required mounting height in two locations. | SS=D |
| Failure to ensure corridor doors resist passage of smoke due to gaps and inactive door leaves. | SS=E |
| Failure to install remote manual stop station for emergency generator. | SS=F |
Report Facts
Census: 77
Day shift CNA staffing: 7
Day shift CNA staffing: 7
Day shift CNA staffing: 8
Day shift CNA staffing: 8
Day shift CNA staffing: 7
Day shift CNA staffing: 8
Day shift CNA staffing: 8
Day shift CNA staffing: 8
Day shift CNA staffing: 7
Day shift CNA staffing: 8
Day shift CNA staffing: 8
Day shift CNA staffing: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Environmental Services Director | Interviewed and provided facility layout, confirmed findings during inspection | |
| Housekeeper #1 | Observed failing to wear gloves properly in COVID-19 room and handling contaminated items | |
| CNA #1 | Certified Nursing Assistant | Observed carrying meal trays improperly from COVID-19 room |
| CNA #2 | Certified Nursing Assistant | Observed carrying meal trays improperly from COVID-19 room |
| Licensed Practical Nurse Unit Manager | LPN/UM | Interviewed about proper meal tray transport procedures |
| Director of Nursing | DON | Re-educated staff on infection control and monitored corrective actions |
Inspection Report
Abbreviated Survey
Census: 78
Deficiencies: 1
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 CMS and CDC recommended practices for COVID-19 infection control.
Findings
The facility was found not in compliance with infection control regulations, specifically failing to practice appropriate hand hygiene for 3 of 7 staff observed, contrary to CDC guidelines. Immediate corrective actions including staff inservice and competency observations were implemented.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to practice appropriate hand hygiene for 3 of 7 staff observed, including inadequate handwashing duration and improper technique. | SS=D |
Report Facts
Sample size: 5
Handwashing duration: 10
Handwashing duration: 8
Handwashing duration: 17
Audit frequency: 10
Audit frequency: 10
Audit frequency: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in hand hygiene deficiency finding |
| CNA #2 | Certified Nursing Assistant | Named in hand hygiene deficiency finding |
| LPN/Unit Manager | Licensed Practical Nurse/Unit Manager | Named in hand hygiene deficiency finding |
Inspection Report
Complaint Investigation
Census: 83
Deficiencies: 0
Jul 9, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ143129 and NJ145579.
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 NJ143129 and NJ145579 were investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample Size: 5
Inspection Report
Original Licensing
Deficiencies: 0
Jan 19, 2021
Visit Reason
Initial inspection for licensure of renovated long term care facilities including new construction of 10 private resident bedrooms and a renovated Physical Therapy gym converted from 3 resident rooms.
Findings
No deficiencies were noted during the inspection of the new construction areas. The noted areas may not be occupied until formal notification by the Certificate of Need and Licensing Division has been received.
Report Facts
New private resident bedrooms: 10
Resident rooms converted: 3
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 0
Dec 10, 2020
Visit Reason
The inspection was conducted as a complaint survey based on Complaint #NJ00132680.
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 #NJ00132680 was investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample Size: 4
Inspection Report
Abbreviated Survey
Census: 56
Deficiencies: 0
Nov 18, 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.
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.
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