Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than New Jersey average
New Jersey average: 5.2 deficiencies/year
Deficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
68 residents
Based on a April 2025 inspection.
Occupancy over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves as a Notice of Privacy Practices informing individuals about how their medical information may be used and disclosed by NJDHSS and their rights related to this information.
Findings
The notice details the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and NJDHSS's legal duties and contact information for privacy concerns.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer listed as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 0
Date: Apr 14, 2025
Visit Reason
The inspection was conducted as a complaint survey based on complaint numbers NJ00179663, NJ00180032, and NJ00180090.
Complaint Details
Complaint numbers NJ00179663, NJ00180032, and NJ00180090 were investigated and found to be in compliance.
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.
Report Facts
Sample Size: 5
Inspection Report
Annual Inspection
Census: 63
Deficiencies: 14
Date: Aug 15, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Complaint Details
Complaint #: NJ00163358, NJ00174088
Findings
Deficiencies were cited related to accuracy of assessments, comprehensive care plans, bowel/bladder incontinence care, food safety, infection prevention and control, and multiple life safety code violations including fire safety and maintenance.
Deficiencies (14)
Failed to accurately assess the status of a resident in the Minimum Data Set (MDS).
Failed to develop and implement comprehensive person-centered care plans for residents.
Failed to ensure appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible.
Failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness.
Failed to perform hand hygiene as indicated and maintain a sanitary environment for infection control.
Failed to ensure sections of health care facilities classified as other occupancies were separated by two hour fire resistance rated construction.
Failed to maintain means of egress free of obstructions.
Failed to maintain commercial cooking equipment in accordance with NFPA standards.
Failed to ensure manual alarm boxes were continuously accessible.
Failed to make repairs and take corrective actions to fire sprinkler system deficiencies.
Failed to ensure penetrations through smoke/fire barriers were protected and smoke barrier doors fully closed.
Failed to ensure ventilation in resident bathrooms was functioning properly.
Failed to ensure emergency electrical generator was properly maintained and tested.
Failed to ensure fire/smoke door assemblies were inspected and tested annually.
Report Facts
Census: 63
Sample size: 17
Deficiency completion dates: Oct 15, 2024
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 8, 2022
Visit Reason
The inspection was conducted as part of the annual survey to assess compliance with the New Jersey Administrative Code, Chapter 8:39, Standards for Licensure of Long Term Care Facilities.
Findings
The facility was found to be in compliance with the applicable standards for licensure of long term care facilities, with no deficiencies cited.
Inspection Report
Abbreviated Survey
Census: 57
Deficiencies: 1
Date: Feb 25, 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 and CDC recommended practices for COVID-19.
Findings
The facility was found to be non-compliant with infection control standards as staff failed to consistently wear appropriate personal protective equipment (PPE), specifically eye protection and gowns, when caring for residents under transmission-based precautions (TBP) for COVID-19. Corrective actions and staff education were implemented to address these deficiencies.
Deficiencies (1)
Failure to don appropriate PPE of eye protection and gown for a resident identified as a person under investigation (PUI) for possible COVID-19 exposure.
Report Facts
Census: 57
Sample size: 5
Completion date for plan of correction: Apr 5, 2021
Post-certification revisit date: Apr 7, 2021
Inspection Report
Routine
Census: 68
Deficiencies: 0
Date: Jan 26, 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 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
Report
Nov 26, 2025
Report
Aug 15, 2024
Report
Dec 8, 2022
Report
Sep 30, 2020
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