Inspection Reports for Health Center At Bloomingdale
255 Union Ave, NJ, 07403
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Notice
Deficiencies: 0
Nov 20, 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 and contact person for this notice |
Inspection Report
Complaint Investigation
Census: 106
Deficiencies: 1
Mar 25, 2024
Visit Reason
The inspection was conducted based on Complaint #NJ00172263 to determine compliance with 42 CFR Part 483, Subpart B, for long term care facilities.
Findings
The facility was found not in compliance due to failure to consistently complete the communication form and maintain a resident's communication record related to dialysis care for 1 of 3 residents reviewed. The deficient practice involved incomplete communication documentation between the dialysis center and the facility.
Complaint Details
Complaint #NJ00172263 was substantiated as the facility failed to maintain proper communication records for dialysis care for Resident #1.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to consistently complete the communication form and maintain a resident's communication record related to dialysis care. | SS=D |
Report Facts
Census: 106
Sample Size: 5
Deficiency Correction Completion Date: Apr 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Provided in-service education to nursing staff regarding dialysis communication policy and monitoring corrective actions | |
| Educator | Provided in-service education to nursing staff regarding dialysis communication policy | |
| Unit Manager | Educated nursing staff on steps to take if dialysis communication binder is incomplete |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 120
Deficiencies: 12
Mar 8, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities, based on complaints NJ168906, NJ169589, NJ169951, and NJ170357.
Findings
Deficiencies were cited related to grievance handling, investigation of alleged violations, accuracy of assessments, quality of care, medication administration, infection control, staffing, and life safety code compliance.
Complaint Details
Complaints NJ168906, NJ169589, NJ169951, and NJ170357 triggered the recertification survey and investigation of grievances, abuse allegations, and other compliance issues.
Severity Breakdown
SS=D: 8
SS=E: 3
SS=F: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Failure to ensure written grievance decisions met documentation requirements and maintain evidence of grievance results. | SS=D |
| Failure to complete thorough investigations of alleged abuse and neglect, including missing witness statements. | SS=E |
| Failure to accurately code Minimum Data Set (MDS) assessments for resident status. | SS=D |
| Failure to follow assessment schedules and provide appropriate care for residents with pressure injuries and other conditions. | SS=D |
| Failure to ensure consistent application of ordered range of motion devices and complete documentation of incidents. | SS=D |
| Failure to document urinary output according to physician orders and facility policy. | SS=D |
| Failure to maintain consistent documentation and accountability of backup controlled substances. | SS=D |
| Medication error rate exceeded 5%, including wrong dose and unlabeled medication bottles. | SS=D |
| Failure to store potentially hazardous foods properly and maintain clean food service equipment. | SS=E |
| Failure to follow proper hand hygiene and glove use during meal service. | SS=E |
| Failure to conduct annual fire door inspections by qualified personnel and maintain documentation. | SS=F |
| Failure to maintain required minimum direct care staff to resident ratios as mandated by the State of New Jersey. | — |
Report Facts
CNA staffing deficiency: 8
Medication error rate: 6.25
Resident census: 101
Total licensed capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Named in medication error and investigation findings |
| Licensed Practical Nurse #2 | LPN | Named in medication error and investigation findings |
| Certified Nursing Aide #1 | CNA | Named in nutrition monitoring process |
| Director of Nursing | DON | Named in staffing and investigation interviews |
| Staffing Coordinator | SC | Named in staffing interviews |
Inspection Report
Complaint Investigation
Census: 106
Deficiencies: 2
Aug 8, 2023
Visit Reason
A complaint survey was conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health due to Intake NJ152823 and other intakes. The survey was to investigate compliance with 42 CFR 483 subpart B.
Findings
The facility was found not to be in substantial compliance due to failure to prevent cross-contamination during patient care for one resident (R11) and failure to maintain required minimum staffing ratios for Certified Nurse Aides (CNAs) on multiple shifts over several months.
Complaint Details
Complaint # NJ152823 was substantiated with a deficiency related to infection prevention and control (F880). Other intakes investigated did not result in deficiencies.
Severity Breakdown
SS=D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide patient care in a manner that prevented cross-contamination for one resident, including improper glove use and hand hygiene by staff during care. | SS=D |
| Failure to ensure staffing ratios met the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 60 of 84 day shifts and 2 of 14 evening shifts. | — |
Report Facts
Survey Census: 106
Sample Size: 26
Deficient CNA staffing shifts: 60
Deficient CNA staffing shifts: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA1 | Certified Nursing Assistant | Named in infection control deficiency related to improper glove use and hand hygiene. |
| LPN/UM1 | Licensed Practical Nurse/Unit Manager | Assisted CNA1 during care and confirmed expectations for glove use. |
| Director of Nurses | Director of Nursing (DON) | Provided interview confirming expectations for glove use and hand hygiene. |
Inspection Report
Annual Inspection
Census: 101
Deficiencies: 13
Nov 22, 2021
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 failure to complete Significant Change in Status Assessments, failure to implement comprehensive care plans, failure to update care plans timely, failure to maintain professional nursing standards, failure to ensure resident safety and supervision, medication management issues, food safety violations, infection prevention and control deficiencies, and life safety code violations including exit signage, HVAC maintenance, and electrical receptacle safety.
Severity Breakdown
SS=D: 7
SS=E: 4
Deficiencies (13)
| Description | Severity |
|---|---|
| Failure to complete a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) for 1 of 23 residents reviewed. | SS=D |
| Failure to implement a comprehensive care plan for Resident #28. | SS=D |
| Failure to update and/or revise care plans for 3 of 23 residents reviewed. | SS=D |
| Failure to maintain professional standards of nursing practice for not following physician orders and documentation for 3 residents. | SS=E |
| Failure to ensure adequate supervision and safe storage of materials for 1 resident. | SS=D |
| Failure to respond to consultant pharmacist recommendations for 1 resident over four months. | SS=E |
| Failure to properly label, store and dispose of medications in medication carts and emergency boxes, including expired medications. | SS=E |
| Failure to restrain employee hair properly in the kitchen. | SS=D |
| Failure to follow infection prevention and control measures including hand hygiene and proper mask use. | SS=D |
| Failure to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. | — |
| Failure to ensure two exit signs were illuminated at all times to clearly identify exit access paths. | SS=D |
| Failure to maintain ventilation systems properly for 6 of 10 resident bathroom exhaust systems. | SS=E |
| Failure to ensure 2 of 10 electrical outlets near water sources were equipped with proper working Ground-Fault Circuit Interrupter (GFCI) protection. | SS=D |
Report Facts
CNA staffing deficiency: 9
CNA staffing deficiency: 2
CNA staffing: 9
CNA staffing: 12
CNA staffing: 12
CNA staffing: 12
CNA staffing: 12
CNA staffing: 11
Total staff deficiency: 7
CNA staffing: 9
Total staff deficiency: 7
CNA staffing: 11
CNA staffing: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in relation to care plan deficiencies, medication administration, and staffing issues. |
| Licensed Practical Nurse Unit Manager | LPN/Unit Manager | Interviewed regarding care plan updates and medication administration. |
| Director of Maintenance | Director of Maintenance | Named in relation to exit signage, ventilation system repairs, and electrical outlet repairs. |
| Director of Nutritional Services | DNS | Observed not wearing hair net properly and mask improperly. |
| Infection Preventionist | IP | Interviewed regarding infection control practices and mask use. |
| Administrator | Administrator | Interviewed regarding staffing and deficiencies. |
Inspection Report
Routine
Census: 102
Deficiencies: 0
Sep 16, 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.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations related to COVID-19 practices.
Report Facts
Sample size: 5
Inspection Report
Routine
Census: 85
Deficiencies: 0
Dec 8, 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.
Report Facts
Sample size: 4
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