Inspection Reports for
Health Center At Bloomingdale

The facility failed to accurately code the MDS for two residents regarding history of multiple drug-resistant organisms and insulin use, and there was inconsistent documentation of a resident's fall history and fall risk assessment.

The facility was found deficient in multiple areas including failure to timely complete and transmit Minimum Data Set (MDS) assessments, inaccurate coding of MDS data, incomplete care plans especially related to insulin use, untimely physician progress note documentation, and medication administration errors exceeding 5%. All deficiencies were cited with minimal harm or potential for actual harm affecting a few residents.

Complaint #NJ00172263 was substantiated based on interviews, record reviews, and facility document reviews indicating deficient dialysis communication practices for Resident #1.

The facility failed to consistently complete the dialysis communication form and maintain a dialysis communication record for Resident #1, who requires dialysis. Several dates of communication forms were missing, and the Director of Nursing acknowledged incomplete documentation.

Complaint #NJ00172263 was substantiated as the facility failed to maintain proper communication records for dialysis care for Resident #1.

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 #NJ169589 was substantiated as the facility failed to properly document grievance investigations and maintain required records. The grievance involved an allegation that a Certified Nursing Assistant told the resident 'If you fall, I am not going to pick you up.' No staff member was identified and no witness statements were on file.

The facility failed to ensure written grievance decisions met documentation requirements and did not maintain evidence of the results of all grievances for at least three years. Specifically, no witness statements or investigation documentation were found related to a grievance filed by Resident #352.

Complaint #NJ169589 involved failure to properly document grievance decisions and maintain grievance records for Resident #352. The grievance included an allegation against a Certified Nursing Assistant. The facility failed to maintain investigation statements and evidence.

The facility was found deficient in multiple areas including failure to properly document grievance investigations, incomplete fall investigations and assessments, inaccurate Minimum Data Set coding, failure to follow weekly skin assessment schedules, inadequate care planning for vision impairment, inconsistent application of prescribed splints, incomplete fall risk assessments, failure to document urinary catheter output, inadequate monitoring of nutritional supplements and weights, medication administration errors, improper labeling and handling of medications, unsafe food storage practices, and failure to follow infection control hand hygiene protocols.

Complaints NJ168906, NJ169589, NJ169951, and NJ170357 triggered the recertification survey and investigation of grievances, abuse allegations, and other compliance issues.

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 NJ152823 was investigated and substantiated with findings that staff did not follow proper glove use and hand hygiene protocols, increasing risk of cross-contamination for Resident R11.

The facility failed to implement proper infection prevention and control practices, specifically related to glove use and hand hygiene during incontinent care for Resident R11, resulting in potential cross-contamination. Staff did not change gloves or wash hands appropriately between tasks as required by facility policy and infection control standards.

Complaint # NJ152823 was substantiated with a deficiency related to infection prevention and control (F880). Other intakes investigated did not result in deficiencies.

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.

The facility was found deficient in multiple areas including failure to complete required assessments, incomplete and outdated care plans, failure to follow physician orders and document treatments, improper medication administration, unsafe storage and labeling of medications, inadequate infection control practices, and failure to ensure proper supervision of residents who smoke.

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.