Inspection Reports for
Health Center At Galloway The

The complaint involved an allegation by Resident #3 that someone raped them. The allegation was not substantiated after review of visitor logs, staff schedules, and physical constraints. The resident had severe cognitive impairment. The investigation lacked witness statements initially, which were submitted electronically after surveyor exit. The complaint investigation was initiated by the Licensed Nursing Home Administrator.

The facility failed to maintain an accurately documented and complete investigation in accordance with accepted standards, specifically lacking witness statements as part of the investigation. The allegation was not substantiated based on visitor logs, staff schedules, and physical constraints of the resident's room. Witness statements were later submitted electronically after the surveyor's exit.

Complaint #2579597 involved failure to obtain physician's order for oxygen for Resident #7. Complaint #360598 involved failure to ensure infection control guidelines for a resident's pet cat (Resident #6). Both complaints were substantiated with findings.

The facility failed to obtain a physician's order for oxygen for Resident #7 and did not have a care plan for oxygen administration. Additionally, the facility failed to follow infection control guidelines related to a resident's pet cat, including lack of immunization records and noncompliance with pet management policies.

The investigation was complaint-related involving allegations of a fracture injury of unknown origin, a verbal altercation between two residents, and verbal abuse by a Certified Nursing Aide. Documentation and reporting of these incidents were found to be deficient. Substantiation status is not explicitly stated.

The facility failed to document in progress notes several unusual incidents involving four residents, including a fracture found on x-ray, an alleged verbal altercation between residents, and an allegation of verbal abuse by a Certified Nursing Aide. The Director of Nursing acknowledged the lack of documentation and reporting to the New Jersey Department of Health.

The facility was found deficient in multiple areas including failure to maintain resident dignity during feeding, delayed reporting of injuries and abuse allegations, incomplete care plans for residents with specific diagnoses and treatments, inadequate nursing documentation, insufficient RN coverage, failure to monitor and follow up on psychotropic medication use, and lapses in kitchen and food pantry sanitation and temperature monitoring.

The visit was complaint-related with multiple complaint staffing weeks reviewed showing deficient CNA staffing ratios on numerous day shifts and deficient RN coverage on multiple days. The facility failed to maintain required minimum direct care staff to resident ratios as mandated by the state of New Jersey.

The facility was found not in substantial compliance with multiple regulatory requirements including failure to maintain resident dignity during meal assistance, failure to timely report alleged abuse and injuries, inadequate comprehensive care plans, insufficient RN and CNA staffing, failure to follow psychotropic medication protocols, food safety violations, fire safety and life safety code deficiencies including fire alarm system issues, corridor door malfunctions, elevator safety, smoking area violations, emergency preparedness plan deficiencies, and electrical system maintenance lapses.

The complaint investigation was substantiated as the facility failed to update the care plan for Resident #1 after two incidents of inappropriate sexual behavior towards other residents, despite documented incidents and staff acknowledgment.

The facility failed to update Resident #1's care plan to reflect inappropriate sexual behaviors towards other residents after two documented incidents. Interviews with staff confirmed that the care plan should have been updated but was not, indicating a deficient practice in care plan management.

Complaint numbers NJ00171580 and NJ00171582 triggered the visit. The facility was found not in substantial compliance based on these complaints.

The facility was found not in substantial compliance due to failure to develop and implement a comprehensive person-centered care plan for a resident involved in incidents, and failure to maintain required minimum staffing ratios on 11 of 14 day shifts.

The complaint investigation revealed substantiated deficiencies related to failure to administer insulin and failure to follow weekly weight orders, resulting in an Immediate Jeopardy situation identified on 10/30/2023. The facility was notified and a removal plan was verified on 10/31/2023.

The facility failed to administer prescribed insulin and perform blood sugar checks for 8 of 24 diabetic residents, resulting in an Immediate Jeopardy situation. Additionally, the facility failed to follow weekly weight monitoring orders for one resident, with missing documentation of weights as ordered.

The complaint investigation was triggered by allegations of failure to administer prescribed insulin and blood sugar monitoring to diabetic residents and failure to follow weekly weight orders for nutrition monitoring. Immediate Jeopardy was identified on 10/30/2023 and removed by 10/31/2023.

The facility failed to administer prescribed insulin and blood sugar checks to 8 of 24 diabetic residents, resulting in an Immediate Jeopardy situation. Additionally, the facility failed to follow weekly weight monitoring orders for 1 of 3 residents reviewed for nutrition. Other deficiencies included failure to label feeding tube nutritional formula, inadequate RN staffing coverage on weekends, and improper storage of respiratory equipment increasing infection risk.

Complaint investigation included multiple complaint numbers NJ 152080, NJ 152965, NJ 153842, NJ 160360, NJ 165072, NJ 1650272, NJ 166760, NJ 166781. The investigation found substantiated deficiencies related to medication administration, staffing, infection control, and life safety.

The facility was found not in substantial compliance with requirements, citing deficiencies in medication administration, staffing ratios, infection prevention, and life safety code compliance. Specific issues included failure to administer physician-prescribed medications, inadequate CNA and RN staffing levels, improper storage of respiratory equipment, unlabeled enteral feeding bottles, unprotected low voltage wiring, non-fire rated linen chute doors, and lack of annual fire door inspections.

Complaint #NJ 156177 was substantiated. The facility failed to maintain Resident #2's dignity and violated the policy titled 'Resident Rights' by placing the resident in the Dining Room without privacy after a resident-to-resident altercation.

The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, due to failure to maintain a resident's dignity by placing Resident #2 in a common area (Dining Room) without privacy after an altercation with another resident. This practice violated the resident's rights and facility policy.

Complaint #: NJ149467 and NJ150344. The complaint was substantiated as the facility failed to meet minimum staffing ratios as required by New Jersey law.

The facility was found not in substantial compliance with New Jersey Administrative Code 8:39 due to failure to meet minimum staffing ratios for certified nurse aides on multiple day and evening shifts, potentially affecting all residents. Immediate corrective actions were taken and plans for ongoing monitoring were established.

The facility was found deficient in multiple areas including failure to transport residents in a dignified manner, maintain a clean and sanitary environment, obtain physician orders for nephrostomy tube care, follow physician orders for oxygen humidification and tubing changes, and properly handle and store food to prevent foodborne illness.

The facility was found not in substantial compliance with multiple regulatory requirements including failure to maintain resident dignity during transport, failure to maintain a clean and sanitary environment, failure to obtain physician orders for catheter care, failure to follow respiratory care orders, failure to maintain food safety standards, and failure to meet minimum direct care staffing ratios.

The facility was found noncompliant with emergency lighting requirements in the electrical room with the emergency generator transfer switch, failure to maintain required clearance around electrical panels due to combustible storage, and failure to ensure the automatic sprinkler system was inspected/tested at the required 5-year interval. Corrective actions and audits were planned for each deficiency.

Complaint investigation based on complaints NJ 144188, NJ 145512, and NJ 145811. The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, for long term care facilities.

The facility failed to serve food timely and maintain food at safe and appetizing temperatures, violating the facility's food preparation policy. Food temperatures for cold items were above 41°F and hot items below 135°F, which could potentially cause resident illness, though no residents reported related issues during the inspection period.

Complaint survey based on complaints NJ00140946, NJ00131090, and NJ00138845. The facility was found not in compliance with notification requirements and medication cart security.

The facility failed to notify the resident's responsible party/power of attorney of changes in medication and therapy services for one of five residents reviewed. Additionally, the facility failed to ensure medication and treatment carts were locked when unattended, posing a risk of unauthorized access.

The facility failed to ensure that 5 staff members wore face masks appropriately while in the building, potentially exposing all 99 residents to COVID-19. Staff were observed wearing masks under the chin or not at all, contrary to CDC and NJDOH guidelines.