Inspection Reports for
Hudsonview Health Care Center
9020 Wall Street, North Bergen, NJ, 07047
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
253 residents
Based on a January 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Notice
Deficiencies: 0
Date: 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 | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 253
Deficiencies: 11
Date: Jan 10, 2024
Visit Reason
A Recertification and Complaint Survey was conducted by Healthcare Management Solutions on behalf of the New Jersey Department of Health from 01/07/24 to 01/20/24, triggered by multiple complaints.
Complaint Details
The visit was complaint-related with multiple complaint numbers: NJ154899, NJ161076, NJ161430, NJ161969, NJ163262, NJ163355, NJ165405, and NJ165675. The facility was found not in substantial compliance based on these complaints.
Findings
The facility was found not in substantial compliance with federal requirements, with deficiencies including improper use of physical restraints, failure to report and investigate alleged abuse, incomplete assessments, failure to coordinate PASARR evaluations, failure to maintain nutrition and hydration status, improper medication storage, infection control issues, and life safety code violations.
Deficiencies (11)
Failure to ensure residents were free from physical restraints imposed for discipline or convenience, specifically for Resident #209.
Failure to report observed abuse to the state survey agency timely for Resident #83.
Failure to thoroughly investigate observed abuse for Resident #83.
Failure to complete a significant change assessment for Resident #109 after placement on hospice care.
Failure to refer Resident #108 for PASARR evaluation after new diagnosis.
Failure to ensure weekly weights were ordered and obtained as directed for Resident #46.
Failure to lock medication cart when unattended and maintain medications in original packaging; loose pills and expired medications found.
Failure to place appropriate signage on Resident #13's door indicating transmission-based precautions.
Failure to ensure directional exit signs were placed where direction of travel was not apparent, specifically from the rehabilitation gym on the 10th floor to the exterior exit stairs off the roof.
Failure to ensure fire rated stairway exit doors were equipped with fire exit hardware compliant with NFPA 101; six doors had panic hardware violating the listing of the rated door assembly.
Failure to ensure annual inspection and testing of fire door assemblies in accordance with NFPA 101 Life Safety Code.
Report Facts
Survey Census: 253
Sample Size: 55
Deficient CNA staffing days: 56
Residents affected by restraint deficiency: 1
Residents affected by abuse reporting deficiency: 1
Residents affected by abuse investigation deficiency: 1
Residents affected by significant change assessment deficiency: 1
Residents affected by PASARR referral deficiency: 1
Residents affected by weight monitoring deficiency: 1
Medication carts observed: 8
Loose pills observed: 7
Expired medication boxes observed: 4
Residents on transmission-based precautions: 1
Stairway doors with improper hardware: 6
Residents: 252
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN6 | Licensed Practical Nurse | Left medication cart unattended outside resident's room |
| RN1 | Registered Nurse | Medication cart observed with loose pills |
| LPN4 | Licensed Practical Nurse | Noted expired medications in medication cart |
| LPN2 | Licensed Practical Nurse | Observed abuse on Resident #83 and reported to RN5 |
| CNA9 | Certified Nursing Assistant | Observed abuse on Resident #83 and reported to nurse |
| RN4 | Registered Nurse/Unit Manager | Interviewed regarding use of restraints on Resident #209 |
| CNA6 | Certified Nursing Assistant | Interviewed regarding use of restraints on Resident #209 |
| Director of Nursing | Director of Nursing | Responsible for audits and education on restraint use and abuse reporting |
| Administrator | Administrator | Responsible for implementation of plans of correction and staffing oversight |
| Maintenance Director | Maintenance Director | Responsible for fire door hardware replacement and inspections |
| Infection Control Preventionist | Infection Control Preventionist | Responsible for audits and education on infection control and signage |
| Vice President of Clinical Services | Vice President of Clinical Services | Provided training on abuse reporting and investigations |
Inspection Report
Complaint Investigation
Census: 259
Deficiencies: 0
Date: Apr 14, 2022
Visit Reason
The inspection was conducted as a complaint survey to determine compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.
Complaint Details
The survey was complaint-based and the facility was found compliant; no deficiencies were cited.
Findings
The facility was found to be in compliance with the regulatory requirements based on this complaint survey.
Report Facts
Sample size: 4
Inspection Report
Follow-Up
Deficiencies: 1
Date: Sep 16, 2021
Visit Reason
The inspection was conducted due to non-compliance with New Jersey Administrative Code standards for licensure of Long Term Care Facilities, specifically related to failure to meet minimum staffing ratios during day shifts over a period of 42 shifts.
Findings
The facility failed to meet the required staffing ratios for 14 of 14 day shifts reviewed out of 42 total shifts, with CNA to resident ratios exceeding the mandated limits. No negative outcomes to residents were identified, but all residents had the potential to be affected by this deficiency.
Deficiencies (1)
Failure to ensure staffing ratios were met for 14 of 14 day shifts checked out of 42 total shifts reviewed, with CNA to resident ratios exceeding the minimum staffing requirements.
Report Facts
Total shifts reviewed: 42
Day shifts not meeting staffing ratios: 14
Staffing ratio on 8/15/21: 11
Staffing ratio on 8/16/21: 11
Staffing ratio on 8/17/21: 12
Staffing ratio on 8/18/21: 10.15
Staffing ratio on 8/19/21: 12
Staffing ratio on 8/20/21: 11.48
Staffing ratio on 8/21/21: 11.77
Staffing ratio on 8/22/21: 10.27
Staffing ratio on 8/23/21: 11.22
Staffing ratio on 8/24/21: 11.17
Staffing ratio on 8/25/21: 10.58
Staffing ratio on 8/26/21: 10.16
Staffing ratio on 8/27/21: 10.58
Staffing ratio on 8/28/21: 11.04
Inspection Report
Complaint Investigation
Census: 265
Deficiencies: 0
Date: Aug 19, 2021
Visit Reason
The inspection was conducted as a complaint survey based on Complaint #: NJ00143325.
Complaint Details
Complaint #: NJ00143325. The facility was found compliant based on this complaint survey.
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: 3
Inspection Report
Routine
Census: 230
Deficiencies: 0
Date: Apr 5, 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
Inspection Report
Routine
Census: 223
Deficiencies: 0
Date: Dec 16, 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 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
Staff sample size: 13
Inspection Report
Complaint Investigation
Census: 211
Deficiencies: 0
Date: Dec 8, 2020
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ00140407 and NJ00137946.
Complaint Details
Complaint numbers NJ00140407 and NJ00137946 were investigated and found to be unsubstantiated as the facility was 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: 3
Viewing
Loading inspection reports...
