Inspection Report
Routine
Census: 170
Deficiencies: 10
Mar 19, 2025
Visit Reason
A Recertification Survey was conducted from 03/13/25 to 03/19/25 to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
The facility was found to have multiple deficiencies related to resident self-determination, abuse/neglect policies, infection control, medication management, emergency preparedness, life safety code violations, and other regulatory requirements. Deficiencies were cited across various areas including resident rights, staffing, emergency plans, and physical environment.
Complaint Details
Complaint NJ #s: 170517, 172426, 172794, and 183244 were investigated. Some complaints were substantiated related to resident care and abuse investigations.
Severity Breakdown
Level D: 9
Level E: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Facility failed to honor a resident's choice to get out of bed at the preferred time and attend preferred activities. | Level D |
| Facility failed to implement abuse/neglect policies including ensuring reference checks for employees. | Level E |
| Facility failed to submit timely investigations of alleged abuse to the NJ Department of Health. | Level D |
| Facility failed to conduct thorough investigations of resident abuse allegations. | Level D |
| Facility failed to accurately assess and code resident Minimum Data Set (MDS) assessments. | Level D |
| Facility failed to provide pharmaceutical services in accordance with professional standards including accurate documentation of controlled substances. | Level D |
| Facility failed to maintain an effective infection prevention and control program. | Level D |
| Facility failed to maintain an effective emergency preparedness plan and conduct required drills. | Level D |
| Facility failed to maintain means of egress free of obstructions and maintain fire safety equipment properly. | Level D |
| Facility failed to maintain adequate resident call system functioning. | Level D |
Report Facts
Census: 170
Sample size: 37
Number of employee files reviewed: 10
Number of residents affected by staffing deficiency: 7
Number of residents affected by call bell deficiency: 6
Number of fire sprinkler inspections reviewed: 3
Number of fire extinguishers deficient: 5
Number of unprotected spray nozzles: 9
Inspection Report
Routine
Census: 152
Deficiencies: 0
Aug 10, 2023
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.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 6
Inspection Report
Routine
Census: 164
Capacity: 185
Deficiencies: 9
Feb 16, 2023
Visit Reason
A recertification survey was conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health to assess compliance with federal and state regulations for Hunterdon Care Center.
Findings
The facility was found not to be in substantial compliance with multiple regulatory requirements including resident self-determination, accuracy of assessments, coordination of PASARR and assessments, mobility and prevention of decrease in range of motion, medication management, food safety, resident records, infection prevention and control, and life safety code compliance. Corrective actions were planned or implemented for all cited deficiencies.
Severity Breakdown
Level 3: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Failure to honor a resident's choice of a shower over bed baths. | Level 3 |
| Failure to ensure resident assessments accurately reflected resident status. | Level 3 |
| Failure to coordinate PASARR assessments with pre-admission screening and resident review. | Level 3 |
| Failure to ensure residents received consistent exercises to prevent decrease in range of motion. | Level 3 |
| Failure to ensure medication orders were properly monitored and documented. | Level 3 |
| Failure to maintain proper food safety including refrigerator temperatures and food storage. | Level 3 |
| Failure to maintain resident records complete, accurate, and confidential. | Level 3 |
| Failure to establish and maintain an infection prevention and control program. | Level 3 |
| Failure to maintain means of egress and smoke barrier walls in accordance with Life Safety Code. | Level 3 |
Report Facts
Survey Census: 164
Total Capacity: 185
Sample Size: 32
Supplemental Residents: 6
Deficiency Count: 9
Nursing Staff Deficiency: 14
Inspection Report
Complaint Investigation
Census: 147
Deficiencies: 0
Oct 15, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ148036 and NJ146737.
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.
Complaint Details
Complaint numbers NJ148036 and NJ146737 were investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample Size: 12
Inspection Report
Complaint Investigation
Census: 158
Deficiencies: 1
Jul 8, 2021
Visit Reason
The inspection was conducted based on complaints NJ145681 and NJ146311 to determine compliance with 42 CFR Part 483, Subpart B for long term care facilities.
Findings
The facility was found not in substantial compliance due to failure to consistently document resident status and adhere to nursing practice standards, including failure to follow physician's orders and care plan interventions for residents with enteral feeding orders.
Complaint Details
Complaint investigation NJ145681 determined the facility failed to document accurately and follow nursing standards for residents with enteral feeding orders. The facility was not in substantial compliance based on this complaint visit.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to consistently document administration of enteral feeding orders and follow physician's orders and care plan interventions for residents with tube feeding. | SS=E |
Report Facts
Sample Size: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Re-educated nurses on accurate documentation of enteral feeding orders and administration |
| Unit Manager | Unit Manager | Interviewed regarding documentation practices and nurse responsibilities |
Inspection Report
Routine
Census: 143
Deficiencies: 0
Jan 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 recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample size: 7
Inspection Report
Complaint Investigation
Census: 146
Deficiencies: 0
Dec 16, 2020
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ 00141794.
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 visit.
Complaint Details
Complaint #: NJ 00141794. The facility was found compliant based on this complaint visit.
Report Facts
Sample Size: 4
Report
Nov 19, 2025
File
20251119-REPORT-notice_of_privacy_practices.pdf
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