Inspection Reports for
Imperial Care Center

919 Green Grove Road, Neptune, NJ, 07753

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

23% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

16 12 8 4 0
2020
2022
2024
2025

Census

Latest occupancy rate 70% occupied

Based on a August 2024 inspection.

Occupancy over time

60 80 100 120 140 Nov 2020 Feb 2022 Dec 2022 Aug 2024 Aug 2024

Notice

Deficiencies: 0 Date: Nov 20, 2025

Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their health information may be used and disclosed, and their rights related to this information.

Findings
The notice details the types of information covered, reasons for use and disclosure of health information, individuals' rights regarding their health data, legal duties of NJDHSS, and contact information for privacy concerns.

Report Facts
Effective date: 2011

Employees mentioned
NameTitleContext
Devon L. GrafDirectorNJDHSS Privacy Officer listed as contact for privacy practices

Inspection Report

Annual Inspection
Census: 85 Capacity: 121 Deficiencies: 15 Date: Aug 27, 2024

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 accuracy of assessments, coordination of PASARR and assessments, mandatory access to care staffing ratios, building construction and safety code compliance including fire safety, means of egress, illumination, sprinkler system installation and maintenance, electrical system safety and maintenance, and gas equipment storage.

Deficiencies (15)
Failed to accurately complete the Minimum Data Set (MDS) for 1 of 20 residents reviewed (Resident #12).
Failed to conduct a new Preadmission Screening and Resident Review (PASARR) assessment after a resident was newly diagnosed with a condition (Resident #55).
Failed to maintain the required minimum direct care staff to resident ratios for the day shift as mandated by the State of New Jersey.
Failed to provide updated approvals from the Department of Health, Certificate of Need and Licensing Program, or the Department of Community Affairs prior to conducting renovations.
Failed to provide an acceptable construction type and wall-ceiling assembly in accordance with NFPA 101 for 3 partial basements.
Failed to maintain means of egress free of obstructions; warped floor boards and loose posts on exterior wood deck exit/egress surface.
Failed to provide emergency illumination that would operate automatically along the means of egress in 4 of 6 areas.
Failed to provide automatic fire sprinkler protection to all areas; missing sprinklers under exterior wooden deck.
Failed to maintain all parts of the automatic fire sprinkler heads free from corrosion and loading; missing escutcheon plates in basement rooms.
Failed to ensure corridor doors resist passage of smoke; 10 of 40 resident room doors did not operate properly.
Failed to ensure guarding of live parts of electrical equipment and controls within unlocked panels in resident accessible areas.
Failed to functionally test electrical receptacles in residents' rooms with non-hospital grade outlets annually for grounding, polarity, and blade tension.
Failed to install a permanent emergency generator and provide electrical wiring in accordance with National Electrical Code 70; temporary generator wiring unprotected.
Failed to provide electrical policy for patient care related electrical equipment (PCREE), conduct maintenance and maintain records of tests and repairs.
Failed to segregate empty oxygen cylinders from full cylinders or appropriately label them in oxygen storage room.
Report Facts
Deficiencies cited: 14 CNA staffing deficiencies: 11 Residents present: 85 Licensed capacity: 121

Employees mentioned
NameTitleContext
Director of NursingInterviewed regarding CNA staffing and MDS accuracy.
Maintenance DirectorInterviewed and involved in multiple findings related to building construction, sprinkler system, electrical panels, and generator.
AdministratorProvided education and in-service related to multiple deficiencies including staffing, fire safety, electrical safety, and equipment maintenance.

Inspection Report

Routine
Census: 86 Deficiencies: 0 Date: Aug 22, 2024

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and preparedness for COVID-19.

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: 5

Inspection Report

Annual Inspection
Census: 91 Deficiencies: 0 Date: Dec 21, 2022

Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with 42 CFR Part 483, Subpart B, for long term care facilities.

Findings
The facility was found to be in substantial compliance with the regulatory requirements for long term care facilities.

Report Facts
Sample size: 23

Inspection Report

Complaint Investigation
Census: 87 Deficiencies: 0 Date: Feb 15, 2022

Visit Reason
The inspection visit was conducted based on a complaint to assess compliance with regulatory requirements for long term care facilities.

Complaint Details
The visit was complaint-related and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for long term care facilities based on this complaint visit.

Report Facts
Sample size: 3

Inspection Report

Complaint Investigation
Census: 81 Deficiencies: 1 Date: Nov 25, 2020

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health due to concerns about infection control practices related to COVID-19.

Complaint Details
The visit was complaint-related as a COVID-19 Focused Infection Control Survey. The deficiency was substantiated based on observation, interviews, and record review.
Findings
The facility was found not in compliance with infection control regulations, specifically failing to implement proper hand hygiene and PPE use prior to entering a Person Under Investigation (PUI) resident room, risking transmission of infection.

Deficiencies (1)
Failure to implement proper infection control practices for hand hygiene and donning appropriate PPE prior to entering a PUI resident room.
Report Facts
Sample size: 3 Completion date for correction: Dec 18, 2020

Employees mentioned
NameTitleContext
Certified Nursing Assistant (CNA)Observed failing to don full PPE and improper hand hygiene
Director of Nursing (DON)Provided statements on PPE and hand hygiene requirements and oversight of corrective actions
Registered Nurse/Unit Manager (RN/UM)Provided statements on PPE and hand hygiene requirements

Report

Aug 27, 2024

Report

Aug 22, 2024

Report

Dec 21, 2022

Report

Nov 6, 2020

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