Deficiencies (last 3 years)
Deficiencies (over 3 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
87% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 2
Aug 27, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including accurate resident assessments and coordination of pre-admission screening and resident review (PASRR) programs.
Findings
The facility failed to accurately complete the Minimum Data Set (MDS) for one resident regarding oxygen use, and failed to conduct a new PASRR assessment after a resident was newly diagnosed with schizophrenia.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to accurately complete the Minimum Data Set (MDS) for Resident #12 regarding oxygen use. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to conduct a new Pre-admission Screening and Resident Review (PASRR) assessment after Resident #55 was newly diagnosed with schizophrenia. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed for MDS accuracy: 20
Residents reviewed for PASRR compliance: 1
Oxygen order date: Jul 24, 2023
MDS assessment date: Jul 19, 2024
PASRR Level I date: Jul 4, 2020
Psychiatry consult dates: Feb 1, 2022
Psychiatry consult dates: Mar 1, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Stated that Resident #12 utilized oxygen and that the July 2024 MDS was coded incorrectly. | |
| Clinical Social Worker | Stated that a new PASRR should have been completed when Resident #55 was newly diagnosed with schizophrenia. |
Inspection Report
Annual Inspection
Deficiencies: 0
Aug 22, 2024
Visit Reason
This document is the annual inspection survey report for Imperial Care Center conducted to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Dec 21, 2022
Visit Reason
The inspection was conducted as an annual survey of the Imperial Care Center to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Nov 6, 2020
Visit Reason
The document is an annual inspection survey report for Imperial Care Center conducted by the Department of Health & Human Services and Centers for Medicare & Medicaid Services.
Findings
No health deficiencies were found during the inspection.
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