Inspection Reports for Inglemoor Rehabilitation And Care Center Of Living

311 S Livingston Ave, NJ, 07039

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Deficiencies per Year

8 6 4 2 0
2021
2022
2023
2025
Severe High Moderate Low Unclassified

Census Over Time

54 63 72 81 90 99 Jan '21 Aug '21 Jul '22 Dec '23
Notice Deficiencies: 0 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 details the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees Mentioned
NameTitleContext
Devon L. GrafDirector, Office of Legal and Regulatory ComplianceListed as NJDHSS Privacy Officer contact for questions about the notice
Inspection Report Annual Inspection Census: 87 Deficiencies: 6 Dec 8, 2023
Visit Reason
A Recertification survey was conducted by the New Jersey Department of Health to assess compliance with 42 CFR 483 subpart B for long term care facilities.
Findings
The facility was found to be in substantial compliance with emergency preparedness requirements and Medicare/Medicaid participation standards. However, several deficiencies were identified related to life safety code, fire safety, electrical systems, and maintenance/testing of fire alarm, sprinkler, and emergency power systems.
Severity Breakdown
SS=E: 4 SS=D: 2
Deficiencies (6)
DescriptionSeverity
Failed to provide 3 designated exit doors with readily accessible and unobstructed illuminated exit signs; thumb turn locks on egress side could restrict emergency exit use.SS=E
Two of four exit access stairwell doors failed to maintain 1-1/2 hour fire rated construction due to missing positive latch.SS=D
Fire alarm system testing and maintenance deficient; smoke detection sensitivity testing not performed every alternate year and semi-annual testing incomplete.SS=E
Sprinkler system inspections not conducted quarterly as required; missing inspections between 03/10/2023 and 08/31/2023.SS=E
One electrical outlet near a sink lacked required Ground-Fault Circuit Interrupter (GFCI) protection and failed to de-energize during testing.SS=D
Emergency generator lacked a remote manual stop station as required by NFPA 110.SS=E
Report Facts
Survey Census: 87 Resident sleeping rooms: 65 Designated exit discharge doors: 10 Exit access stairwell doors tested: 4 Exit access stairwell doors failed: 2 Electrical outlets tested near sinks: 7 Electrical outlets failed GFCI test: 1 Emergency generator capacity: 300
Inspection Report Routine Census: 92 Deficiencies: 0 Sep 6, 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.
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 Routine Census: 93 Deficiencies: 0 Jul 18, 2022
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.
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 Complaint Investigation Census: 88 Deficiencies: 0 Aug 18, 2021
Visit Reason
The inspection was conducted as a complaint survey to assess compliance with regulatory requirements.
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 survey.
Complaint Details
The survey was complaint-based and the facility was found to be in substantial compliance.
Report Facts
Sample size: 3
Inspection Report Follow-Up Census: 91 Deficiencies: 1 Aug 6, 2021
Visit Reason
The visit was a standard survey conducted on 08/06/2021 to assess compliance with 42 CFR Part 483, Subpart B, for long term care facilities, focusing on medication labeling and storage practices.
Findings
The facility was found not in substantial compliance due to deficiencies in properly labeling, storing, and disposing of medications in 2 of 9 medication carts inspected. Specifically, opened insulin vials lacked resident name labels. A follow-up revisit on 09/08/2021 confirmed that corrective actions were completed.
Severity Breakdown
SS=D: 1
Deficiencies (1)
DescriptionSeverity
Failure to properly label, store, and dispose of medications in medication carts, including opened insulin vials without resident name labels.SS=D
Report Facts
Census: 91 Sample Size: 22 Deficiencies cited: 1
Employees Mentioned
NameTitleContext
Licensed Practical Nurse (LPN #1)Interviewed regarding unlabeled Novolog insulin pen
Licensed Practical Nurse (LPN #2)Interviewed regarding unlabeled Humalog insulin vial
AdministratorMet with surveyor during inspection
Director of Nursing (DON)Provided facility policies and participated in inspection
Inspection Report Routine Census: 68 Deficiencies: 0 Feb 23, 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.
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: 3
Inspection Report Routine Census: 67 Deficiencies: 0 Jan 28, 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: 6

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