Deficiencies (last 5 years)
Deficiencies (over 5 years)
7.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
100% occupied
Based on a January 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
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 the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Complaint Investigation
Deficiencies: 3
Jul 7, 2025
Visit Reason
The inspection was conducted based on a complaint (NJ #183210) regarding the facility's discharge process for Resident #343, specifically concerning documentation and communication failures related to the resident's transfer and discharge.
Findings
The facility failed to properly document the transfer or discharge in the resident's medical record, did not provide or document updates to the resident and their representative about discharge planning, and lacked a physician's discharge summary and evidence of physician involvement in the discharge. These deficiencies were identified for 1 of 2 residents reviewed.
Complaint Details
Complaint NJ #183210 involved allegations that the facility failed to document the discharge process properly, communicate with the resident and their representative, and involve the physician in the discharge. The facility disputed the citation.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure transfer or discharge was documented in the resident's medical record and appropriate information communicated to the receiving facility. | Level of Harm - Minimal harm or potential for actual harm |
| Failure to provide and document updates to the resident and resident's representative about discharge planning to ensure safe and orderly discharge. | Level of Harm - Minimal harm or potential for actual harm |
| Failure to ensure completion of a physician's discharge summary and physician involvement in the resident's discharge. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents Affected: 1
Date of discharge: Feb 4, 2025
Date of survey completion: Jul 7, 2025
Date of court ruling: Jan 31, 2025
Date of 30-day discharge notice: Jul 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LNHA | Licensed Nursing Home Administrator | Provided documentation and communication about discharge; acknowledged deficiencies in discharge summary documentation |
| DON | Director of Nursing | Provided physician discharge summary after inquiry; acknowledged missing documentation in medical record |
| DSS | Director of Social Services | Discussed discharge process and documentation; provided timeline and documentation related to discharge and court proceedings |
| LPN | Licensed Practical Nurse | Documented resident transfer and discharge; interviewed about discharge process |
| RN/UM | Registered Nurse/Unit Manager | Interviewed about resident and representative awareness of discharge |
| MR/RN | Medical Records/Registered Nurse | Provided email documentation of communication with receiving facility |
Inspection Report
Routine
Deficiencies: 18
Jul 7, 2025
Visit Reason
The inspection was a routine regulatory survey of the Jewish Home at Rockleigh nursing facility to assess compliance with healthcare regulations, including resident care, medication administration, infection control, and facility operations.
Findings
The survey identified multiple deficiencies including failure to treat a resident with dignity during podiatry care, lack of documented consent for psychoactive medications, improper call bell placement, incomplete advance directive documentation, failure to limit psychotropic medication orders to 14 days, inadequate discharge documentation and communication, failure to update care plans timely, duplicate wound care orders, improper insulin administration, medication errors exceeding 5%, failure to follow medication holding parameters, inadequate respiratory care documentation, poor kitchen sanitation and food storage practices, improper garbage disposal, failure to follow infection control practices including hand hygiene and PPE use, and deficiencies in immunization consent and documentation.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 17
Deficiencies (18)
| Description | Severity |
|---|---|
| Failed to treat a resident with respect and dignity during podiatry care in an open activity area. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to obtain documented consent and notify resident representative for psychoactive medications. | Level of Harm - Minimal harm or potential for actual harm |
| Resident call bell was not within reach and unable to be used to accommodate resident needs. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure accurate documentation of a resident's advance directives. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to limit physician's order for PRN psychotropic medication to 14 days. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide required discharge documentation, communication, and physician involvement for a resident's facility-initiated discharge. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to update and revise a comprehensive care plan timely after medication discontinuation. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to identify duplicate wound care orders and follow wound doctor recommendations for pressure injury care. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure accurate insulin administration and proper use of insulin pens. | Level of Harm - Minimal harm or potential for actual harm |
| Medication error rate exceeded 5% during medication administration observation. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to follow physician's holding parameters for medication administration. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to document oxygen treatment administration according to physician's order. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to handle potentially hazardous foods properly, maintain kitchen sanitation, and store and label food to prevent foodborne illness. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to keep garbage container area free of garbage and debris and failed to have closed covers on garbage containers. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to obtain written consent and document education regarding influenza vaccination. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to follow appropriate hand hygiene and PPE practices to prevent infection spread. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to obtain written consent and document education regarding COVID-19 vaccination. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to administer COVID-19 vaccine after consent was given and failed to educate residents and representatives on COVID-19 vaccination. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Medication error rate: 7.41
Residents reviewed for medication errors: 5
Nurses observed during medication administration: 5
Medication doses administered against holding parameters: 23
Weight measurements missed: 5
Pressure ulcer wound measurements: 0.8
Pressure ulcer wound measurements: 0.8
Pressure ulcer wound measurements: 0.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN/UM | Licensed Practical Nurse/Unit Manager | Notified about dignity issue during podiatry care and improper glove use |
| DON | Director of Nursing | Provided multiple clarifications and acknowledged deficiencies in medication administration, infection control, and discharge documentation |
| LNHA | Licensed Nursing Home Administrator | Participated in interviews and exit conferences, acknowledged deficiencies |
| PNP | Psychiatric Nurse Practitioner | Provided consult notes and discussed psychoactive medication consent issues |
| RN/UM | Registered Nurse/Unit Manager | Interviewed regarding care plan updates, medication administration, and weight monitoring |
| LPN | Licensed Practical Nurse | Observed administering insulin and interviewed about medication administration and weight monitoring |
| IPN | Infection Preventionist Nurse | Interviewed regarding infection control practices and immunization consent |
| CNA | Certified Nursing Aide | Observed failing to perform hand hygiene and improper glove disposal |
| DS | Dietary Supervisor | Interviewed regarding kitchen sanitation and food storage deficiencies |
| ADON | Assistant Director of Nursing | Provided information on psychoactive medication consent documentation |
Inspection Report
Annual Inspection
Census: 185
Capacity: 185
Deficiencies: 2
Jan 26, 2024
Visit Reason
A Recertification survey was conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health (NJDOH) to assess compliance with 42 CFR 483 subpart B.
Findings
The facility was found to be in substantial compliance with 42 CFR 483 subpart B. However, a deficiency was cited for failure to maintain required minimum direct care staff-to-resident ratios as mandated by New Jersey state law.
Deficiencies (2)
| Description |
|---|
| Facility failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey, specifically deficient in CNA staffing on 1 of 14 day shifts reviewed. |
| Facility failed to ensure supplemental oxygen was prohibited from entering and using beauty shop hair dryers in accordance with NFPA 99, potentially affecting 15 residents using oxygen. |
Report Facts
Survey Census: 185
Sample Size: 46
Deficient CNA staffing count: 1
CNA staffing numbers: 22
Required CNA staffing: 23
Facility capacity: 185
Residents potentially affected by oxygen deficiency: 15
Inspection Report
Annual Inspection
Deficiencies: 0
Jan 26, 2024
Visit Reason
The inspection was conducted as an annual survey of the Jewish Home at Rockleigh nursing facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection, and the level of harm and residents affected were unknown.
Inspection Report
Original Licensing
Capacity: 120
Deficiencies: 2
Nov 10, 2022
Visit Reason
The inspection was conducted as an initial survey and new construction project involving a 10 add-a-bed plus a six bed transfer to total 16 additional beds; new subacute unit and rehabilitation facility.
Findings
The facility was found to be in substantial compliance with long term care facility requirements for the project survey, but was not in compliance with New Jersey Administrative Code standards for licensure and Life Safety Code requirements. Deficiencies included missing evacuation diagrams on resident care units and missing Class K fire extinguishers in kitchens, as well as failure to perform semi-annual inspections of kitchen fire suppression systems.
Severity Breakdown
SS=E: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure evacuation diagrams including evacuation procedures and locations of fire exits, alarm boxes, and fire extinguishers were posted conspicuously on all resident care units on the first and second floors of the newly constructed building. | — |
| Failure to inspect one of two kitchen range-hood fire suppression systems semi-annually and failure to ensure both kitchens were equipped with Class K fire extinguishers as required. | SS=E |
Report Facts
Total licensed capacity: 120
Additional beds: 16
Deficiency correction completion date: Nov 22, 2022
Deficiency correction completion date: Nov 17, 2022
Inspection Report
Abbreviated Survey
Census: 168
Deficiencies: 0
Jun 1, 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 residents: 5
Inspection Report
Complaint Investigation
Census: 155
Deficiencies: 0
Oct 26, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ136979 and NJ141669.
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 NJ136979 and NJ141669 were investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample Size: 7
Inspection Report
Annual Inspection
Census: 165
Deficiencies: 5
Aug 5, 2021
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 failure to provide nursing program according to resident preference, failure to meet professional standards in care plans, failure to follow incident/accident report interventions, and failure to maintain kitchen sanitation to prevent food borne illness. A Life Safety Code deficiency was also cited for emergency lighting.
Severity Breakdown
SS=D: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident received a nursing program in accordance with his/her preference. | SS=D |
| Services provided or arranged by the facility did not meet professional standards of quality. | SS=D |
| Facility failed to follow Incident/Accident Report Final Disposition Interventions for alert with regards to incidents for 1 of 4 residents. | SS=D |
| Facility failed to maintain kitchen sanitation in a manner to prevent the spread of food borne illness. | SS=D |
| Facility failed to provide a battery backup emergency light above the generator transfer switch to provide automatic illumination in the event of electrical power interruption. | SS=D |
Report Facts
Census: 165
Sample Size: 33
Deficiency Completion Date: Dates of completion for deficiencies range from 08/27/2021 to 09/15/2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Named in discussion of nursing program deficiency and plan of correction | |
| Licensed Practical Nurse (LPN) | Manages the Restorative Nursing Program and interviewed during survey | |
| Registered Nurse/Unit Manager (RN/UM) | Provided information about Resident #267 during incident/accident report deficiency | |
| Food Service Director (FSD) | Involved in kitchen sanitation deficiency and plan of correction | |
| Director of Maintenance (DOM) | Involved in emergency lighting deficiency and plan of correction |
Inspection Report
Complaint Investigation
Deficiencies: 3
Aug 5, 2021
Visit Reason
The inspection was conducted based on complaints regarding failure to provide restorative nursing program as per resident preference, failure to follow fall incident interventions, and kitchen sanitation issues.
Findings
The facility failed to ensure a resident received restorative nursing care according to preference, failed to follow fall intervention protocols for a resident on hospice care, and failed to maintain kitchen sanitation standards to prevent food borne illness. These deficiencies were supported by interviews, observations, and record reviews.
Complaint Details
The complaint investigation focused on Resident #41's restorative nursing program being discontinued without explanation despite resident preference, and Resident #267's fall interventions not being followed as per facility policy. The investigation included interviews with staff and review of medical records and facility policies.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure a resident received restorative nursing program in accordance with preference, with missed sessions and no documentation of missed therapy. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to follow Incident/Accident Report Final Disposition Interventions for Rehabilitation alert regarding fall incidents for a resident on hospice care. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain kitchen sanitation including buildup of substances in refrigerators, frost in freezer, dish machine not reaching required temperature, equipment in disrepair, and improper drying of dishes. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Restorative ambulation days: 6
Final rinse temperature: 180
Fall incidents: 2
Physical therapy duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Managed the Restorative Nursing Program and acknowledged missed therapy sessions. | |
| Director of Nursing (DON) | Acknowledged deficiencies in restorative nursing program and fall interventions. | |
| Licensed Nursing Home Administrator (LNHA) | Met with survey team to discuss concerns regarding restorative nursing program and fall interventions. | |
| Physical Therapist/Rehab Director (PT/RD) | Provided information on rehab department's fall report screening process. | |
| Food Service Director (FSD) | Accompanied surveyor during kitchen inspection and acknowledged sanitation issues. |
Inspection Report
Routine
Census: 137
Deficiencies: 0
Dec 15, 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
Sample size: 5
Inspection Report
Complaint Investigation
Census: 144
Deficiencies: 0
Nov 27, 2020
Visit Reason
The inspection visit was conducted based on complaints received regarding the facility.
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 complaints visit.
Complaint Details
The visit was complaint-related and the facility was found to be in compliance.
Inspection Report
Abbreviated Survey
Census: 144
Deficiencies: 4
Nov 27, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted due to concerns about infection control practices related to COVID-19, including improper use of PPE, hand hygiene, handling of soiled isolation gowns, and social distancing.
Findings
The facility was found not in compliance with infection control regulations, failing to implement CMS and CDC recommended practices to prevent COVID-19 spread. Immediate Jeopardy was identified due to improper use of isolation gowns and other infection control deficiencies. Multiple staff and residents tested positive for COVID-19, and several residents were hospitalized.
Severity Breakdown
Immediate Jeopardy: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure proper use of Personal Protective Equipment (PPE), including isolation gowns. | Immediate Jeopardy |
| Failure to ensure proper handwashing and hand hygiene among staff. | Immediate Jeopardy |
| Improper handling and disposal of soiled isolation gowns by housekeeping staff. | Immediate Jeopardy |
| Failure to ensure social distancing among residents in common areas. | Immediate Jeopardy |
Report Facts
Residents positive for COVID-19: 24
Staff positive for COVID-19: 14
Residents hospitalized related to COVID-19: 4
Sample size: 16
Employees tested for COVID-19: 177
Employees tested for COVID-19: 172
Employees tested for COVID-19: 167
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #2 | Observed reusing isolation gown for entire shift and improper infection control practices. | |
| LPN #1 | Observed improper handwashing and PPE use; disciplined and in-serviced. | |
| Housekeeper #1 | Observed improper handling of soiled isolation gowns and lack of hand hygiene; disciplined and in-serviced. | |
| Housekeeper #2 | Failed competency check on PPE donning and doffing; employment terminated. | |
| CNA #3 | Observed supervising residents improperly on social distancing; disciplined and in-serviced. | |
| CNA #4 | Observed improper handwashing; disciplined and in-serviced. | |
| CNA #5 | Observed improper handwashing; disciplined and in-serviced. | |
| CNA #6 | Observed improper handwashing; disciplined and in-serviced. | |
| Director of Nursing | DON | Provided immediate removal plan and oversaw infection control corrective actions. |
| Administrator | Notified of Immediate Jeopardy and involved in corrective action plans. | |
| Housekeeping Director | HD | Oversaw housekeeping staff training and corrective actions related to infection control. |
| Assistant Director of Nursing | ADON | Reinserviced staff on hand hygiene and infection control practices. |
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