Inspection Reports for Job Haines Home

250 Bloomfield Ave, Bloomfield, NJ 07003, NJ, 07003

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

71% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2021
2023
2025

Census

Latest occupancy rate 98% occupied

Based on a February 2023 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

28 32 36 40 44 48 Dec 2020 Mar 2021 Feb 2023

Notice

Deficiencies: 0 Date: 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 explains 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
NameTitleContext
Devon L. GrafDirector, Office of Legal and Regulatory ComplianceListed as NJDHSS Privacy Officer contact for the notice

Inspection Report

Annual Inspection
Census: 39 Capacity: 40 Deficiencies: 4 Date: Feb 22, 2023

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 pharmacy services including failure to remove expired IV medication sets and improper execution of DEA Form 222. Additionally, a Life Safety Code survey found noncompliance with emergency lighting and generator manual stop station requirements.

Deficiencies (4)
Failed to reconcile, identify and remove three expired intravenous medication supply sets in the medication cart on the subacute unit.
Failed to ensure accurate execution of DEA Form 222, including not making a copy of the order form before sending to the pharmacy.
Failed to provide battery-powered emergency lighting at the emergency generator transfer switch as required by NFPA 110.
Failed to ensure the 50 KW diesel emergency generator had a remote manual stop station to prevent inadvertent operation.
Report Facts
Census: 39 Total Capacity: 40 Sample Size: 14 Deficiency Completion Date: Mar 17, 2023

Inspection Report

Routine
Census: 35 Deficiencies: 2 Date: Mar 15, 2021

Visit Reason
Routine standard survey conducted to assess compliance with federal regulations for long term care facilities.

Findings
The facility was found not in substantial compliance with federal requirements, with deficiencies related to improper storage of controlled substances, unsanitary food preparation and storage practices, and expired nutritional supplements.

Deficiencies (2)
Failed to ensure controlled substances were stored in a manner to prevent loss or diversion; narcotic storage boxes in medication refrigerators were not permanently affixed.
Failed to store potentially hazardous foods properly, maintain kitchen environment and equipment in a sanitary manner, and discard expired nutritional supplements.
Report Facts
Sample Size: 15 Expired nutritional supplement containers: 23

Employees mentioned
NameTitleContext
Unit Manager Registered NurseUnit Manager Registered Nurse (UMRN)Present during medication refrigerator inspection and acknowledged deficiencies.
Food Service DirectorFood Service Director (FSD)Present during food preparation area inspection and involved in corrective actions.
Director of NursingDirector of Nursing (DON)Informed of deficiencies and responsible for ongoing compliance monitoring.
AdministratorAdministratorInformed of deficiencies during survey.

Inspection Report

Complaint Investigation
Census: 34 Deficiencies: 0 Date: Dec 8, 2020

Visit Reason
The inspection was conducted as a complaint survey based on Complaint #: NJ00132628.

Complaint Details
Complaint #: NJ00132628; the survey was complaint-based and the facility was found compliant.
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.

Report Facts
Sample Size: 7

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