Inspection Reports for Livia Health And Senior Living
1 South Ridgedale Avenue, NJ, 07936
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
75 residents
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Notice
Deficiencies: 0
Nov 20, 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 regarding their health information, and NJDHSS's legal duties and responsibilities.
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
Census: 75
Deficiencies: 7
Feb 26, 2025
Visit Reason
The inspection was conducted based on complaint #NJ00183458 to investigate allegations that the facility failed to ensure a resident was free from abuse and neglect, specifically related to the resident being left unattended in a wheelchair for approximately 5 hours after transportation by the facility's driver.
Findings
The facility was found to have failed to provide required care and services to meet the needs of Resident #1, resulting in an Immediate Jeopardy situation due to the resident being left unattended in a wheelchair for about 5 hours after transportation. The facility initiated a Plan of Correction, educated staff, and revised policies on transportation and tracking. Additional deficiencies related to staffing ratios and care planning for other residents were also cited.
Complaint Details
Complaint #NJ00183458 was substantiated. The facility was found to have created an Immediate Jeopardy situation due to failure to provide required care and services to Resident #1, who was left unattended in a wheelchair for approximately 5 hours after transportation. The facility initiated a Plan of Correction and took corrective actions including staff education and policy revisions.
Severity Breakdown
Immediate Jeopardy: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Facility failed to ensure Resident #1 was free from abuse and neglect when left unattended in wheelchair for 5 hours after transportation. | Immediate Jeopardy |
| Facility failed to maintain required staffing ratios for Certified Nurse Aides on 2 of 14 day shifts. | — |
| Facility failed to develop and implement comprehensive person-centered care plans for residents, including Resident #4 and Resident #6. | — |
| Facility failed to ensure Resident #5 received ordered treatments and care as documented. | — |
| Facility failed to ensure Resident #6 received proper documentation and care related to activities of daily living and care plans. | — |
| Facility failed to ensure Resident #1 was safe and free from abuse and neglect per policies titled 'Elopements and Wandering Residents,' 'Resident Transportation,' and 'Tracker for Residents Leaving the Building.' | Immediate Jeopardy |
| Facility failed to ensure adequate supervision and assistance to prevent accidents and neglect. | — |
Report Facts
Census: 75
Staffing Deficiency: 2
Staffing Deficiency: 14
Plan of Correction Completion Date: Apr 11, 2025
Plan of Correction Completion Date: Apr 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Licensed Practical Nurse | Named in failure to notify and follow up on concerns regarding Resident #1's whereabouts and care |
Inspection Report
Routine
Census: 75
Deficiencies: 0
Jan 30, 2025
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted on behalf of 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: 9
Inspection Report
Annual Inspection
Census: 72
Capacity: 86
Deficiencies: 7
Sep 20, 2024
Visit Reason
A Recertification and Complaint Survey was conducted by Healthcare Management Solutions, LLC, on behalf of the New Jersey Department of Health (NJDOH) from 09/17/24 through 09/20/24. The visit included complaint investigations and recertification.
Findings
The facility was found not in substantial compliance with federal requirements for long term care facilities. Deficiencies were identified related to tube feeding management, infection prevention and control, staffing ratios, emergency preparedness, life safety code violations including emergency lighting, hazardous area enclosures, corridor door latching, smoke barrier penetrations, and electrical equipment power cord usage.
Complaint Details
The survey included complaint investigations for complaint numbers NJ00167004, NJ00169239, NJ00174428, and NJ00175733. The facility was found not in substantial compliance based on these complaint visits.
Severity Breakdown
SS=D: 3
SS=F: 3
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to ensure appropriate care and treatment for residents fed by enteral methods, including medication administration and infection control related to glucometer use. | SS=D |
| Failure to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. | — |
| Failure to ensure emergency lighting was tested monthly as required by NFPA 101. | SS=F |
| Failure to enclose hazardous areas with required self-closing fire-rated doors and seal penetrations. | SS=D |
| Failure to ensure corridor doors closed and latched properly to resist passage of smoke. | SS=F |
| Failure to ensure smoke barrier penetrations were sealed to restrict smoke transfer. | SS=F |
| Failure to comply with power cord and extension cord requirements; daisy chaining power strips and extension cords in maintenance shop. | SS=D |
Report Facts
Survey Census: 72
Total Capacity: 86
Sample Size: 22
Staffing Deficiency Days: 3
Required CNAs on Deficient Days: 9
Actual CNAs on Deficient Days: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN1 | Licensed Practical Nurse | Named in medication administration and infection control deficiencies related to enteral feeding and glucometer use. |
| LPN2 | Licensed Practical Nurse | Named in infection control deficiency related to glucometer cleaning. |
| Unit Manager 1 (UM1) | Unit Manager | Interviewed regarding medication administration and infection control. |
| Unit Manager 2 (UM2) | Unit Manager | Interviewed regarding door latching deficiencies. |
| Director of Nursing (DON) | Director of Nursing | Responsible for monitoring corrective actions and audits related to infection control and staffing. |
| Maintenance Director | Maintenance Director | Responsible for corrective actions and monitoring related to emergency lighting, hazardous area enclosures, door latching, smoke barrier penetrations, and electrical equipment. |
Inspection Report
Annual Inspection
Census: 65
Deficiencies: 8
Oct 21, 2022
Visit Reason
Annual standard survey conducted to assess compliance with 42 CFR Part 483, Subpart B for long term care facilities.
Findings
The facility was found not in substantial compliance with several regulatory requirements including incontinence care, respiratory care, medication administration, medication storage, corridor door smoke resistance, corridor openings, building construction fireproofing, and generator fuel supply reliability. Deficiencies were cited and plans of correction were submitted.
Severity Breakdown
SS=D: 3
SS=E: 3
SS=F: 2
Deficiencies (8)
| Description | Severity |
|---|---|
| Failure to maintain continence and prevent urinary tract infections related to catheter and incontinence care. | SS=D |
| Failure to maintain records and provide proper respiratory/tracheostomy care including supplemental oxygen documentation. | SS=D |
| Medication error rate exceeded 5%, including improper medication administration and crushing of enteric coated pills. | SS=E |
| Failure to properly label, store, and date medications and discard expired medications in medication carts and refrigerators. | SS=D |
| Building construction type and fire resistance rating deficiencies due to exposed steel girders without fireproofing. | SS=F |
| Corridor doors failed to resist passage of smoke due to gaps and malfunctioning vertical brush seals on 37 of 50 resident room doors. | SS=E |
| Corridor openings had transfer grilles on HVAC closet doors allowing smoke passage into exit corridors. | SS=E |
| Failure to demonstrate reliability of fuel supply for emergency generator due to lack of documented reliability letter from natural gas provider. | SS=F |
Report Facts
Census: 65
Sample Size: 19
Medication error rate: 19.2
Resident room doors with smoke passage issues: 37
HVAC closet doors with transfer grilles: 2
Inspection Report
Routine
Census: 66
Deficiencies: 1
May 31, 2022
Visit Reason
A routine 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 as it relates to the implementation of CMS and CDC recommended practices for COVID-19. However, the facility was not in compliance with New Jersey staffing requirements, failing to maintain minimum direct care staff-to-resident ratios on multiple shifts during May 2022.
Deficiencies (1)
| Description |
|---|
| Failure to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. |
Report Facts
Census: 66
Deficient CNA staffing days: 7
Deficient CNA staffing evenings: 2
Required CNAs: 9
Actual CNAs: 8
Inspection Report
Routine
Census: 48
Deficiencies: 0
Dec 11, 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
Abbreviated Survey
Census: 50
Deficiencies: 1
Nov 17, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with CMS and CDC recommended practices for COVID-19 infection control.
Findings
The facility was found not in compliance with infection control regulations due to failure of one staff member to utilize appropriate personal protective equipment (PPE) in the yellow zone, a 14-day observation unit for new admissions. The housekeeper did not wear the required gown and eyewear despite being in-serviced on PPE use.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to utilize appropriate personal protective equipment (PPE) including gown and eyewear in the yellow zone observation unit. | SS=D |
Report Facts
Census: 50
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Provided information about the yellow zone and PPE requirements during the entrance conference and interviews |
| Registered Nurse | Registered Nurse (RN) | Interviewed regarding PPE requirements in the yellow zone |
| Housekeeper | Observed failing to wear full PPE in the yellow zone and was re-inserviced on proper PPE use |
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