Inspection Reports for Livia Health And Senior Living
1 South Ridgedale Avenue, East Hanover, NJ, 07936
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 20, 2025, did not identify any deficiencies. Earlier inspections showed a pattern of deficiencies related primarily to nursing documentation, medication administration, care planning, staffing ratios, and resident safety, including substantiated complaints about inconsistent nursing care and documentation. Prior reports also noted issues with infection control, emergency preparedness, and building safety features, as well as an Immediate Jeopardy finding when a resident was left unattended for several hours. Complaint investigations included substantiated findings of inadequate care and documentation, while most other complaints were unsubstantiated. The facility’s inspection history shows some improvement in recent months, with no deficiencies noted in the latest report following earlier citations.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
10.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
98% 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.
Occupancy over time
Notice
Deficiencies: 0
Date: 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
Deficiencies: 2
Date: Nov 6, 2025
Visit Reason
The inspection was conducted based on Complaint #2656895 to investigate allegations regarding the facility's failure to consistently provide and document nursing services, medication administration, treatment administration, and activities of daily living (ADL) care for residents.
Complaint Details
Complaint #2656895 was substantiated based on interviews, record reviews, and facility documentation indicating failures in consistent documentation and provision of nursing services and ADL care for Resident #1.
Findings
The facility failed to ensure nursing services were consistently provided and documented on the Medication Administration Record (MAR) and Treatment Administration Record (TAR), and failed to consistently document ADL care by Certified Nursing Assistants (CNAs) for Resident #1. Documentation blanks were found for medication flushes, skin assessments, and multiple ADL tasks. Interviews with the Director of Nursing confirmed expectations for documentation and auditing processes.
Deficiencies (2)
Failure to ensure nursing services were provided and documented consistently on the MAR and TAR according to professional standards.
Failure to consistently document Activities of Daily Living (ADL) care provided to residents by CNAs.
Report Facts
Resident reviewed for standards of practice: 4
Resident reviewed for ADLs: 4
Brief Interview Mental Status (BIMS) score: 15
Medication Administration Record blanks: 2
ADL documentation blanks: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Interviewed regarding nursing service documentation and auditing responsibilities | |
| Assistant Director of Nursing (ADON) | Responsible along with DON for auditing MAR, TAR, and ADL documentation |
Inspection Report
Complaint Investigation
Census: 75
Deficiencies: 7
Date: 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.
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.
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.
Deficiencies (7)
Facility failed to ensure Resident #1 was free from abuse and neglect when left unattended in wheelchair for 5 hours after transportation.
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.'
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
Complaint Investigation
Deficiencies: 5
Date: Feb 25, 2025
Visit Reason
The inspection was conducted based on complaints regarding resident safety, care plan deficiencies, wound care, and documentation issues at the facility.
Complaint Details
Complaint NJ00183458 involved Resident #1 being left unattended in a van for five hours resulting in hypothermia. Complaint NJ00182762 involved deficiencies in care planning, wound care, and documentation for Residents #4, #5, and #6.
Findings
The facility failed to ensure resident safety when a resident was left unattended in a van for five hours resulting in hypothermia, failed to develop comprehensive person-centered care plans for residents, failed to provide appropriate wound care and obtain physician orders, and failed to consistently document care provided in residents' records.
Deficiencies (5)
Resident #1 was left unattended in a van for five hours after dialysis, resulting in hypothermia and transfer to hospital.
Facility failed to develop comprehensive person-centered care plans for Resident #4 regarding incontinence and Resident #6 regarding breathing difficulty.
Facility failed to obtain physician orders and follow wound care treatment for Resident #5's pressure ulcer.
Facility failed to ensure adequate supervision and accident hazard prevention related to Resident #1 being left unattended in the van.
Facility staff failed to consistently document Activities of Daily Living (ADL) care for Resident #6.
Report Facts
Duration resident left unattended: 5
Resident #1 temperature: 92
Resident #1 BIMS score: 10
Resident #4 BIMS score: 13
Resident #5 BIMS score: 3
Resident #6 BIMS score: 3
Dates missing ADL documentation: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Assigned nurse who failed to follow up on Resident #1's whereabouts and notify supervisor timely. |
| Director of Nursing | Director of Nursing (DON) | Documented Resident #1's condition after being found and provided statements during investigation. |
| Van driver | Transported Resident #1 from dialysis and left resident unattended in van. | |
| Certified Nursing Assistant #1 | CNA | Provided assistance to Resident #4 and reported resident's preference for incontinence briefs. |
| Assistant Director of Nursing | ADON | Provided statements regarding care plan responsibilities and wound care policies. |
| Unit Manager | Unit Manager (UM) | Responsible for personalizing care plans and provided statements about care plan expectations. |
| Licensed Practical Nurse #3 | LPN | Performed wound care on Resident #5 during observation. |
Inspection Report
Routine
Census: 75
Deficiencies: 0
Date: 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
Deficiencies: 0
Date: Jan 30, 2025
Visit Reason
The inspection was conducted as an annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection, indicating the facility met all required standards at the time of the survey.
Inspection Report
Annual Inspection
Census: 72
Capacity: 86
Deficiencies: 7
Date: 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.
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.
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.
Deficiencies (7)
Failure to ensure appropriate care and treatment for residents fed by enteral methods, including medication administration and infection control related to glucometer use.
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.
Failure to enclose hazardous areas with required self-closing fire-rated doors and seal penetrations.
Failure to ensure corridor doors closed and latched properly to resist passage of smoke.
Failure to ensure smoke barrier penetrations were sealed to restrict smoke transfer.
Failure to comply with power cord and extension cord requirements; daisy chaining power strips and extension cords in maintenance shop.
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
Routine
Deficiencies: 2
Date: Sep 20, 2024
Visit Reason
The inspection was conducted to assess compliance with care standards related to feeding tube administration and infection prevention practices, including blood glucose monitoring procedures.
Findings
The facility failed to ensure appropriate care of a gastrostomy tube during enteral feeding and medication administration for one resident, including improper administration methods and failure to check tube placement. Additionally, the facility failed to ensure proper cleaning and disinfecting of a multi-use glucometer prior to blood glucose testing for another resident, increasing the risk of infection transmission.
Deficiencies (2)
Failure to ensure appropriate care of a gastrostomy tube during enteral feeding and medication administration, including use of push method instead of gravity and failure to check tube placement.
Failure to ensure proper cleaning and disinfecting of multi-use glucometer prior to blood glucose testing, increasing risk of infection and transmission of blood borne pathogens.
Report Facts
Medication dosage: 40
Medication dosage: 250
Medication dosage: 10
Feeding rate: 50
Flush volume: 30
Blood glucose insulin dosage: 20
Blood glucose insulin dosage: 24
Blood glucose insulin dosage: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN1 | Licensed Practical Nurse | Named in gastrostomy tube medication administration deficiency |
| UM1 | Unit Manager | Provided information on medication administration expectations and order changes |
| DON | Director of Nursing | Provided expectations for g-tube placement confirmation and medication administration methods |
| LPN2 | Licensed Practical Nurse | Named in glucometer cleaning and blood glucose testing deficiency |
| UM2 | Unit Manager | Confirmed manufacturer's instructions and facility expectations for glucometer disinfection |
Inspection Report
Annual Inspection
Census: 65
Deficiencies: 8
Date: 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.
Deficiencies (8)
Failure to maintain continence and prevent urinary tract infections related to catheter and incontinence care.
Failure to maintain records and provide proper respiratory/tracheostomy care including supplemental oxygen documentation.
Medication error rate exceeded 5%, including improper medication administration and crushing of enteric coated pills.
Failure to properly label, store, and date medications and discard expired medications in medication carts and refrigerators.
Building construction type and fire resistance rating deficiencies due to exposed steel girders without fireproofing.
Corridor doors failed to resist passage of smoke due to gaps and malfunctioning vertical brush seals on 37 of 50 resident room doors.
Corridor openings had transfer grilles on HVAC closet doors allowing smoke passage into exit corridors.
Failure to demonstrate reliability of fuel supply for emergency generator due to lack of documented reliability letter from natural gas provider.
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
Deficiencies: 4
Date: Oct 21, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, respiratory care, catheter care, and medication storage at Livia Health and Senior Living.
Findings
The facility was found deficient in multiple areas including improper urinary catheter care leading to potential infection risk, failure to maintain proper oxygen use records, medication administration errors with a 19.2% error rate, and improper labeling and storage of medications including expired and undated medications.
Deficiencies (4)
Failure to maintain a urinary catheter in a manner that would decrease the possibility of infection for Resident #111.
Failure to maintain a record for the use of oxygen for Resident #111.
Medication administration errors resulting in a 19.2% error rate involving 3 of 3 residents observed.
Failure to properly label, store, and date medications in medication carts and refrigerators, including expired medications.
Report Facts
Deficiency count: 4
Medication administration error rate: 19.2
Medication administration opportunities: 26
Residents observed for medication errors: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | Assigned to Resident #111 and involved in catheter care and oxygen use findings | |
| Certified Nursing Assistant (CNA) | Assigned to Resident #111 and involved in catheter care findings | |
| Assistant Director of Nursing/Unit Manager/Nurse Educator (ADON/UM/NE) | Interviewed regarding catheter care and medication measurement | |
| Director of Nursing (DON) | Interviewed regarding catheter care, oxygen documentation, and medication administration | |
| Licensed Practical Nurse (LPN) | Observed administering medications with errors and involved in medication storage inspection |
Inspection Report
Routine
Census: 66
Deficiencies: 1
Date: 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)
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
Date: 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
Date: 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.
Deficiencies (1)
Failure to utilize appropriate personal protective equipment (PPE) including gown and eyewear in the yellow zone observation unit.
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 |
Inspection Report
Routine
Deficiencies: 4
Date: May 1, 2020
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, professional standards of care, medication administration, infection control, and other nursing facility standards.
Findings
The facility was found deficient in multiple areas including failure to consistently document residents' life-sustaining treatment wishes, improper blood pressure measurement technique, failure to obtain physician orders for alternative wound treatment, medication administration errors exceeding 5%, and inadequate infection prevention practices including improper hand hygiene and failure to disinfect shared equipment.
Deficiencies (4)
Failure to ensure life-sustaining treatment wishes were reviewed with residents or their representatives and documented consistently in medical records for 3 of 6 residents reviewed.
Failure to take blood pressure in accordance with manufacturer specifications and failure to obtain physician's order for alternative wound treatment when Betadine solution was unavailable for two days.
Medication administration error rate of 8%, exceeding the 5% threshold, including errors related to timing and administration of Omeprazole, Metformin, and Potassium Chloride.
Failure to perform hand hygiene according to nationally accepted standards and failure to disinfect shared rolling walker between residents with infectious diarrhea.
Report Facts
Residents reviewed for advance care planning: 6
Residents affected by life-sustaining treatment documentation deficiency: 3
Residents reviewed for professional standards of practice: 16
Residents affected by professional standards deficiency: 2
Medication administration opportunities observed: 37
Medication administration errors observed: 3
Medication administration error rate: 8
Residents reviewed for infection control: 16
Residents affected by infection control deficiency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nursing Home Administrator | LNHA | Provided information about COVID-19 status and responsibilities during inspection |
| Registered Nurse | RN | Interviewed regarding code status documentation and medication administration |
| Licensed Practical Nurse | LPN | Interviewed regarding blood pressure measurement and wound care |
| Certified Nursing Aide | CNA | Interviewed regarding hand hygiene and medication administration |
| Consultant Pharmacist | CP | Provided expert opinion on medication administration errors |
| Physical Therapist | PT | Observed failing to disinfect shared rolling walker between residents |
| Director of Rehabilitation | Confirmed infection control deficiencies related to equipment disinfection | |
| Acting Director of Nursing | RN | Acknowledged wound care and medication administration deficiencies |
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