Inspection Reports for ManhattanView Center for Rehabilitation and Healthcare
3200 Hudson Ave, Union City, NJ 07087, United States, NJ, 07087
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
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
Census: 124
Deficiencies: 1
Jul 9, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint #NJ00173881 to assess compliance with long term care facility regulations.
Findings
The facility was found to be in substantial compliance with federal requirements but was not in compliance with New Jersey state staffing regulations, failing to meet minimum CNA staffing ratios on 10 of 14 day shifts reviewed.
Complaint Details
Complaint #NJ00173881 was investigated and the facility was found to be in substantial compliance with federal requirements but deficient in meeting state staffing ratios. No negative outcomes to residents were identified and all residents had the potential to be affected.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staffing ratios met the required minimum staff-to-resident ratio as mandated by the State of New Jersey for 10 of 14 day shifts. |
Report Facts
Census: 124
Deficient CNA staffing days: 10
Required CNAs on day shifts: 15
Actual CNAs on day shifts: 12
Inspection Report
Annual Inspection
Census: 120
Capacity: 127
Deficiencies: 18
May 17, 2024
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 in multiple areas including investigation of alleged violations, notice requirements before transfer/discharge, encoding/transmitting resident assessments, services meeting professional standards, pharmacy services and drug regimen review, food procurement and sanitation, immunizations, staffing, infection control, and life safety code compliance.
Severity Breakdown
SS=D: 7
SS=E: 2
SS=F: 5
REPEAT: 1
: 2
Deficiencies (18)
| Description | Severity |
|---|---|
| Facility failed to timely and thoroughly investigate allegations of abuse for one resident. | SS=D |
| Facility failed to provide written notification of the reason for transfer to the hospital for two residents. | SS=D |
| Facility failed to provide written notification of the facility's bed hold policy prior to transfer to the hospital for two residents. | SS=D |
| Facility failed to complete the discharge Minimum Data Set (MDS) assessment timely for one resident. | SS=C |
| Facility failed to adhere to acceptable standards of nursing practice in documentation of a resident's expiration. | SS=D |
| Facility failed to post accurate Nursing Home Resident Care Staffing Report daily. | SS=D |
| Facility failed to ensure a resident with history of mental disorder or trauma received appropriate treatment and services. | SS=E |
| Facility failed to maintain accurate reconciliation and accountability of controlled drugs and failed to remove expired medications from active inventory. | SS=E |
| Facility failed to ensure monthly drug regimen review by licensed pharmacist and failed to act on irregularities. | SS=F |
| Facility failed to maintain proper kitchen sanitation, food storage, and nursing unit pantries in a sanitary manner. | SS=F |
| Facility failed to ensure residents were offered pneumococcal immunization according to current CDC guidelines. | SS=D |
| Facility failed to maintain required minimum direct care staff-to-shift ratios for 14 of 14 day shifts reviewed. | REPEAT |
| Facility failed to ensure new employees completed required health history and physical examination prior to employment or within required timeframe. | — |
| Facility failed to perform required two-step Mantoux tuberculin skin test for new employees. | — |
| Facility failed to ensure smoke detection sensitivity testing was completed every alternate year. | SS=F |
| Facility failed to ensure fire dampers in smoke barrier walls were inspected every four years. | SS=F |
| Facility failed to ensure fire doors were inspected annually by qualified personnel. | SS=F |
| Facility failed to ensure load bank test was completed on emergency generator every 36 months. | SS=F |
Report Facts
Residents present: 120
Total licensed capacity: 127
Deficient CNA staffing day shifts: 14
Required CNAs per day shift: 15
Actual CNAs per day shift: 12
MDS days overdue: 60
Expired medications found: 2
Fire alarm sensitivity testing interval: 2
Fire damper inspection interval: 4
Fire door inspection interval: 1
Generator load bank test interval: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Nursing Aide | New hire missing physical exam and TB test |
| Staff #2 | Nursing Aide | New hire missing physical exam |
| Staff #3 | Nursing Aide | New hire missing physical exam |
| Staff #4 | Registered Nurse | New hire missing physical exam |
| Staff #5 | Licensed Practical Nurse | New hire missing physical exam |
| Consultant Pharmacist #1 | Pharmacist | Covered for regular pharmacist and acknowledged missing medication regimen reviews |
| Consultant Pharmacist #2 | Pharmacist | Regular pharmacist with missing medication regimen reviews |
| Consultant Pharmacist #3 | Pharmacist | Regular pharmacist with missing medication regimen reviews |
| Human Resource/Business Office Manager | HR Manager | Responsible for staffing and aware of staffing requirements |
| Licensed Nursing Home Administrator | Administrator | Acknowledged staffing challenges and deficiencies |
| Director of Nursing | DON | Acknowledged missing medication regimen reviews and other deficiencies |
| Recreation Director | RD | Acknowledged lack of evening activities |
| Infection Preventionist Registered Nurse | IP/RN | Acknowledged missing employee physicals and other infection control issues |
| Maintenance Director | Maintenance Director | Acknowledged missing fire safety inspections and testing |
Inspection Report
Routine
Census: 121
Deficiencies: 0
Nov 27, 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 the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 5
Inspection Report
Complaint Investigation
Census: 122
Deficiencies: 2
Sep 8, 2023
Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health regarding complaint #NJ00166740 to investigate medication administration and staffing concerns at Manhattanview Center for Rehabilitation and Healthcare.
Findings
The facility was found not in substantial compliance with pharmacy services requirements related to medication administration for one sampled resident, and deficient in meeting minimum staffing ratios for certified nurse aides on multiple day shifts. The facility failed to ensure medication was administered according to professional standards and the facility's policy, and staffing ratios were not met on 28 of 28 day shifts reviewed.
Complaint Details
Complaint #NJ00166740 triggered the survey. The complaint was substantiated as the facility was found not in substantial compliance with pharmacy services and staffing requirements.
Severity Breakdown
SS=D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide pharmaceutical services including accurate medication administration documentation and consultation by a licensed pharmacist. | SS=D |
| Failure to maintain required minimum staffing ratios for certified nurse aides on 28 of 28 day shifts reviewed. | — |
Report Facts
Survey Census: 122
Sample Size: 3
Deficient CNA staffing days: 28
CNA staffing counts: 10
CNA staffing counts: 10
CNA staffing counts: 12
CNA staffing counts: 10
CNA staffing counts: 10
CNA staffing counts: 11
CNA staffing counts: 11
CNA staffing counts: 11
CNA staffing counts: 12
CNA staffing counts: 11
CNA staffing counts: 11
CNA staffing counts: 13
CNA staffing counts: 11
CNA staffing counts: 11
CNA staffing counts: 11
CNA staffing counts: 13
CNA staffing counts: 13
CNA staffing counts: 13
CNA staffing counts: 13
CNA staffing counts: 12
CNA staffing counts: 12
CNA staffing counts: 11
CNA staffing counts: 12
CNA staffing counts: 11
Inspection Report
Complaint Investigation
Census: 124
Deficiencies: 1
May 10, 2023
Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health covering multiple complaint numbers between 05/08/2023 and 05/10/2023.
Findings
The facility was found to be not in compliance with New Jersey Administrative Code staffing requirements, specifically failing to meet minimum Certified Nurse Aide (CNA) staffing ratios on numerous day shifts over multiple months. The facility was cited for deficient CNA staffing on 55 of 84 day shifts reviewed, potentially affecting all residents. A plan of correction was submitted and completed by 05/25/2023.
Complaint Details
Complaint investigation involved multiple complaint numbers (NJ000155531, NJ000156424, NJ000157798, NJ000157860, NJ000157910, NJ000160018, NJ000162621, NJ000162801, NJ000163246). The facility was found in substantial compliance with federal requirements but not in compliance with state staffing standards.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 55 of 84 day shifts reviewed. |
Report Facts
Survey Census: 124
Sample Size: 13
Deficient day shifts: 55
Staffing ratios: 1
Inspection Report
Routine
Census: 116
Deficiencies: 3
Dec 29, 2022
Visit Reason
The inspection was conducted to assess compliance with New Jersey Administrative Code standards for licensure of long term care facilities, focusing on staffing ratios, COVID-19 booster vaccination compliance among staff, and infection preventionist staffing requirements.
Findings
The facility failed to maintain the required minimum direct care staff-to-resident ratios on multiple day shifts, failed to ensure 17 of 136 staff received COVID-19 booster vaccinations as required, and did not have a full-time infection preventionist dedicated solely to infection control duties as mandated by state regulations.
Deficiencies (3)
| Description |
|---|
| Failure to maintain required minimum direct care staff-to-resident ratios on 6 of 14 day shifts between 11/27/22 and 12/10/22. |
| Failure to ensure 17 of 136 staff received COVID-19 booster vaccinations in accordance with NJ executive order No. 290. |
| Infection Preventionist assigned to oversee infection prevention and control program did not meet the requirement of being a full-time employee with no other responsibilities. |
Report Facts
Staff not meeting booster vaccination requirement: 17
Residents on day shifts with deficient CNA staffing: 117
Residents on day shifts with deficient CNA staffing: 155
Residents on day shifts with deficient CNA staffing: 115
Residents on day shifts with deficient CNA staffing: 115
Residents on day shifts with deficient CNA staffing: 116
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Infection Preventionist | Infection Preventionist/Registered Nurse | Named in deficiency for not being a full-time employee dedicated solely to infection prevention duties. |
| Staffing Coordinator | Interviewed regarding scheduling and staffing ratios; unaware of correct CNA to resident ratio. | |
| Director of Nursing | DON | Interviewed regarding staffing shortages and vaccination requirements. |
| Human Resources Director | Responsible for updating COVID-19 Vaccination Employee Tracking Log and efforts to remind staff about booster vaccinations. |
Inspection Report
Routine
Census: 125
Deficiencies: 0
May 27, 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 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
Annual Inspection
Census: 120
Deficiencies: 8
Mar 8, 2022
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 evaluate residents for advance directives and POLST, inaccurate transcription of physician's orders, failure to report and investigate a fall incident, improper respiratory care, missing physician visits and signatures, improper food storage and labeling, and lack of qualified infection preventionist.
Severity Breakdown
SS=D: 7
Deficiencies (8)
| Description | Severity |
|---|---|
| Facility failed to evaluate residents for advance directives and POLST related to end of life preferences for 3 residents. | SS=D |
| Facility failed to accurately transcribe a physician's order onto the Medication Administration Record and document proper placement checks. | SS=D |
| Facility failed to report a witnessed fall incident, complete a thorough fall investigation, implement safety measures and revise interventions for a resident with a history of falls. | SS=D |
| Facility failed to maintain necessary respiratory care and services for a resident receiving tracheostomy care and suctioning. | SS=D |
| Facility's physician failed to conduct required face-to-face visits and failed to sign and date monthly physician orders for 2 residents. | SS=D |
| Facility failed to maintain acceptable labeling and dating of foods in the dry storage room including discarding food items past their recommended expiration dates. | SS=D |
| Facility failed to provide a designated qualified Infection Prevention and Control Nurse meeting regulatory requirements. | SS=D |
| Facility failed to ensure staffing ratios were met for 3 of 14 day shifts reviewed. | — |
Report Facts
Census: 120
Staffing Deficiency: 4
Staffing Deficiency: 11
Staffing Deficiency: 14
Staffing Deficiency: 13
Staffing Deficiency: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Social Services | Director of Social Services | Named in advance directives deficiency and plan of correction |
| Registered Nurse | Registered Nurse | Named in medication order transcription deficiency |
| Director of Nursing | Director of Nursing | Named in multiple deficiencies including fall investigation, medication transcription, infection preventionist role |
| Recreation Aide | Recreation Aide | Named in fall incident deficiency |
| Licensed Practical Nurse/Unit Manager | Licensed Practical Nurse/Unit Manager | Named in fall incident deficiency |
| Physician | Physician | Named in physician visit and order signature deficiency |
| Dietary Director | Dietary Director | Named in food storage and labeling deficiency |
| Assistant Director of Nursing | Assistant Director of Nursing | Named as Infection Preventionist designee |
| Regional Registered Nurse | Regional Registered Nurse | Named in infection preventionist qualification deficiency |
| Administrator | Administrator | Named in staffing deficiency and plan of correction |
| VP of Clinical Compliance | VP of Clinical Compliance | Named in staffing deficiency discussion |
Inspection Report
Life Safety
Census: 120
Capacity: 127
Deficiencies: 1
Mar 2, 2022
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 03/02/22 and 03/03/22 to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the 2012 NFPA 101 Life Safety Code.
Findings
The facility was found to be in noncompliance with fire safety requirements due to deficiencies in the maintenance of the automatic sprinkler system, specifically paint on sprinkler heads and missing escutcheon plates with improper ceiling cuts in the kitchen area.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain all parts of the automatic sprinkler system in optimal condition; 4 of 8 fire sprinkler heads in the kitchen had paint or missing escutcheon plates with bad ceiling cuts. | SS=E |
Report Facts
Certified beds: 127
Census: 120
Deficiency completion date: Apr 5, 2022
Number of deficient sprinkler heads: 4
Total sprinkler heads inspected in kitchen: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Present during survey, acknowledged deficiencies and was trained on sprinkler head maintenance requirements | |
| Administrator | Informed of the deficiency at the life safety code exit conference |
Inspection Report
Routine
Census: 112
Deficiencies: 0
Jan 7, 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
Document
Deficiencies: 0
Nov 17, 2021
Visit Reason
Not applicable as this is not an inspection or regulatory document.
Findings
Not applicable as this is not an inspection or regulatory document.
Inspection Report
Complaint Investigation
Census: 99
Deficiencies: 0
Sep 29, 2021
Visit Reason
The inspection was conducted as a complaint survey to determine compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.
Findings
The facility was found to be in compliance with the regulatory requirements based on this complaint survey.
Complaint Details
The survey was complaint-based and the facility was found compliant; no deficiencies were cited.
Report Facts
Sample Size: 7
Inspection Report
Abbreviated Survey
Census: 95
Deficiencies: 1
Aug 17, 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 not in compliance with 42 CFR §483.80 infection control regulations, specifically failing to practice appropriate hand hygiene for 4 of 11 staff observed, contrary to CDC guidelines. Deficiencies included inadequate handwashing duration and failure to perform hand hygiene before and after glove use.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to practice appropriate hand hygiene for 4 of 11 staff observed, including inadequate handwashing duration and failure to perform hand hygiene before and after glove use. | SS=D |
Report Facts
Staff observed with deficient hand hygiene: 4
Census: 95
Sample size: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Aide (CNA) | Observed performing handwashing for only 12 seconds and did not confirm performing 20 seconds | |
| Housekeeper #1 (HK#1) | Housekeeper | Observed removing gloves without hand hygiene and performing handwashing for 13 seconds |
| Housekeeper #2 (HK#2) | Housekeeper | Observed handling garbage without hand hygiene and performing handwashing for 6 seconds |
| Director of Social Services (DSS) | Observed performing hand hygiene for 10 seconds and using same towel to dry hands and turn off faucet | |
| Director of Nursing (DON) | Acknowledged deficiencies in hand hygiene practices and provided hand hygiene competencies for CNA and HK#1 | |
| Director of Housekeeping (DH) | Responsible for educating housekeeping staff on infection control and acknowledged hand hygiene deficiencies | |
| Infection Preventionist Nurse (IPN) | Acknowledged that HK#1, HK#2, and CNA had not performed handwashing appropriately |
Inspection Report
Complaint Investigation
Census: 93
Deficiencies: 1
Jun 10, 2021
Visit Reason
The inspection was conducted based on a complaint visit to assess compliance with 42 CFR Part 483, Subpart B, for long term care facilities.
Findings
The facility was found not in substantial compliance due to failure to maintain complete and readily accessible medical records for residents, including missing quarterly assessments, daily charting, fall care plans, and weekly skin assessments.
Complaint Details
The complaint investigation found the facility failed to maintain complete medical records for residents #1 and #2, with missing documentation such as quarterly fall risk assessments, daily Medicare charting, fall care plans, and weekly skin assessments. The facility acknowledged these deficiencies during interviews.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain complete and readily accessible medical records for residents, including missing quarterly assessments, daily Medicare charting, fall care plans, and weekly skin assessments. | SS=D |
Report Facts
Census: 93
Sample Size: 3
Inspection Report
Routine
Census: 91
Deficiencies: 0
Apr 21, 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.
Inspection Report
Abbreviated Survey
Census: 81
Deficiencies: 1
Nov 27, 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 failed to implement Transmission Based Precautions (TBP) for residents under investigation (PUI) for COVID-19 according to CDC guidelines, specifically failing to place Resident #1 on 14-day TBP after hospital readmission, resulting in exposure to Resident #2. The facility's infection control policies and procedures were not properly followed.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to implement Transmission Based Precautions (TBP) for residents under investigation for COVID-19, including not placing Resident #1 on 14-day TBP after hospital readmission. | SS=D |
Report Facts
Census: 81
Deficiency completion date: Dec 9, 2020
Revisit date: Dec 21, 2020
Transmission-based precautions duration: 14
Audit period: 14
Audit frequency: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Provided in-service training to nurses on TBP procedures | |
| Assistant Administrator | Provided list of admissions and readmissions and floor plan to surveyor | |
| Unit Manager | Interviewed regarding Resident #1's TBP status and room placement | |
| Director of Nursing (DON) | Interviewed and acknowledged failure to place Resident #1 on TBP and PUI unit |
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