Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
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 | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 76
Deficiencies: 1
Sep 8, 2023
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00167080) to determine compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance due to failure to reassess a resident (Resident #2) upon return from hospitalization, as there was no documented evidence that a Registered Nurse assessed the resident upon return to the facility.
Complaint Details
Complaint #NJ00167080 was substantiated by observation, interview, and record review showing the facility failed to reassess Resident #2 upon return from hospital, lacking documented RN assessment.
Deficiencies (1)
| Description |
|---|
| Failure to reassess Resident #2 upon return from hospitalization to determine care needs. |
Report Facts
Sample size: 3
Inspection Report
Abbreviated Survey
Census: 74
Deficiencies: 1
Jan 5, 2023
Visit Reason
A Covid-19 Focused and Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found not to be in compliance with infection control regulations, specifically failing to implement and enforce policies regarding the frequency of vital sign assessments for COVID-19 positive residents during an outbreak and monitoring of COVID-19 negative residents for symptoms.
Deficiencies (1)
| Description |
|---|
| Failure to implement and enforce policies for frequency of vital sign assessments for COVID-19 positive residents during outbreak and monitoring of COVID-19 negative residents for symptoms. |
Report Facts
Census: 74
Sample size: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Failed to implement and enforce facility policies related to COVID-19 vital sign monitoring | |
| Licensed Practical Nurse (LPN) | Reported that COVID-19 negative residents were only visually assessed and COVID-19 positive residents had temperature assessed daily | |
| Director of Nursing (DON) | Provided medical records and stated vital signs for COVID-19 positive residents were taken once a day, unable to provide evidence of per shift assessments | |
| Administrator | Stated COVID-19 positive residents were assessed every shift by observation only and COVID-19 negative residents had vital signs assessed monthly |
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