Inspection Reports for Mcauley Hall Health Care Cente
1633 Highway 22, Watchung, NJ, 07069
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 20, 2025, did not identify any deficiencies related to the facility’s privacy practices. Earlier inspections showed mixed results, including a March 12, 2024, recertification survey that cited multiple deficiencies across areas such as resident notifications, abuse/neglect policies, infection control, documentation, fire safety, and staff training. Complaint investigations from that period were substantiated and contributed to the cited issues, but no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Prior inspections in 2022 and 2020 found the facility in substantial compliance with regulatory requirements and infection control standards. The record suggests improvement since the 2024 survey, with no deficiencies noted in the most recent report.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
92% occupied
Based on a March 2024 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 the New Jersey Department of Health and Senior Services, including how personal health information may be used and disclosed, and the rights individuals have concerning their health information.
Findings
The notice outlines the types of information covered, reasons for use and disclosure of health information, individuals' rights regarding their health information, legal duties of the department, and contact information for privacy concerns.
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: 68
Capacity: 74
Deficiencies: 22
Date: Mar 12, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities, triggered by complaints NJ#154270, NJ#169416, NJ#170377, NJ#170461.
Complaint Details
Complaint numbers NJ#154270, NJ#169416, NJ#170377, NJ#170461 triggered the recertification survey.
Findings
Deficiencies were cited related to Medicaid/Medicare coverage notices, abuse/neglect policies, reporting of alleged violations, notice requirements before transfer/discharge, bed hold policy, accuracy of assessments, PASARR screening, services meeting professional standards, treatment of pressure ulcers, dialysis care, posted nurse staffing information, pharmacy services, resident records, hospice services, quality assurance committee participation, safe and sanitary environment, QAPI training, behavioral health training, universal transfer form use, exit signage, fire alarm system maintenance, subdivision of building spaces including smoke barriers and doors, and electrical system safety.
Deficiencies (22)
Facility failed to issue required Medicare Beneficiary Protection Notification for two residents.
Facility failed to implement abuse/neglect policies including license verification upon hire for nursing staff.
Facility failed to report an alleged violation to the NJ Department of Health within required timeframe for one resident.
Facility failed to provide written notice of transfer/discharge to resident, representative, and Ombudsman for two residents.
Facility failed to provide written notice of bed hold policy to resident or representative prior to transfer for two residents.
Facility failed to accurately code Minimum Data Set for one resident.
Facility failed to obtain physician order and post required signage for transmission-based precautions for one resident.
Facility failed to maintain infection control practices during wound treatment, follow physician and wound care recommendations, and document wound status for one resident.
Facility failed to ensure appropriate dialysis care and care plan for one resident.
Facility failed to post accurate nurse staffing information including census and licensed nurse presence.
Facility failed to maintain system of record keeping for DEA Form-222 and lacked policy for narcotic medication ordering.
Facility failed to maintain a copy of the New Jersey Universal Transfer Form as part of the medical record for two residents.
Facility failed to maintain illuminated exit sign to clearly identify exit access path to an exit discharge door.
Facility failed to ensure smoke detection sensitivity testing was performed every alternate year for smoke detectors.
Facility failed to perform six-year maintenance on seven portable fire extinguishers.
Facility failed to maintain integrity of smoke barrier partitions for three smoke barrier walls.
Facility failed to maintain smoke barrier doors to resist transfer of smoke when completely closed for fire and smoke protection.
Facility failed to ensure one electrical outlet located within 6 feet of a sink was equipped with Ground-Fault Circuit Interrupter protection.
Facility failed to maintain complete and readily accessible medical records for one resident.
Facility failed to ensure consistent coordination and communication between hospice staff and facility staff for one resident.
Facility failed to ensure facility staff attended mandatory QAPI training for five CNAs.
Facility failed to ensure facility staff attended mandatory behavioral health training for five CNAs.
Report Facts
Census: 68
Total Capacity: 74
Deficiency counts: 22
Staffing ratios: 7
Staffing ratios: 8
Fire extinguishers: 7
Fire extinguishers: 33
Inspection Report
Annual Inspection
Census: 69
Deficiencies: 0
Date: Feb 8, 2022
Visit Reason
The inspection was a standard annual survey conducted to assess compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.
Findings
The facility was found to be in substantial compliance with the regulatory requirements for long term care facilities.
Report Facts
Sample size: 20
Inspection Report
Routine
Census: 53
Deficiencies: 0
Date: Dec 9, 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 had implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 3
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