Inspection Reports for Mira Vie at Brick
458 Jack Martin Blvd, Brick Township, NJ 08724, United States, NJ, 08724
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
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 health 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, legal duties of NJDHSS, and the rights of individuals to access, amend, and restrict their health information.
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 the notice |
Inspection Report
Complaint Investigation
Census: 79
Deficiencies: 2
Mar 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint # NJ00184347 to determine compliance with New Jersey Administrative Code standards for assisted living residences.
Findings
The facility failed to enforce residents' rights to live in safe and clean conditions without admitting more residents than it can safely accommodate, evidenced by untimely call pendant response times ranging from 60 to 86 minutes for multiple residents. Additionally, the facility lacked a printed Policy and Procedure Manual accessible to residents, families, staff, and regulatory agencies.
Complaint Details
Complaint # NJ00184347 was substantiated based on interviews, record reviews, and facility document reviews showing deficient call pendant response times and lack of accessible policy manuals.
Deficiencies (2)
| Description |
|---|
| Failure to enforce a resident's right to live in safe conditions with timely assistance following call pendant activation, with response times exceeding policy standards. |
| Failure to maintain and make available a printed Policy and Procedure Manual accessible to residents, families, staff, and regulatory agencies. |
Report Facts
Census: 79
Sample Size: 6
Call Pendant Response Times (minutes): 72
Call Pendant Response Times (minutes): 69
Call Pendant Response Times (minutes): 60
Call Pendant Response Times (minutes): 86
Call Pendant Response Times (minutes): 70
Call Pendant Response Times (minutes): 63
Call Pendant Response Times (minutes): 72
Call Pendant Response Times (minutes): 63
Call Pendant Response Times (minutes): 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding call pendant response times and facility staffing |
| Executive Director | Executive Director (ED) | Interviewed regarding call pendant response times, policy access, and staffing |
| Certified Medical Assistant #1 | Certified Medical Assistant (CMA) | Interviewed about call pendant response time standards |
| Certified Medical Assistant #2 | Certified Medical Assistant (CMA) | Interviewed about call pendant response time and reason for delay |
Inspection Report
Abbreviated Survey
Census: 85
Deficiencies: 2
Mar 14, 2024
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found not in compliance with infection control regulations, specifically failing to provide documented evidence that the Registered Nurse (RN), residents' responsible parties, and doctors were notified of changes in condition for 4 residents. Additionally, the facility failed to provide documentation of RN assessments for 2 residents.
Deficiencies (2)
| Description |
|---|
| Failed to provide documented evidence that the RN was notified of a change in condition, the resident's responsible party/family was notified, and the residents' doctors were notified for 4 residents. |
| Failed to provide documentation of RN assessments for 2 residents reviewed. |
Report Facts
Residents reviewed: 4
Residents reviewed for RN assessments: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding notification and documentation deficiencies |
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 1
Feb 18, 2022
Visit Reason
The inspection was conducted as a complaint investigation and COVID-19 focused infection control survey based on Complaint #NJ145971 to assess compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences and infection control regulations.
Findings
The facility was found not in substantial compliance due to failure to accurately administer and document medications for Resident #4, including administration of three medications not listed on the medication administration record (MAR). The facility identified medication errors, conducted investigations, educated staff, and implemented corrective actions.
Complaint Details
Complaint Intake #: NJ145971. The complaint investigation found medication errors involving Resident #4, including administration of medications not documented on the MAR. The facility conducted interviews with staff and the Director of Nursing, reviewed records, and identified system failures in medication administration and documentation.
Deficiencies (1)
| Description |
|---|
| Failure to accurately administer and document medications for Resident #4, including administration of three medications not listed on the MAR. |
Report Facts
Census: 91
Sample size: 4
Medication error date: Jun 8, 2021
Plan of care date: Mar 3, 2021
Medication prescriptions date: Mar 4, 2021
Plan of correction completion date: May 16, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide #3 | Certified Medication Aide | Interviewed regarding medication error and staff in-service |
| Certified Medication Aide #2 | Certified Medication Aide | Interviewed regarding medication error |
| Registered Nurse #1 | Registered Nurse | Noticed medication discrepancy and reported medication error |
| Director of Nursing | Director of Nursing | Informed of medication error, oversaw interventions and staff education |
| Administrator | Administrator | Expected adherence to physician orders and medication administration protocols |
Inspection Report
Routine
Census: 93
Deficiencies: 0
Jan 8, 2021
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with the applicable infection control regulations and CDC recommended practices for COVID-19.
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