Inspection Reports for Mira Vie at Fanwood
295 South Ave, Fanwood, NJ 07023, United States, NJ, 07023
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Notice
Deficiencies: 0
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 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: 57
Deficiencies: 3
Jul 25, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint # NJ 00175584) following a report of mistreatment of residents at the facility.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code 8:36 due to failure to implement and enforce policies regarding resident rights and elder abuse/neglect. Specifically, a Care Partner mistreated two residents, and the facility failed to take immediate protective actions or timely notify appropriate personnel. The facility also failed to ensure residents were treated with respect and dignity. Staff involved were terminated and a removal plan was implemented and confirmed during a revisit survey.
Complaint Details
Complaint # NJ 00175584 involved allegations of mistreatment of Resident #1 and Resident #2 by a Care Partner. The complaint was substantiated based on interviews, record reviews, video evidence, and staff statements. The facility failed to act immediately and appropriately in response to the incident.
Deficiencies (3)
| Description |
|---|
| Failure of the Executive Director to implement and enforce policies on resident rights and elder abuse/neglect, resulting in mistreatment of two residents by a Care Partner. |
| Failure to take immediate steps to protect residents after reported abuse and failure to timely notify appropriate personnel. |
| Failure to ensure residents were treated with respect, courtesy, consideration, and dignity. |
Report Facts
Census: 57
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CP #1 | Care Partner | Named in mistreatment of residents and failure to follow facility policies; terminated following suspension. |
| AA | Activities Assistant | Reported mistreatment and witnessed abuse; terminated following suspension. |
| MSD | Medical Services Director | Delayed notification of the incident; terminated following suspension. |
| ED | Executive Director | Failed to enforce policies and timely respond to abuse allegations; involved in investigation and removal plan implementation. |
| DHW | Director of Health and Wellness | Interviewed regarding incident and involved in investigation. |
| CMA | Certified Medication Aide | Interviewed regarding incident; denied witnessing abuse. |
| CP #2 | Care Partner | Interviewed regarding incident; did not witness abuse. |
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 1
Jun 13, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ00174605 and NJ00168485 regarding safety concerns for residents at the assisted living facility.
Findings
The facility failed to ensure safety for Resident #2 who eloped from the secured community on three separate occasions, resulting in an Imminent Danger (ID) due to the potential for serious outcomes. The front door alarm was found to be non-functional due to a dead battery, and staff response to alarms was delayed during critical care times. Corrective actions including 1:1 supervision and staff re-inservicing were implemented.
Complaint Details
Complaint investigation for complaints NJ00174605 and NJ00168485 found substantiated issues with safety and security measures for Resident #2, including multiple elopements and an Imminent Danger designation.
Deficiencies (1)
| Description |
|---|
| Failure to ensure safety for Resident #2 who eloped from the secured community multiple times due to non-functional door alarms and delayed staff response. |
Report Facts
Census: 55
Sample Size: 2
Date of Survey: Jun 13, 2024
Date of Revisit: Jul 24, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Plant Operations | Interviewed regarding door alarm system and battery monitoring | |
| Director of Wellness (DOW) | Interviewed about staff response to door alarms and Resident #2's elopements | |
| Executive Director (ED) | Interviewed regarding Resident #2's status and facility safety practices |
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 0
Sep 26, 2023
Visit Reason
The inspection was conducted as a complaint survey in response to complaint number NJ00163887.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs based on this complaint survey.
Complaint Details
Complaint number NJ00163887 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
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