Inspection Reports for Mira Vie at Green Knoll
680 Route 202/206 North, Bridgewater, NJ 08807, United States, NJ, 08807
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
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 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 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: 65
Deficiencies: 1
Apr 9, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ00171594 and NJ00171386 to determine compliance with New Jersey Administrative Code 8:36 for assisted living residences.
Findings
The facility was found not in substantial compliance due to failure to update the resident General Service Plan (GSP) to include interventions related to prescribed medication for one of three residents reviewed. Specifically, Resident #2's GSP was not updated to address medication-related risks as required.
Complaint Details
Complaint investigation based on complaints NJ00171594 and NJ00171386. The facility was found not in substantial compliance with licensure standards due to deficiencies in updating resident care plans.
Deficiencies (1)
| Description |
|---|
| Failure to ensure the resident General Service Plan was updated to include interventions to prevent risks related to prescribed medication for Resident #2. |
Report Facts
Census: 65
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding Resident #2's General Service Plan not being updated |
Inspection Report
Complaint Investigation
Census: 115
Deficiencies: 3
Jan 26, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00170598) to assess compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences and related programs.
Findings
The facility was found not in substantial compliance due to failure to develop and implement policies ensuring that uncertified staff complete required nurse aide training and certification within mandated timeframes. Specifically, two staff members were enrolled in a facility training program lacking state approval documentation, and the facility failed to ensure compliance with state nurse aide certification regulations.
Complaint Details
Complaint #NJ00170598 was substantiated based on interviews and document reviews showing noncompliance with training and certification requirements for resident attendants.
Deficiencies (3)
| Description |
|---|
| Failure to develop and implement the 'Resident Attendant Qualifications' policy regarding employee training requirements for uncertified staff. |
| Failure to ensure staff completed nurse aide training and certification within required timeframes. |
| Facility did not provide state approval documentation for the nurse aide training program. |
Report Facts
Sample size: 3
Certification timeframe: 6
Certification timeframe: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| SM #2 | Personal Care Assistant | Staff member enrolled in facility training program and scheduled to take Certified Nursing Aide examination. |
| SM #3 | Dietary Aide / Resident Attendant Trainee | Staff member transferred from Dietary and enrolled in facility training program to obtain Nursing Aide Certification. |
| Assisted Living Coordinator | Assisted Living Coordinator (ALC) | Interviewed regarding facility nurse aide training program and certification requirements. |
| Executive Director | Executive Director (ED) | Provided information about the facility training program and was unable to provide state approval documentation. |
Inspection Report
Complaint Investigation
Census: 76
Deficiencies: 1
Mar 19, 2022
Visit Reason
The inspection was conducted as a complaint and COVID-19 focused infection control survey based on complaint NJ143461 regarding allegations of abuse at the facility.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code 8:36 standards due to failure to thoroughly investigate an allegation of abuse involving Resident #11, including lack of resident and staff interviews and failure to protect residents during the investigation. The facility was in compliance with infection control regulations related to COVID-19.
Complaint Details
Complaint NJ143461 involved two abuse allegations reviewed. One allegation included an aggressive act by a Personal Care Assistant (PCA #4) towards a resident. The investigation lacked interviews with residents and staff, did not suspend the employee during the investigation, and failed to protect residents from potential abuse. The Executive Director acknowledged the investigation was incomplete and documentation was lacking.
Deficiencies (1)
| Description |
|---|
| Failure to ensure an allegation of abuse was thoroughly investigated with resident and staff interviews and to protect residents during the investigation of an abuse allegation for one resident. |
Report Facts
Sample size: 11
Days PCA #4 worked after allegation: 9
Inspection Report
Routine
Census: 79
Deficiencies: 0
Nov 14, 2020
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 infection control regulations and CDC recommended practices for COVID-19.
Loading inspection reports...
