Inspection Reports for Mira Vie at Toms River
1657 Silverton Rd, Toms River, NJ 08753, United States, NJ, 08753
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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, the circumstances under which health information may be used or disclosed, the 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 questions about the notice |
Inspection Report
Complaint Investigation
Census: 111
Deficiencies: 5
Apr 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ 00185194 and NJ 00185195 regarding resident safety and care concerns at Mira Vie at Toms River.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards, with deficiencies related to failure to implement policies on resident elopement prevention and emergency call response, failure to ensure resident safety in the community, and failure to maintain accurate and updated resident service plans and documentation.
Complaint Details
Complaint investigation based on complaints NJ 00185194 and NJ 00185195. The complaints were substantiated as evidenced by multiple deficiencies related to resident safety, policy implementation, and documentation.
Deficiencies (5)
| Description |
|---|
| Failure of the Executive Director to implement and enforce policies titled 'Missing Resident-Elopement Prevention Program' and 'Resident Emergency Call Response', including failure to include timeframes for staff response to emergency exit doors for 2 of 3 residents reviewed. |
| Failure to ensure a safe environment for residents when two residents were out in the community unsupervised, resulting in potential risk of harm. |
| Failure to develop and/or revise a resident's Service Plan who was identified as at risk for elopement. |
| Failure to maintain documentation that resident #2 was monitored every shift and to keep the resident from eloping as indicated in the service plan. |
| Failure to collect and analyze data to determine timeliness of emergency response times through the facility's quality improvement program. |
Report Facts
Census: 111
Sample Size: 3
Alarm trigger duration: 3050
Alarm trigger duration: 3052
Inspection Report
Complaint Investigation
Census: 109
Deficiencies: 3
Dec 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ00155421 and NJ00168614 regarding deficiencies in documentation and policy enforcement at the facility.
Findings
The facility failed to document a Do Not Resuscitate (DNR) order on the New Jersey Universal Transfer Form for Resident #2, failed to implement and enforce the Weight Loss/Weight Gain Protocol and Transfers policy, and did not maintain medical records for Resident #2 after discharge as required.
Complaint Details
Complaint investigation based on complaints NJ00155421 and NJ00168614. The facility was found not in substantial compliance with New Jersey Administrative Code 8:36 standards.
Deficiencies (3)
| Description |
|---|
| Failure to document a Do Not Resuscitate (DNR) order on the New Jersey Universal Transfer Form for Resident #2. |
| Failure of the Executive Director to ensure implementation and enforcement of the Weight Loss/Weight Gain Protocol and Transfers policy for Resident #2. |
| Failure to maintain medical records for Resident #2 after discharge for the required period. |
Report Facts
Census: 109
Sample Size: 3
Inspection Report
Complaint Investigation
Census: 73
Deficiencies: 1
Mar 16, 2022
Visit Reason
The inspection was conducted as a complaint survey based on multiple complaint numbers (NJ147923, NJ150893, NJ152152, NJ152414, and NJ152423) to assess 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 immediately notify the resident's power of attorney (POA) after the resident acquired an acute illness requiring medical care. The Health Services Director confirmed delayed notification to the POA, which did not occur until later in the afternoon. The facility policy regarding notification was requested but not provided.
Complaint Details
The complaint investigation involved multiple complaint numbers and focused on notification failures to the resident's POA after an acute illness and related incidents. The POA stated they were not informed until the resident was being sent to the hospital. The facility acknowledged the notification did not happen timely.
Deficiencies (1)
| Description |
|---|
| Failure to immediately notify the resident's power of attorney (POA) when the resident acquired an acute illness requiring medical care. |
Report Facts
Complaint numbers: 5
Sample size: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary O'shaughnessy | Administrator | Named in the letter dated April 11, 2022, related to the complaint response |
| Jacqueline Jones | Supervisor of Inspections, Health Facility Survey & Field Operations | Signed letter regarding survey procedures and rights |
Inspection Report
Complaint Investigation
Census: 114
Deficiencies: 0
Jun 24, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ00142576 and NJ00146122.
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.
Complaint Details
Complaint survey based on complaints NJ00142576 and NJ00146122; facility found in substantial compliance.
Report Facts
Sample size: 4
Inspection Report
Abbreviated Survey
Census: 116
Deficiencies: 0
Dec 23, 2020
Visit Reason
A Covid-19 Focused 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 to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards and CDC recommended practices for COVID-19 preparation.
Inspection Report
Routine
Census: 120
Deficiencies: 0
Dec 10, 2020
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 to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices to prepare for COVID-19.
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