Inspection Reports for Mira Vie at West Milford
197 Cahill Cross Rd, West Milford, NJ 07480, United States, NJ, 07480
Back to Facility ProfileDeficiencies per Year
4
3
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1
0
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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 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: 1
Feb 6, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint #NJ00175885 to determine compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance with resident rights, specifically failing to ensure a resident's right to be free from physical and mental abuse and neglect. The investigation revealed failures in protecting Resident #1 from neglect and improper handling of elopement risk.
Complaint Details
Complaint #NJ00175885 was investigated and substantiated based on record review, interviews, and policy review showing failure to protect Resident #1 from neglect and abuse.
Deficiencies (1)
| Description |
|---|
| Failure to ensure each resident's right to be free from physical and mental abuse and neglect, affecting Resident #1. |
Report Facts
Census: 57
Sample Size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #3 | Interviewed regarding medication administration and resident observation | |
| Executive Director | Interviewed regarding Resident #1's residency and incident details |
Inspection Report
Abbreviated Survey
Census: 67
Deficiencies: 3
Apr 12, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility failed to consistently monitor and document dishwasher water temperatures and sanitizer concentrations, using an incorrect log form and lacking proper documentation, which placed residents at risk for illness due to inadequate sanitization of multi-use dishware.
Deficiencies (3)
| Description |
|---|
| Failed to consistently monitor dishwasher water temperatures and document the temperatures for each cycle to ensure sanitization of multi-use dishware. |
| Used an incorrect log form for documenting dishwasher temperatures and failed to provide manufacturer's instructions for the dishwasher. |
| Dishwasher staff failed to document final rinse temperatures and sanitizer concentration properly, placing residents at risk for food-borne illness. |
Report Facts
Census: 67
Dishwasher wash cycle temperature: 162
Dishwasher final rinse temperature: 184
Days with blank dishwasher log entries: 24
Dishwasher temperature range recorded: 150-170
Chlorine PH range recorded: 140-175
Sanitizer concentration expected: 50
Dishwasher final rinse temperature range: 180-195
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed regarding COVID-19 meal service and dishwasher machine details | |
| Dishwasher | Interviewed and observed performing dishwasher test run | |
| Director of Maintenance | Present during facility tour |
Inspection Report
Abbreviated Survey
Census: 76
Deficiencies: 0
Dec 7, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 12/7/20 to assess compliance with infection control regulations and CDC recommended practices for COVID-19 preparation.
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 for COVID-19.
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