Inspection Reports for Morristown Post Acute Rehab And Nursing Center

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The inspection was conducted in response to complaint NJ00178715 to investigate the facility's compliance with laboratory services and physician order requirements.

The facility was found not in substantial compliance with requirements related to obtaining and notifying physician orders for laboratory services. Additionally, the facility failed to maintain required staffing ratios for certified nurse aides on multiple day shifts.

Complaint number NJ00178715 was investigated and the facility was found not in substantial compliance with requirements related to laboratory services and physician orders.

The inspection was conducted based on Complaint #NJ176547 to investigate allegations related to incontinence care and catheter use at the facility.

The facility was found not in substantial compliance with requirements related to bowel/bladder incontinence care for one of three residents reviewed (Resident #2). The facility failed to provide appropriate incontinent care and treatment to prevent urinary tract infections and maintain continence as much as possible.

Complaint #NJ176547 was substantiated with findings that the facility failed to provide proper incontinent care to Resident #2, who required such care. The facility was not in substantial compliance with 42 CFR Part 483, Subpart B, based on this complaint visit.

A Recertification and Complaint Survey was conducted by Healthcare Management Solutions, LLC on behalf of New Jersey Department of Health (NJDOH) to assess compliance with federal and state regulations.

The facility was found not to be in substantial compliance with 42 CFR 483 subpart B, with deficiencies related to PASARR coordination, accident hazard prevention, tube feeding management, infection control, staffing ratios, sprinkler system installation, and electrical system maintenance.

The inspection included a complaint investigation related to staffing and care issues, including failure to maintain minimum staffing ratios and failure to follow PASARR screening requirements.

A Life Safety Code Survey was conducted to assess compliance with fire safety regulations and the National Fire Protection Association (NFPA) 101 Life Safety Code for existing health care occupancy.

The facility was found to be noncompliant with sprinkler system installation requirements, specifically missing sprinkler heads on four balconies and painted sprinkler escutcheon caps in the rehabilitation area. Additionally, the facility failed to document annual electrical outlet testing as required by NFPA 99.

The inspection was conducted as a complaint survey based on complaints NJ00168549 and NJ00168552 regarding failure to implement facility policy on administering medications and physician medication orders.

The facility failed to ensure that medications were administered only by licensed nurses, as LPN #1 administered medications and accepted physician orders while her nursing license was expired and reinstatement was pending. This affected four residents and violated facility policies and state regulations.

Complaint numbers NJ00168549 and NJ00168552 were substantiated based on observations, interviews, and documentation review showing LPN #1 administered medications and accepted orders without a current license.

A complaint survey was conducted by the New Jersey Department of Health from 06/20/23 through 06/23/23 to investigate multiple complaint numbers regarding Morristown Post Acute Rehab and Nursing Center.

The facility was found not in substantial compliance with federal and state regulations, with deficiencies in resident record access, family notification of significant changes, transfer notices, care plan participation, quality of care, food preferences, call system functionality, and staffing ratios.

The complaint survey was triggered by multiple complaint numbers including NJ00150851, NJ00154206, NJ00154288, NJ00154964, NJ00155911, NJ00156313, NJ00158509, NJ00158516, NJ00159860, NJ00161013, NJ00161674, NJ00164049, NJ00164272, NJ00164562.

Complaint investigation triggered by complaints NJ159600, NJ160892, NJ160895 regarding resident rights, care planning, documentation, staffing, and infection prevention.

The facility was found not in substantial compliance with multiple regulatory requirements including failure to notify residents/families of room changes, failure to allow visitation rights, incomplete care plans, failure to meet professional standards in medication documentation, inadequate ADL documentation, missing admission agreement, inadequate infection preventionist qualifications, and failure to meet minimum staffing ratios.

Complaint investigation based on complaints NJ159600, NJ160892, NJ160895. Facility found not in substantial compliance with 42 CFR Part 483, Subpart B for long term care facilities.

The inspection was conducted based on a complaint survey to determine compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.

The facility was found non-compliant due to failure to ensure adequate supervision during resident transfer, failure to consistently implement policies on personal property and charting/documentation for three residents, and failure to have a governing body properly managing policies. Documentation audits revealed missing assistance records for activities of daily living for multiple residents.

The survey was conducted based on a complaint survey. The facility was found not in compliance with requirements based on this complaint investigation.

The inspection was conducted as a complaint survey to investigate allegations of abuse, neglect, exploitation, or mistreatment at the facility.

The facility was found not in compliance with requirements related to reporting alleged violations, professional standards of care, documentation, and personal property policies. Specific deficiencies included failure to report an injury of unknown origin, failure to follow physician orders and document properly, and failure to inventory and document residents' personal belongings.

The complaint survey was based on multiple complaint numbers (NJ00153845, NJ00153924, NJ00149642, NJ00147097, NJ00153323, NJ001520245) alleging abuse, neglect, and failure to follow professional standards and policies. The survey found substantiated deficiencies in reporting, documentation, and personal property management.

This was a Special Project survey for the renovations in the lobby area, 13 resident rooms, dining room, conference room and rehabilitation gym.

The facility is in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities.

A Life Safety Code Survey was conducted by the New Jersey Department of Health, Health Facility Survey and Field Operations to assess compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and the 2012 Edition of the National Fire Protection Association (NFPA) 101, Life Safety Code, Chapter 19 for Existing Health Care Occupancies.

The facility was found non-compliant due to failure to provide proper fire sprinkler coverage in 12 of 13 resident sleeping room closets and failure to maintain proper ventilation in 3 of 13 resident bathroom exhaust systems. Corrective actions included installation of escutcheons around sprinkler heads and repair of bathroom exhaust fans.

A COVID-19 Focused Infection Control Survey was conducted at this facility to assess compliance with infection control regulations related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.

The survey was conducted as a re-certification annual inspection to assess compliance with New Jersey Administrative Code standards for licensure of long term care facilities.

The facility was found not in compliance with mandatory staffing requirements, specifically failing to maintain the minimum direct care staff-to-resident ratios as mandated by New Jersey state law. The facility documented multiple days with staffing ratios exceeding the required limits, particularly during day and night shifts.

A Life Safety Code Survey was conducted by the New Jersey Department of Health, Health Facility Survey and Field Operations to assess compliance with Life Safety from Fire requirements and the 2012 Edition of the National Fire Protection Association (NFPA) 101, Life Safety Code (LSC), Chapter 19 EXISTING Health Care Occupancy.

The facility was found to be noncompliant with several Life Safety Code requirements including improper egress door locking mechanisms, lack of stair tread marking stripes, inadequate emergency illumination, incomplete sprinkler system coverage, and sprinkler system maintenance issues such as sprinkler heads being obstructed by plastic caps during construction.

The inspection was conducted as a complaint survey based on complaints NJ143261, NJ144174, and NJ141157.

The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.

Complaint numbers NJ143261, NJ144174, and NJ141157 were investigated and found to be unsubstantiated as the facility was in compliance.

The inspection was conducted as a complaint survey based on multiple complaints (NJ135483, NJ136577, NJ139935, NJ140538, and NJ137658) alleging abuse and misappropriation of property at the facility.

The facility was found not in compliance with 42 CFR Part 483, Subpart B, specifically failing to report an allegation of staff to resident physical abuse to local law enforcement for one resident. The investigation revealed that a staff member allegedly punched a resident in the chest, but the facility did not notify police as required by policy and regulations.

The complaint investigation involved multiple complaints alleging abuse and misappropriation of property. The allegation involved Resident #5 who reported being punched by a Licensed Practical Nurse (LPN #1) on 10/28/2020. The facility failed to report this allegation to law enforcement. The resident had no physical marks on the chest, but the nurse had a skin tear on the arm. The Administrator confirmed no police report was filed. The facility policy requires reporting all alleged violations to appropriate authorities within specified timeframes.