Inspection Reports for New Community Extended Care Facility
266 S Orange Ave, Newark, NJ, 07103
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 19, 2025, did not identify any deficiencies. Earlier inspections showed a pattern of deficiencies related primarily to staffing ratios, infection control, medication administration, and resident notification practices. Complaint investigations substantiated failures to maintain required staffing levels and to notify responsible parties of resident condition changes, including a COVID-19 positive status and room relocation. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record indicates some improvement over time, with the latest inspection showing no cited issues after previous reports noted multiple deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
9.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
86 residents
Based on a December 2023 inspection.
Occupancy over time
Notice
Deficiencies: 0
Date: Nov 19, 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 details 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
Deficiencies: 1
Date: Feb 12, 2025
Visit Reason
The inspection was conducted based on Complaint NJ00166888 to investigate the facility's failure to notify a resident's responsible party of a change in condition and a room change for one resident.
Complaint Details
Complaint NJ00166888 was substantiated based on interviews and record review indicating failure to notify the responsible party of the resident's COVID-19 positive status and room change.
Findings
The facility failed to notify the responsible party of Resident #11's positive COVID-19 status and room relocation from the second to the third floor. Documentation showed no evidence of notification prior to the move, although the resident's daughter was later informed of the return to the original room.
Deficiencies (1)
Failure to notify a resident's responsible party of a change in condition and room change for Resident #11.
Report Facts
Residents reviewed: 16
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nursing Home Administrator | LNHA | Interviewed regarding notification complaint from resident's daughter |
| Registered Nurse Charge Nurse | Charge Nurse | Interviewed about notification procedures for room changes |
| Social Worker | Interviewed about notification procedures and documented notification to resident's daughter |
Inspection Report
Routine
Deficiencies: 14
Date: Feb 12, 2025
Visit Reason
Routine inspection of New Community Extended Care Facility to assess compliance with regulatory requirements including resident rights, care, safety, infection control, and medication management.
Findings
The facility was found deficient in multiple areas including failure to provide dignified dining experience, failure to notify responsible parties of resident condition changes, inadequate call bell accessibility, poor maintenance of living environment, delayed resident assessments, medication administration errors, inadequate incontinence care, unsafe hot water temperatures posing immediate jeopardy, improper respiratory care, incomplete dialysis communication documentation, and failure to maintain infection control precautions.
Deficiencies (14)
Failure to provide a dignified dining experience with meals served on plastic trays and dome lids used as trash receptacles.
Failure to notify a resident's responsible party of a change in condition and room change.
Failure to maintain call bell within reach of residents.
Failure to maintain residents' living environment in a clean, sanitary, and homelike manner.
Failure to complete and transmit Minimum Data Set (MDS) assessments in a timely manner.
Failure to complete a significant change in status assessment (SCSA) timely for a resident.
Failure to complete and transmit quarterly MDS assessments timely.
Failure to follow physician order for medication administration resulting in improper dosage.
Failure to provide incontinence care every two hours and placing two incontinence briefs on residents.
Failure to maintain safe hot water temperatures, resulting in immediate jeopardy to resident health or safety.
Failure to ensure respiratory nasal cannula tubing was stored in accordance with infection control measures.
Failure to consistently complete dialysis communication monitoring sheets for residents on dialysis.
Failure to maintain accountability and accurate reconciliation of controlled dangerous substance medication and failure to label medication with appropriate cautionary instructions.
Failure to maintain infection prevention and control precautions for COVID-19 positive resident during dining and failure to perform proper hand hygiene.
Report Facts
Tables observed with plastic trays: 19
Residents reviewed for notification failure: 16
Residents reviewed for call bell accessibility: 16
Residents reviewed for incontinence care: 5
Hot water temperatures: 125
Hot water temperatures: 152
Dialysis communication sheets incomplete: 4
Narcotic medication discrepancies: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Olayimika Adeboye | Infection Preventionist (IP) | Interviewed regarding COVID-19 positive resident and infection control |
| Licensed Nursing Home Administrator (LNHA) | Interviewed regarding multiple deficiencies including dining, notification, medication errors, hot water temperatures, and infection control | |
| Director of Nursing (DON) | Interviewed regarding multiple deficiencies including dining, notification, medication errors, hot water temperatures, dialysis communication, and infection control | |
| LPN #1 | Licensed Practical Nurse | Observed during narcotic medication inspection and medication administration |
| LPN #2 | Licensed Practical Nurse | Observed administering Fluticasone Nasal Spray and medication pass |
| Registered Nurse/Unit Manager (RN/UM) | Registered Nurse | Interviewed regarding call bell accessibility, dialysis communication, and hand hygiene |
| Certified Nursing Assistant (CNA) | Interviewed regarding incontinence care | |
| Director of Environmental Services (DEVS) | Interviewed regarding hot water temperature maintenance | |
| Food Service Director (FSD) | Interviewed regarding meal service for COVID-19 positive resident |
Inspection Report
Complaint Investigation
Census: 86
Deficiencies: 1
Date: Dec 5, 2023
Visit Reason
The inspection was conducted based on complaint NJ#169394 to determine compliance with regulatory staffing requirements.
Complaint Details
Complaint NJ#169394 was investigated and substantiated with findings of deficient staffing ratios. The facility was required to submit a Plan of Correction.
Findings
The facility was found not in compliance with New Jersey staffing ratio requirements, failing to maintain the minimum direct care staff to resident ratios on 6 of 14 day shifts reviewed. No residents were directly affected by the deficient practice, but it had the potential to affect all residents.
Deficiencies (1)
Failure to maintain the required minimum direct care staff to resident ratios as mandated by the State of New Jersey on 6 of 14 day shifts reviewed.
Report Facts
Census: 86
Sample Size: 3
Deficient Day Shifts: 6
Staffing Ratios Required: 11
Staffing Ratios Actual: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Involved in review and corrective action planning for staffing deficiencies. | |
| Director of Nursing | Involved in review and corrective action planning for staffing deficiencies. | |
| Director of Human Resources | Involved in review and corrective action planning for staffing deficiencies. | |
| Chief Financial Officer | Involved in review and corrective action planning for staffing deficiencies. | |
| Chief Executive Officer | Involved in review and corrective action planning for staffing deficiencies. |
Inspection Report
Routine
Census: 99
Capacity: 99
Deficiencies: 20
Date: Jan 11, 2023
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
The facility was found to have multiple deficiencies related to comprehensive care planning, cardio-pulmonary resuscitation equipment maintenance, pharmacy services, food safety, infection control, life safety code compliance, and emergency preparedness. Corrective actions and systemic changes were planned or implemented to address these deficiencies.
Deficiencies (20)
Facility failed to initiate a comprehensive care plan for 2 of 20 residents reviewed for care planning.
Facility failed to maintain current equipment for immediate response to potential life-threatening cardiac emergencies.
Facility failed to administer medication according to manufacturer's cautionary specifications for 1 of 5 residents observed.
Facility failed to sanitize and maintain kitchen environment and equipment in a sanitary manner to prevent microbial growth and foodborne illness.
Facility failed to establish and maintain an infection prevention and control program to prevent transmission of communicable diseases and infections.
Facility failed to maintain fire safety requirements including fire doors, fire alarm system, sprinkler system, emergency generator testing, and exit door locking arrangements.
Facility failed to maintain required minimum staffing ratios as mandated by the state of New Jersey.
Facility failed to maintain smoking areas with metal containers with self-closing cover devices as required.
Facility failed to maintain emergency generator testing and transfer switch inspections.
Facility failed to maintain fire pump testing and inspection.
Facility failed to maintain fire door inspections and repairs.
Facility failed to maintain sprinkler system inspection and testing.
Facility failed to maintain fire alarm system inspection and testing.
Facility failed to maintain exit discharge doors unlocked and accessible.
Facility failed to maintain door closers and latching on fire doors.
Facility failed to maintain fire alarm system testing and maintenance.
Facility failed to maintain sprinkler system testing and maintenance.
Facility failed to maintain emergency generator testing and maintenance.
Facility failed to maintain fire door inspections and repairs.
Facility failed to maintain smoking area safety requirements.
Report Facts
Census: 99
Total Capacity: 99
Sample Size: 22
Deficiencies cited: 22
Staffing ratios: 7
Staffing ratios: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in multiple findings related to care planning, medication administration, and corrective actions. |
| Administrator | Administrator | Named in multiple findings related to care planning, medication administration, fire safety, and corrective actions. |
| Director of Environmental Services | Director of Environmental Services | Named in findings related to fire safety, maintenance, and corrective actions. |
| Chief Operations Officer | Chief Operations Officer | Named in findings related to fire safety and corrective actions. |
| Food Service Director | Food Service Director | Named in findings related to food safety and corrective actions. |
| Assistant Food Service Director | Assistant Food Service Director | Named in findings related to food safety and corrective actions. |
| Food Service Manager | Food Service Manager | Named in findings related to food safety and corrective actions. |
| Maintenance Supervisor | Maintenance Supervisor | Named in findings related to fire safety and corrective actions. |
| Licensed Practical Nurse | Licensed Practical Nurse | Named in medication administration deficiency. |
| Licensed Nursing Home Administrator | Licensed Nursing Home Administrator | Named in staffing ratio findings. |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Jan 11, 2023
Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with regulatory requirements related to care planning, life support equipment, medication administration, food safety, infection control, and other facility operations.
Findings
The facility was found deficient in multiple areas including failure to develop comprehensive care plans for residents with psychiatric disorders and pain management needs, failure to maintain functional and properly equipped AED devices, failure to administer medication according to manufacturer's specifications, failure to maintain sanitary kitchen conditions, and failure to provide proper infection prevention and control including wound care and water management.
Deficiencies (5)
Failure to initiate a comprehensive care plan addressing psychiatric disorders and use of psychoactive medications for residents #58 and #209.
Failure to maintain current and functional AED equipment with unexpired defibrillator pads in 2 AED kits.
Failure to administer Lokelma medication separated by at least 2 hours from other oral medications as per manufacturer's instructions.
Failure to sanitize and air dry steam table pans properly and maintain kitchen environment and equipment in a sanitary manner to prevent contamination and foodborne illness.
Failure to provide wound care in a manner to decrease spread of infection and failure to develop and implement a water management plan to monitor and prevent growth of waterborne pathogens.
Report Facts
Residents reviewed for care planning: 20
AED kits reviewed: 2
Medication administration observation: 1
Medication packets: 10
Steam table pans observed: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding care plan omissions and AED equipment issues. |
| Licensed Practical Nurse | Licensed Practical Nurse (LPN) | Observed administering medication incorrectly and involved in AED equipment review. |
| Licensed Nursing Home Administrator | Licensed Nursing Home Administrator (LNHA) | Interviewed regarding AED equipment process failure and water management program. |
| Food Service Director | Food Service Director (FSD) | Interviewed regarding kitchen sanitation deficiencies. |
Inspection Report
Routine
Census: 104
Deficiencies: 2
Date: Dec 21, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and CMS/CDC recommended practices for COVID-19.
Findings
The facility was found not to be in compliance with New Jersey staffing regulations, failing to maintain required minimum direct care staff-to-shift ratios for 14 of 14 day shifts reviewed and not employing a full-time Consultant Infection Preventionist as mandated. Corrective actions and systemic changes were planned and partially implemented.
Deficiencies (2)
Failure to maintain required minimum direct care staff-to-shift ratios for 14 of 14 day shifts reviewed.
Failure to ensure the Consultant Infection Preventionist worked full-time as mandated by the State of New Jersey.
Report Facts
CNA staffing counts: 7
CNA staffing counts: 11
CNA staffing counts: 9
CNA staffing counts: 10
CNA staffing counts: 9
CNA staffing counts: 8
CNA staffing counts: 7
CIP hours worked: 7
CIP hours worked: 15
CIP hours worked: 14.5
CIP hours worked: 4
CIP hours worked: 11.75
CIP hours worked: 13.25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Named in relation to staffing deficiencies and corrective actions | |
| Administrator | Named in relation to staffing deficiencies and corrective actions | |
| Human Resource Director | Named in relation to staffing deficiencies and corrective actions | |
| Chief Operating Officer | Named in relation to staffing deficiencies and corrective actions |
Inspection Report
Complaint Investigation
Census: 107
Deficiencies: 2
Date: Jul 6, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations related to CMS and CDC recommended practices for COVID-19. Additionally, the facility was investigated for compliance with New Jersey staffing requirements and infection preventionist staffing.
Complaint Details
The visit was complaint-related focusing on staffing and infection preventionist compliance. The deficiencies were substantiated with no residents directly affected.
Findings
The facility was found not in compliance with New Jersey staffing requirements, failing to maintain minimum direct care staff-to-resident ratios for multiple shifts and failing to employ a full-time infection preventionist as mandated. No residents were directly affected by these deficiencies. The facility implemented corrective actions including staffing policy revisions, increased salaries, recruitment efforts, and ongoing monitoring.
Deficiencies (2)
Failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey.
Failed to ensure that the Infection Preventionist assigned to oversee the infection control program had no other responsibilities and was employed full-time as required by state regulations.
Report Facts
Census: 107
Shifts out of compliance: 15
CNA staffing shortfalls: 13
Salary increase: 1
Sign-on bonus: 1000
RN salary increase: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Reviewed staffing ratios and participated in corrective action meetings. | |
| Administrator | Participated in staffing review and corrective action meetings. | |
| Human Resource Director | Reviewed staffing and recruitment efforts and participated in corrective action meetings. | |
| Chief Operating Officer | Participated in corrective action meetings regarding staffing and recruitment. | |
| Chief Executive Officer | Participated in corrective action meetings regarding staffing and recruitment. |
Inspection Report
Complaint Investigation
Census: 100
Deficiencies: 1
Date: Nov 5, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ148123 and NJ148071 regarding the facility's compliance with staffing ratios mandated by New Jersey State Law.
Complaint Details
Complaint #: NJ148123 and #NJ148071. The complaint was substantiated as the facility did not meet minimum staffing requirements as per NJDOH memo dated 01/28/2021.
Findings
The facility failed to maintain the required direct care staff-to-resident ratios for 14 out of 42 shifts reviewed, which had the potential to affect all residents. The facility was not in substantial compliance with New Jersey Administrative Code 8:39 standards for licensure of long-term care facilities.
Deficiencies (1)
Failure to maintain direct care staff-to-resident ratios as mandated by New Jersey State Law for 14 out of 42 shifts reviewed.
Report Facts
Shifts not meeting staffing ratios: 14
Census: 100
Required CNAs on day shift: 13
Actual CNAs on day shift: 7
Date of correction completion: Nov 8, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Home Administrator | Administrator | Interviewed regarding staffing ratios and recruitment efforts. |
| Director of Nursing | Director of Nursing | Reviewed staffing ratios and involved in recruitment and corrective actions. |
| Director of Human Resources | Director of Human Resources | Reviewed staffing ratios and involved in recruitment and corrective actions. |
Inspection Report
Complaint Investigation
Census: 98
Deficiencies: 0
Date: Jul 1, 2021
Visit Reason
The inspection was conducted as a complaint investigation related to long term care at the facility.
Complaint Details
The visit was complaint-related and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for the long term care complaints visit.
Report Facts
Sample Size: 4
Inspection Report
Complaint Investigation
Census: 97
Deficiencies: 0
Date: Dec 18, 2020
Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ00135284.
Complaint Details
Complaint number NJ00135284 was investigated and found to be unsubstantiated as the facility was in compliance.
Findings
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.
Report Facts
Sample Size: 3
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Nov 13, 2020
Visit Reason
The inspection was conducted based on complaints and observations related to failure to follow physician's orders for resident care, fall risk management, and food safety practices.
Complaint Details
The complaint investigation revealed issues with Resident #5 not wearing a prescribed splint despite nurse documentation indicating otherwise, and Resident #6 experiencing multiple falls due to inadequate supervision and failure to update care plans with appropriate fall prevention interventions. Additionally, kitchen sanitation issues were identified.
Findings
The facility failed to follow a physician's order regarding the use of a splint for Resident #5, failed to implement adequate fall prevention measures for Resident #6 resulting in multiple falls, and failed to maintain kitchen equipment and food storage in a sanitary manner, including the presence of soiled equipment and dented cans.
Deficiencies (3)
Failure to follow physician's order for left hand splint for Resident #5.
Failure to identify and implement measures to reduce hazards/risks for falls for Resident #6.
Failure to store potentially hazardous foods properly and maintain kitchen equipment in a sanitary manner.
Report Facts
Deficiencies cited: 3
Fall incidents: 2
Fall risk scores: 7
Fall risk scores: 9
Dented cans observed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Assigned to Resident #6, involved in fall incident on 6/11/20 |
| CNA #2 | Certified Nursing Assistant | Assigned to Resident #6, involved in fall incident on 9/14/20 |
| Licensed Practical Nurse (LPN) | Licensed Practical Nurse | Admitted to signing TAR incorrectly for Resident #5's splint |
| Unit Manager/Registered Nurse (UM/RN) | Unit Manager/Registered Nurse | Provided information about staff and splint for Resident #5 |
| Occupational Therapist (OT) | Occupational Therapist | Reported splint was lost and ordered replacement for Resident #5 |
| Director of Nursing (DON) | Director of Nursing | Acknowledged concerns about splint application and fall care plan updates |
| Administrator | Administrator | Acknowledged concerns about splint application |
| Assistant Director of Nursing (ADON) | Assistant Director of Nursing | Reviewed fall incidents and staff in-service attendance |
| Food Service Director (FSD) | Food Service Director | Observed kitchen sanitation issues |
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