Inspection Reports for New Standard Senior Living at Egg Harbor Township
6817 Black Horse Pike, Egg Harbor Township, NJ 08234, United States, NJ, 08234
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Notice
Deficiencies: 0
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, NJDHSS Privacy Officer | Listed as contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 129
Deficiencies: 2
Jul 12, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00174958) due to concerns about the facility's 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 standards, specifically failing to implement and enforce policies related to resident rights and managed risk agreements. Deficiencies included failure to negotiate managed risk agreements with residents, inadequate documentation of resident education on risks, and lack of proper protocols for residents leaving the facility. A re-visit confirmed that corrective actions, including education and implementation of managed risk agreements, were completed.
Complaint Details
Complaint #NJ00174958 was substantiated based on interviews, record reviews, and observations indicating failures in policy enforcement and resident risk management.
Deficiencies (2)
| Description |
|---|
| Failure to implement and enforce the facility's 'Shared Risk Agreement Policy' for residents. |
| Failure to negotiate managed risk agreements with residents who posed risks. |
Report Facts
Census: 129
Sample Size: 4
Date of Revisit: Nov 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named in findings related to failure to implement and enforce policies and procedures. | |
| Director of Nursing | Involved in observations and interviews regarding resident care and protocols. | |
| Concierge #1 | Interviewed about protocol for residents leaving the facility. | |
| Concierge #2 | Interviewed about protocol for residents leaving the facility. |
Inspection Report
Complaint Investigation
Census: 118
Deficiencies: 5
Mar 14, 2024
Visit Reason
Complaint investigation triggered by complaint NJ00171639 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 with multiple standards including failure to develop and implement a comprehensive Resident Emergency Response policy, inconsistent adherence to Advanced Directive policies, failure to document initial health care assessments and update care plans for sampled residents, lack of a comprehensive Health Service Plan for a resident on dialysis, and failure to have at least one employee trained in the use of an AED available at all times.
Complaint Details
Complaint number NJ00171639 triggered the investigation. The facility was found not in substantial compliance with licensure standards and required to submit a plan of correction.
Deficiencies (5)
| Description |
|---|
| Failure to ensure a comprehensive policy for Resident Emergency Response including CPR and AED use. |
| Failure to consistently follow Advanced Directive Policy and maintain a system for identifying residents' Advanced Directives. |
| Failure to document and update initial health care assessments by Registered Nurse for three sampled residents. |
| Failure to develop a comprehensive Health Service Plan including goals and interventions for a resident on dialysis. |
| Failure to have at least one employee trained in the use of the AED available at all times and failure to initiate life-sustaining treatment per resident orders. |
Report Facts
Census: 118
Sample size: 3
Dates without AED trained staff: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #4 | Licensed Practical Nurse | Interviewed regarding Advanced Directives and AED location. |
| Director of Nursing | Director of Nursing (DON) | Interviewed about Advanced Directives, AED training, and certification tracking. |
| Executive Director | Executive Director (ED) | Interviewed about Emergency Response policies and AED training. |
| LPN #1 | Licensed Practical Nurse | Documented care for Resident #2 during emergency event. |
| CHHA #1 | Certified Home Health Aide | Responded to Resident #2 during emergency event. |
| LPN #2 | Licensed Practical Nurse | Interviewed about AED retrieval during emergency. |
| CHHA #2 | Certified Home Health Aide | Observed AED location and storage. |
| CHHA #3 | Certified Home Health Aide | Unaware of AED location and purpose. |
Inspection Report
Routine
Census: 166
Deficiencies: 0
Nov 1, 2023
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.
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
Complaint Investigation
Census: 67
Deficiencies: 0
Jul 3, 2023
Visit Reason
The inspection was conducted as a complaint investigation and a COVID-19 focused infection control survey.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code Chapter 8:36 for licensure of assisted living residences and in compliance with infection control regulations and CDC recommended practices for COVID-19.
Complaint Details
Complaint number NJ00165115 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample Size: 4
Inspection Report
Original Licensing
Capacity: 166
Deficiencies: 2
Jul 28, 2022
Visit Reason
Initial inspection of new construction of a 160 residential unit building for a total of 166 licensed assisted living beds.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards for assisted living residences. Deficiencies included failure to place an emergency generator annunciator panel in a location visible to operating staff 24/7, and failure to provide proper fire sprinkler coverage in multiple areas including resident closets, fire booster closets, elevator lobby closets, and storage rooms.
Deficiencies (2)
| Description |
|---|
| Emergency generator annunciator panel was not placed in a location that could be monitored by operating staff 24 hours a day. |
| Facility failed to provide proper fire sprinkler coverage to all areas of the facility including resident room closets, fire booster closets, elevator lobby closets, and storage rooms. |
Report Facts
Licensed beds: 166
Residential units: 160
Resident rooms with missing sprinkler heads: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Trisha Kaylor | Executive Director | Signed Plan of Correction letter dated 8/16/2022 |
| Maintenance Director | Interviewed during inspection regarding annunciator panel and sprinkler coverage | |
| Executive Director | Interviewed during inspection regarding annunciator panel location |
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