Inspection Reports for New Standard Senior Living at Egg Harbor Township

6817 Black Horse Pike, Egg Harbor Township, NJ 08234, United States, NJ, 08234

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Deficiencies per Year

8 6 4 2 0
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

0 50 100 150 200 Jul '22 Jul '23 Nov '23 Mar '24 Jul '24
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
NameTitleContext
Devon L. GrafDirector, NJDHSS Privacy OfficerListed 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
NameTitleContext
Executive DirectorNamed in findings related to failure to implement and enforce policies and procedures.
Director of NursingInvolved in observations and interviews regarding resident care and protocols.
Concierge #1Interviewed about protocol for residents leaving the facility.
Concierge #2Interviewed 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
NameTitleContext
LPN #4Licensed Practical NurseInterviewed regarding Advanced Directives and AED location.
Director of NursingDirector of Nursing (DON)Interviewed about Advanced Directives, AED training, and certification tracking.
Executive DirectorExecutive Director (ED)Interviewed about Emergency Response policies and AED training.
LPN #1Licensed Practical NurseDocumented care for Resident #2 during emergency event.
CHHA #1Certified Home Health AideResponded to Resident #2 during emergency event.
LPN #2Licensed Practical NurseInterviewed about AED retrieval during emergency.
CHHA #2Certified Home Health AideObserved AED location and storage.
CHHA #3Certified Home Health AideUnaware 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
NameTitleContext
Trisha KaylorExecutive DirectorSigned Plan of Correction letter dated 8/16/2022
Maintenance DirectorInterviewed during inspection regarding annunciator panel and sprinkler coverage
Executive DirectorInterviewed during inspection regarding annunciator panel location

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