Inspection Reports for
Optima Care Harborview

Complaint #2613337 was substantiated based on interviews and document reviews showing the facility denied admission to Resident #154 due to C. Auris infection despite having protocols and staff knowledge to manage contact precautions.

The facility failed to provide services in compliance with regulations by denying admission to Resident #154 based on C. Auris diagnosis despite CDC and NJ Department of Health guidance that most healthcare facilities can care for C. Auris positive individuals without denial. The facility acknowledged having protocols and knowledge to care for residents on contact precautions but did not accommodate a dedicated C. Auris unit, leading to the denial.

Complaint #431358 was submitted by Resident #1's family member alleging the facility continued to keep a nurse caring for the resident after the family requested removal on 4/11/25. The complaint was substantiated by review of records and interviews.

The facility failed to honor the preference of Resident #1 by continuing to have Licensed Practical Nurse (LPN#1) provide care after the family requested removal. Interviews with facility leadership revealed no clear resolution or explanation for the failure to remove the nurse. The facility policy supports resident rights to reasonable accommodation and self-determination.

The complaint investigation included failure to notify family of pressure sore, inadequate investigation of staff neglect leading to fracture, incomplete PASARR screenings, and failure to accommodate food allergies. The neglect investigation was found incomplete as not all staff involved were interviewed. PASARR screenings were incomplete or inaccurate. The food allergy incident resulted in a resident receiving an allergen and subsequent treatment.

The facility failed to notify a resident's family of a pressure sore, did not properly investigate a staff neglect incident resulting in a resident's femur fracture, failed to complete accurate PASARR Level I assessments for two residents, and served a resident food containing an allergen despite documented allergies. All deficiencies were cited with minimal harm and affected few residents.

Complaint survey included review of staffing and investigation of alleged abuse incidents. The facility was found deficient in staffing ratios and failed to conduct thorough investigations of abuse allegations.

The facility was found not to be in substantial compliance with 42 CFR 483 subpart B. Deficiencies were identified in notification of changes, investigation of alleged violations, PASARR screening, food accommodations, staffing ratios, emergency preparedness, life safety code compliance including building construction, emergency lighting, hazardous areas, fire alarm system, sprinkler system, corridor doors, smoke barriers, elevator firefighter service, smoking regulations, electrical receptacles, essential electrical systems, and gas equipment storage.

The complaint investigation involved two residents: Resident 224 regarding failure to notify family of a pressure sore, and Resident 375 regarding alleged staff neglect resulting in a femur fracture. The investigation found failures in notification and incomplete staff interviews. Substantiation status is not explicitly stated.

The facility failed to notify the family of a resident's unstageable pressure sore on the left heel and failed to document this notification. Additionally, the facility did not identify or interview all staff involved in a transfer incident that resulted in a resident's right femur fracture, indicating an incomplete investigation.

Complaint #: NJ00171421. The facility was found non-compliant based on the complaint survey but was in compliance with 42 CFR Part 483, Subpart B for Long Term Care Facilities. Staffing deficiencies were identified related to CNA staffing ratios on specific days.

The facility was found to be out of compliance with New Jersey Administrative Code standards due to failure to meet required minimum staffing ratios on 2 of 14 day shifts during the survey period. The facility must submit a plan of correction to address these deficiencies.

The complaint investigation found the facility deficient in CNA staffing on 6 of 28 day shifts during the review periods from 04/30/2023 to 05/13/2023 and 04/07/2024 to 04/20/2024, and deficient in total staff on 1 overnight shift. Specific dates with deficiencies include 04/30/23, 05/07/23, 05/13/23, 04/07/24, 04/14/24, and 04/20/24. The facility was required to submit a Plan of Correction.

The facility was found not in compliance with New Jersey Administrative Code standards due to failure to meet required minimum staff-to-resident ratios on multiple day shifts and one overnight shift. The facility submitted a plan of correction to address staffing deficiencies.

The facility was found deficient in multiple areas including failure to maintain accessible call bells for residents, failure to provide a homelike environment during meal service, late transmission of Minimum Data Set (MDS) assessments, incomplete care plans especially related to respiratory treatments and nutrition, medication administration and documentation errors, failure to perform smoking assessments and care planning, inadequate post-dialysis assessments, unsigned physician orders, discrepancies in controlled substance management, and inconsistent coordination with hospice services.

The facility was found not in substantial compliance with certain regulatory requirements, including reasonable accommodations for resident call bells, safe and homelike environment during meal service, and proper encoding and transmitting of resident assessments. Deficiencies were cited in multiple areas including resident care, environment, and documentation.

The complaint investigation found that the facility did not follow acceptable professional standards of practice on documentation and physician notification for one of eight residents reviewed. The deficiency was substantiated based on interviews, record review, and facility policy review.

The facility failed to follow professional standards and their Physician Notification Policy for one resident by not completing a stat order and failing to notify the physician. The Director of Nursing acknowledged the failure to complete the order and notify the physician as required.

Complaint #: NJ00146243. The facility failed to promptly resolve a grievance filed by a resident's responsible party regarding a missing mini refrigerator. The grievance was documented but not resolved in a timely manner despite repeated notifications to facility staff and administration.

The facility failed to ensure that a resident's grievance regarding a missing mini refrigerator was promptly resolved. The grievance process was not timely, although corrective actions were later implemented including policy revision, staff inservice, and monitoring procedures.

The facility failed to ensure that contracting agents adhered to infection control policies, as evidenced by a Portable X-ray Technologist not sanitizing equipment between residents. This posed a minimal harm risk to residents.