Inspection Reports for Park Crescent Healthcare and Rehabilitation Center
NJ, 07017
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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 | Contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 82
Deficiencies: 0
Apr 29, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ00185581.
Findings
The facility was found to be in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for long term care facilities based on this complaint visit.
Complaint Details
Complaint #: NJ00185581. The facility is in substantial compliance based on this complaint visit.
Report Facts
Sample Size: 3
Inspection Report
Complaint Investigation
Census: 170
Deficiencies: 1
Apr 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ00182618 and NJ00175276 regarding staffing ratios and compliance with state regulations.
Findings
The facility was found not in compliance with New Jersey Administrative Code 8:39 standards for licensure of Long Term Care Facilities due to deficient CNA staffing ratios on multiple shifts during specified periods. The facility was in substantial compliance with federal requirements but failed to meet state minimum staffing requirements.
Complaint Details
Complaint numbers NJ00182618 and NJ00175276 triggered the investigation. The facility was found deficient in CNA staffing ratios on multiple shifts but no residents were identified as affected by the deficient practices. The facility was required to submit a Plan of Correction to address these deficiencies.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staffing ratios were met for CNA staffing during the weeks of 06/30/2024 to 07/06/2024, 01/12/2025 to 01/18/2025, and 03/23/2025 to 04/05/2025, with CNA shortages on multiple day shifts. |
Report Facts
CNA staffing deficiency: 1
CNA staffing deficiency: 3
CNA staffing deficiency: 3
Census: 167
CNA staff: 18
Required CNA staff: 21
Census: 176
CNA staff: 15
Required CNA staff: 22
CNA staff: 20
Required CNA staff: 22
CNA staff: 21
Required CNA staff: 22
Census: 171
CNA staff: 17
Required CNA staff: 21
Census: 169
CNA staff: 16
Required CNA staff: 21
Census: 169
CNA staff: 17
Required CNA staff: 21
Inspection Report
Complaint Investigation
Census: 160
Deficiencies: 11
Feb 22, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long-Term Care Facilities. Complaint investigations were also completed during this survey.
Findings
Deficiencies were cited including an Immediate Jeopardy for failure to obtain and administer a critical medication for a resident with a known condition. Additional deficiencies included inaccurate Minimum Data Set (MDS) coding, failure to revise care plans, failure to meet professional standards in medication administration, incomplete physician progress notes, improper food temperature management, unsanitary food storage, and life safety code violations related to fire safety and electrical systems.
Complaint Details
Complaint #s: NJ00170384, NJ00164200, NJ00170066, NJ00166117, NJ00165047, NJ00164947, NJ00164148, NJ00163966, NJ00162449. The complaint investigations were completed during the survey.
Severity Breakdown
SS=J: 1
SS=E: 2
SS=D: 8
Deficiencies (11)
| Description | Severity |
|---|---|
| Failure to obtain and administer an antiseizure medication for a resident with a known seizure disorder, resulting in Immediate Jeopardy. | SS=J |
| Inaccurate coding of Minimum Data Set (MDS) assessments for residents, including failure to reflect hospice care and medication use accurately. | SS=D |
| Failure to revise residents' comprehensive care plans to reflect current conditions and treatments. | SS=D |
| Failure to follow professional standards in medication administration, including documentation and timing adjustments for dialysis residents. | SS=D |
| Failure to ensure physician progress notes were accurately dated and documented at least every 60 days with alternating nurse practitioner visits. | SS=D |
| Failure to serve meals at safe and palatable temperatures, with delays in meal delivery causing temperature loss. | SS=D |
| Failure to maintain proper kitchen sanitation and food storage practices, including cleaning light fixtures, discarding expired food, and proper chemical storage. | SS=D |
| Failure to ensure exit stairwell doors were capable of maintaining 2-hour fire resistance rating due to doors not self-closing and latching properly. | SS=E |
| Failure to install required fire sprinklers in the top landing of the center stairwell. | SS=D |
| Failure to provide Ground-Fault Circuit Interrupter (GFCI) protection for electrical outlets located within 6 feet of water sources in multiple locations. | SS=D |
| Failure to install a remote manual stop station for the emergency generator. | SS=E |
Report Facts
Census: 160
Sample Size: 47
Deficiencies cited: 11
CNA staffing: 19
CNA staffing: 19
CNA staffing: 19
CNA staffing: 19
CNA staffing: 20
CNA staffing: 17
CNA staffing: 15
Food temperature: 117.9
Food temperature: 60.3
Food temperature: 58.2
Food temperature: 63.1
Food temperature: 94.6
Food temperature: 101.4
Food temperature: 93.1
Food temperature: 95.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2 | Licensed Practical Nurse | Acknowledged failure to document vital signs during medication administration for Resident #123 |
| Physician #2 | Primary Physician | Interviewed about physician visit documentation and acknowledged requirement to document progress notes |
| Maintenance Director | Responsible for repairs of fire doors, inspection of GFCI outlets, installation of remote manual stop station, and conducting biannual inspections | |
| Director of Nursing | Responsible for staff education and monitoring corrective actions | |
| Assistant Director of Nursing | Provided education to licensed nursing staff on medication policies and change in condition policy | |
| Chef Supervisor | Responsible for food temperature monitoring and dietary staff education | |
| Licensed Nursing Home Administrator | Responsible for education and monitoring of staffing ratios and fire safety corrective actions |
Inspection Report
Complaint Investigation
Census: 164
Deficiencies: 2
Feb 23, 2023
Visit Reason
A complaint survey was conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health due to allegations of abuse and quality of care concerns involving specific residents.
Findings
The facility was found not to be in substantial compliance with 42 CFR 483 subpart B. Deficiencies included failure to report an allegation of potential abuse for one resident and failure to activate emergency medical services promptly for another resident after a fall.
Complaint Details
Complaint # NJ00153326 involved failure to report alleged abuse for Resident 2. Complaint # NJ00156153 involved failure to activate emergency medical services for Resident 3 after a fall.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to report an allegation of potential abuse to the State Survey Agency for one of four residents reviewed for abuse. | SS=D |
| Failure to activate emergency medical services for one resident reviewed for accidents and incidents, potentially delaying medical treatment. | SS=D |
Report Facts
Sample Size: 12
Supplemental Residents: 0
Deficiencies cited: 2
Audit frequency: 3
Audit frequency: 4
Audit frequency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Named in investigation and corrective action related to abuse allegation and emergency medical service activation |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Educated staff on abuse policy and involved in abuse allegation investigation |
| Registered Nurse 1 | Registered Nurse (RN) | Provided employee statement regarding abuse allegation |
| Registered Nurse 2 | Registered Nurse (RN) | Provided employee statement regarding abuse allegation |
| Licensed Practical Nurse 1 | Licensed Practical Nurse (LPN) | Documented progress notes related to resident fall |
| Unit Manager 4 | Unit Manager | Involved in fall investigation and follow-up |
| Social Services Director 1 | Social Services Director (SSD) | Witnessed resident on floor after fall and notified nurse |
Inspection Report
Routine
Census: 157
Deficiencies: 0
Dec 29, 2021
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 COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 5
Inspection Report
Annual Inspection
Census: 169
Deficiencies: 10
Nov 5, 2021
Visit Reason
Annual standard survey conducted to assess compliance with federal and state regulations for long term care facilities.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including resident privacy, professional standards of care, medication monitoring, physician order documentation, drug regimen review, medication storage, food safety, infection prevention and control, staffing ratios, and life safety code compliance related to HVAC systems.
Severity Breakdown
SS=D: 8
SS=B: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to provide visual privacy for a resident during treatment. | SS=D |
| Failed to follow a physician's order to monitor the blood level of a drug for a resident. | SS=D |
| Failed to provide resident assessment and monitoring upon return from dialysis and failed to schedule medications according to dialysis days. | SS=D |
| Failed to ensure physicians signed and dated monthly physician orders for multiple residents. | SS=B |
| Failed to act upon consultant pharmacist's recommendations regarding medication regimen review. | SS=D |
| Failed to store unopened medications properly in medication carts. | SS=D |
| Failed to store and maintain food and kitchen equipment in a sanitary manner, including soiled oven knobs, stove tops, and dented cans. | SS=D |
| Failed to follow infection prevention and control practices including hand hygiene during food preparation, treatment observations, and medication pass. | SS=D |
| Failed to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. | — |
| Failed to ensure proper functioning of bathroom exhaust ventilation systems in 2 of 11 resident bathrooms. | SS=D |
Report Facts
Census: 169
Sample Size: 38
Deficiency Count: 21
Staffing Ratio: 165
Staffing Ratio: 170
Staffing Ratio: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in infection control breach during treatment observation. |
| LPN #2 | Licensed Practical Nurse | Observed failing to wash hands properly during medication pass. |
| Director of Nursing | Director of Nursing | Involved in discussions and corrective actions for multiple deficiencies. |
| Administrator | Administrator | Involved in discussions and corrective actions for multiple deficiencies. |
| Maintenance Director | Maintenance Director | Involved in inspection and corrective action for ventilation system deficiencies. |
| Food Service Director | Food Service Director | Observed food safety and hand hygiene deficiencies. |
Inspection Report
Routine
Census: 147
Deficiencies: 0
Jan 27, 2021
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.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 8
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