Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
113 residents
Based on a March 2025 inspection.
Census over time
Notice
Deficiencies: 0
Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS regarding their medical information, including how it may be used, disclosed, and the rights individuals have concerning their health information.
Findings
The notice details the types of information covered, reasons for use and disclosure of health information, individual rights to access and amend information, and 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
Census: 113
Deficiencies: 1
Mar 21, 2025
Visit Reason
The inspection was conducted based on complaint number NJ00184292 to investigate compliance with 42 CFR Part 483, Subpart B, for long term care facilities.
Findings
The facility was found not in substantial compliance due to a deficient practice related to medication transcription for one resident. The facility implemented corrective actions including re-education of nursing staff, policy revisions, and ongoing audits to prevent recurrence.
Complaint Details
Complaint # NJ00184292 was investigated and found to have a substantiated deficiency related to medication transcription errors.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure proper medication transcription for Resident #1, resulting in medication errors. | SS=D |
Report Facts
Sample Size: 5
Inspection Report
Original Licensing
Deficiencies: 0
Jan 12, 2024
Visit Reason
Initial inspection for licensure of renovated long term care facilities.
Findings
No deficiencies were noted during the inspection of multiple resident rooms, common areas, and service rooms. The inspected areas may not be occupied until formal notification by the Certificate of Need and Licensing Division has been received.
Inspection Report
Life Safety
Census: 91
Deficiencies: 3
Feb 15, 2023
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 2/14/2023 and 2/15/2023 to assess compliance with Medicare/Medicaid participation requirements related to fire safety and life safety codes.
Findings
The facility was found to be in noncompliance with several Life Safety Code requirements including failure to perform semi-annual inspections of kitchen fire suppression systems, lack of audible and visible fire alarm notification in an enclosed courtyard, and missing fire sprinkler coverage in certain electrical rooms. Corrective actions were planned and completed by 3/31/2023.
Severity Breakdown
SS=E: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to inspect 2 of 3 range-hood fire suppression systems semi-annually in accordance with NFPA 96. | SS=E |
| Failed to provide fire alarm notification by audible and visible signals for 1 of 1 outside enclosed courtyards. | SS=E |
| Failed to install sprinklers in required areas including the first floor family room electrical closet and main electrical room. | SS=E |
Report Facts
Census: 91
Deficiency completion date: Mar 31, 2023
Inspection dates: Feb 14, 2023
Inspection dates: Feb 15, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Plant Operations Manager | Named in relation to findings about fire suppression system inspections, fire alarm system, and sprinkler system deficiencies | |
| Administrator | Informed of deficiencies at Life Safety Code exit on 2/15/2023 |
Inspection Report
Life Safety
Capacity: 28
Deficiencies: 0
Jan 26, 2023
Visit Reason
Inspection of newly constructed and renovated long term care facility areas including resident units and common areas as part of a Life Safety Code Survey.
Findings
The facility was found to be in compliance with Medicare/Medicaid participation requirements and New Jersey licensure standards, with no deficiencies noted. The surveyed areas may not be occupied until formal notification is received.
Report Facts
Total licensed beds: 28
Inspection Report
Complaint Investigation
Census: 86
Deficiencies: 0
Aug 15, 2022
Visit Reason
The inspection was conducted in response to complaint #NJ 157108 to assess compliance with regulatory requirements.
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 # NJ 157108; the facility was found in substantial compliance based on this complaint visit.
Report Facts
Sample size: 3
Inspection Report
Complaint Investigation
Census: 87
Deficiencies: 0
Jun 16, 2022
Visit Reason
The inspection visit was conducted in response to Complaint # NJ 155575 to assess compliance with regulatory requirements for long term care facilities.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, based on this complaint visit.
Complaint Details
Complaint # NJ 155575 was investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample size: 4
Inspection Report
Original Licensing
Capacity: 64
Deficiencies: 0
Jan 26, 2022
Visit Reason
Initial inspection for licensure of new and/or renovated long term care facilities including 64 resident rooms, rehab gym, ADL suite, and personal care salon.
Findings
No deficiencies were noted during the inspection of the addition and updates completed during phase 2. The noted areas may not be occupied until formal notification by the Certificate of Need and Licensing Division has been received.
Report Facts
Total licensed capacity: 64
Inspection Report
Routine
Census: 97
Deficiencies: 0
Apr 7, 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: 6
Inspection Report
Routine
Census: 96
Deficiencies: 0
Feb 8, 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: 7
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