Inspection Reports for Redbank Center For Rehabilitation And Healing
100 Chapin Avenue, NJ, 07701
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Notice
Deficiencies: 0
Nov 20, 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 outlines the types of information covered, reasons for use and disclosure of health information, individual rights regarding their health 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: 141
Capacity: 175
Deficiencies: 14
Feb 27, 2025
Visit Reason
A Recertification and Complaint Survey was conducted due to complaints NJ181484 and NJ183544, focusing on compliance with long term care requirements and complaint allegations.
Findings
The facility was found not in substantial compliance with federal requirements, with deficiencies in accuracy of assessments, coordination of PASARR and assessments, comprehensive care plans, ADL care, infection control, medication administration, and life safety code compliance. Immediate actions and plans of correction were initiated.
Complaint Details
Complaint numbers NJ181484 and NJ183544 triggered the survey. The facility was found not in substantial compliance based on these complaints.
Severity Breakdown
SS=D: 10
SS=E: 4
SS=F: 3
Deficiencies (14)
| Description | Severity |
|---|---|
| Accuracy of Assessments - Facility failed to ensure accurate Minimum Data Set (MDS) assessments for sampled residents. | SS=D |
| Coordination of PASARR and Assessments - Facility failed to complete new level one PASARR assessments for residents with serious mental disorders. | SS=D |
| Develop/Implement Comprehensive Care Plan - Facility failed to develop comprehensive care plans for sampled residents. | SS=D |
| ADL Care Provided for Dependent Residents - Facility failed to ensure proper care for residents unable to carry out activities of daily living. | SS=D |
| Activities Meet Interest/Needs Each Resident - Facility failed to provide activities according to assessments and care plans for sampled residents. | SS=E |
| Quality of Care - Facility failed to ensure physician orders were followed for sampled residents, putting residents at risk. | SS=D |
| Respiratory/Tracheostomy Care and Suctioning - Facility failed to administer respiratory care as prescribed for sampled residents. | SS=D |
| Free from Unnecessary Psychotropic Meds/PRN Use - Facility failed to ensure PRN psychotropic drugs were limited and properly documented. | SS=D |
| Food Procurement, Store, Prepare, Serve-Sanitary - Facility failed to ensure proper hand hygiene and food handling by staff. | SS=E |
| Label/Store Drugs and Biologicals - Facility failed to ensure medication carts were locked and secure when unattended. | SS=D |
| Medication Errors - Facility failed to ensure medication administration was error-free for sampled residents. | SS=D |
| Infection Prevention & Control - Facility failed to ensure proper infection control practices and PPE use by staff. | SS=E |
| Life Safety Code - Facility failed to ensure proper discharge from exits, sprinkler system maintenance, fire door inspections, and emergency generator manual stop station. | SS=F |
| Utilities - Gas and Electric - Facility failed to ensure nonmetallic sheathed cable was properly concealed and extension cords were not used as permanent wiring. | SS=F |
Report Facts
Survey Census: 141
Total Capacity: 175
Sample Size: 32
Deficiency Count: 17
Date of Survey: Feb 27, 2025
Plan of Correction Completion Date: Apr 1, 2025
Inspection Report
Complaint Investigation
Census: 109
Deficiencies: 1
May 7, 2024
Visit Reason
The inspection was conducted in response to a complaint (NJ172093) to investigate staffing ratio compliance at the facility.
Findings
The facility was found to be deficient in meeting required Certified Nurse Aide (CNA) staffing ratios on 8 of 14 day shifts reviewed, potentially affecting all residents. The facility was not in compliance with New Jersey Administrative Code standards and must submit a Plan of Correction.
Complaint Details
Complaint #: NJ172093. The facility was found substantially non-compliant with staffing requirements during the complaint visit. The complaint was substantiated based on interviews and document review.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staffing ratios were met for 8 of 14 day shifts reviewed, specifically CNA staffing below required minimums. |
Report Facts
Census: 109
Deficient shifts: 8
Required CNAs: 13
Actual CNAs: 9
Resident counts: 102
Resident counts: 104
Resident counts: 106
Resident counts: 108
Inspection Report
Complaint Investigation
Census: 96
Deficiencies: 1
Jan 12, 2024
Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health covering multiple complaint numbers from 01/10/2024 to 01/12/2024.
Findings
The facility was found to be not in compliance with New Jersey Administrative Code staffing requirements, failing to meet minimum staff-to-resident ratios on 4 of 14 day shifts during the complaint period. The facility was otherwise in substantial compliance with federal long term care requirements based on this complaint visit.
Complaint Details
Complaint survey conducted for complaint numbers NJ00156340, NJ00158547, NJ00162566, NJ00149170, NJ00151428, NJ001555333, NJ00156049, and NJ00156028. The facility was found to be deficient in CNA staffing for residents on 4 of 14 day shifts during 12/24/2023 to 01/06/2024. The facility was found to be in substantial compliance with 42 CFR Part 483, Subpart B based on this complaint visit.
Deficiencies (1)
| Description |
|---|
| Failed to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 4 of 14 day shifts. |
Report Facts
Census: 96
Sample size: 11
Deficient day shifts: 4
CNA staffing counts: 11
Residents on deficient days: 97
Residents on deficient days: 95
Residents on deficient days: 93
Required minimum CNAs: 12
Inspection Report
Annual Inspection
Census: 116
Deficiencies: 13
Jan 11, 2023
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to failure to implement abuse policy for new employees, incomplete MDS assessments, nutrition and hydration status maintenance, physician visits, nurse aide performance reviews, pharmacy services, infection control, and life safety code violations including fire alarm system maintenance and elevator inspections.
Severity Breakdown
Level D: 3
Level E: 6
Level F: 5
Deficiencies (13)
| Description | Severity |
|---|---|
| Failure to implement abuse policy by ensuring all new employees were screened for potential abuse by conducting reference checks. | Level E |
| Failure to complete and submit discharge Minimum Data Set Assessments (MDS) for 17 of 17 residents. | Level F |
| Failure to maintain acceptable parameters of nutritional status for residents with significant weight loss. | Level E |
| Failure to ensure timely physician visits and supervision of care for residents. | Level D |
| Failure to complete yearly performance reviews of Certified Nursing Aides (CNAs). | Level F |
| Failure to provide routine and emergency drugs and biologics under supervision of licensed nurse. | Level E |
| Failure to maintain accurate ordering, receiving, and administration records of narcotic medications. | Level E |
| Failure to employ sufficient staff with appropriate competencies and skills for food and nutrition services. | Level F |
| Failure to properly dispose of garbage and maintain garbage dumpster areas. | Level D |
| Failure to maintain infection prevention and control program to prevent communicable diseases. | Level D |
| Failure to maintain means of egress free of obstructions and ensure fire alarm system maintenance. | Level E |
| Failure to maintain sprinkler system and conduct required inspections. | Level F |
| Failure to maintain elevator inspections and testing with firefighter recall. | Level F |
Report Facts
Census: 116
Sample size: 27
Deficiencies cited: 14
Residents with incomplete MDS: 17
Residents reviewed for nutrition deficiency: 2
Residents reviewed for physician visit deficiency: 1
CNAs without performance reviews: 4
Garbage dumpsters with deficiencies: 5
Heat detectors not maintained: 2
Elevators inspected: 2
Inspection Report
Complaint Investigation
Census: 129
Deficiencies: 2
Aug 16, 2021
Visit Reason
The inspection was conducted based on a complaint (Complaint#: NJ146379) to investigate compliance with care planning and nursing assessment requirements.
Findings
The facility was found not in substantial compliance with requirements related to baseline person-centered care plans and nursing assessments. Specifically, the facility failed to develop a baseline care plan within 48 hours of admission and failed to have a registered nurse assess a resident on admission for 1 of 3 residents reviewed.
Complaint Details
Complaint#: NJ146379. The facility was found not in substantial compliance based on this complaint visit.
Severity Breakdown
SS=D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to develop a baseline person-centered care plan within 48 hours of admission for 1 of 3 residents reviewed. | SS=D |
| Failure to have a Registered Nurse assess a resident on admission for 1 of 3 residents reviewed. | — |
Report Facts
Sample Size: 3
Inspection Report
Routine
Census: 126
Deficiencies: 0
May 5, 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: 5
Inspection Report
Routine
Census: 126
Deficiencies: 0
Feb 24, 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 had implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 9
Inspection Report
Routine
Census: 128
Deficiencies: 0
Jan 26, 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 and recommended COVID-19 practices.
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
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