Inspection Reports for Riverside Health And Rehabilitation Center Llc
325 Jersey Street, Trenton, NJ, 08611
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 20, 2025, did not identify any deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to staffing ratios, abuse and neglect training and investigation, infection control, environment cleanliness, and safety measures. Several complaint investigations were substantiated, including issues with failure to investigate abuse promptly and inadequate staffing levels, but enforcement actions such as fines or license suspensions were not listed in the available reports. Most complaints were substantiated, particularly those involving staffing and abuse prevention, while some infection control concerns were noted in prior years. The facility’s record shows some improvement over time, with the most recent inspection free of deficiencies after a period of mixed results.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
7.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
46% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
126 residents
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Notice
Deficiencies: 0
Date: 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 details the types of information covered, the circumstances under which health information may be used or disclosed, and the legal duties and rights of individuals regarding their health information privacy.
Report Facts
Effective date: 2011
Response time: 30
Complaint filing period: 6
Complaint filing period for electronic records: 3
Notice mailing period: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, NJDHSS Privacy Officer | Contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 126
Deficiencies: 3
Date: Mar 25, 2025
Visit Reason
The inspection was conducted based on complaint NJ00184543 to investigate allegations of abuse, neglect, and failure to implement facility policies related to abuse and neglect training and investigation.
Complaint Details
Complaint NJ00184543 involved allegations of abuse and neglect. The facility failed to provide annual abuse and neglect training to one of two employee files reviewed and failed to immediately investigate and report an alleged abuse incident involving Resident #2. The complaint was substantiated based on interviews, record reviews, and documentation.
Findings
The facility was found not in substantial compliance with requirements due to failure to provide annual abuse and neglect training to all staff and failure to immediately investigate and report an alleged abuse incident involving Resident #2. Staffing deficiencies related to CNA ratios were also identified.
Deficiencies (3)
Failure to implement the facility's Abuse, Neglect and Exploitation policy ensuring annual education for existing staff.
Failure to immediately initiate an investigation of alleged abuse and implement the facility's policy for abuse, neglect, and exploitation.
Failure to maintain required minimum staff-to-resident ratios as mandated by the state of New Jersey for 6 day shifts.
Report Facts
CNA staffing deficiency days: 6
Census: 126
Employees mentioned
| Name | Title | Context |
|---|---|---|
| ADON | Provided in-service training on Abuse and Neglect policy on 3/24/25 and conducted audits to ensure compliance. | |
| Social Worker (SW) | Responsible for directing the social service department and ensuring competence of social services personnel; failed to ensure annual abuse and neglect training. | |
| Director of Nursing (DON) | Responsible for auditing resident concerns and ensuring allegations of abuse or neglect are investigated and reported. |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 141
Deficiencies: 17
Date: Nov 25, 2024
Visit Reason
A complaint investigation and recertification survey were conducted to determine compliance with 42 CFR Part 483 for long term care facilities, triggered by complaints # NJ 172764, 175812, 177341.
Complaint Details
Complaint investigation was substantiated with multiple deficiencies identified related to resident rights, abuse prevention, assessment accuracy, medication management, environment safety, infection control, and other regulatory requirements.
Findings
The facility was found not in substantial compliance with resident rights, reasonable accommodations, abuse prevention, accuracy of assessments, medication administration, environment safety, infection control, and other regulatory requirements. Multiple deficiencies were cited across various areas including resident privacy, call bell accessibility, environment cleanliness, documentation, and safety measures.
Deficiencies (17)
Facility failed to maintain an environment that protected and valued residents' private space and personal property.
Facility failed to maintain call bell within reach for sampled residents.
Facility failed to provide a safe, clean, comfortable, and homelike environment.
Facility failed to investigate allegations of abuse, neglect, exploitation, or mistreatment thoroughly.
Facility failed to accurately assess residents' status in Minimum Data Set (MDS).
Facility failed to develop and implement comprehensive person-centered care plans.
Facility failed to maintain thorough documentation following professional standards of clinical practice.
Facility failed to maintain adequate staffing ratios as mandated by the state.
Facility failed to ensure infection prevention and control program was effective.
Facility failed to ensure food safety requirements were met, including discarding expired food items.
Facility failed to ensure resident call bell system was properly functioning.
Facility failed to ensure proper storage and labeling of respiratory equipment.
Facility failed to ensure proper storage and labeling of oxygen cylinders.
Facility failed to ensure proper fire safety measures including delayed egress locking systems and exit signage.
Facility failed to ensure electrical systems and emergency power outlets were properly maintained and marked.
Facility failed to ensure smoking regulations were properly implemented and enforced.
Facility failed to ensure proper drug regimen review and pharmacist reporting.
Report Facts
Census: 127
Total Capacity: 141
Sample Size: 28
Deficiencies cited: 17
Staffing Deficiency: 7
Expired food items: 4
Expired water cases: 70
Fire extinguisher inspections: 1
Monthly audits: 4
Inspection Report
Complaint Investigation
Census: 130
Deficiencies: 1
Date: Jun 18, 2024
Visit Reason
The inspection was conducted based on multiple complaints (NJ00173593, NJ00168518, NJ00173213, NJ00172434) to assess compliance with regulatory standards for long term care facilities.
Complaint Details
The visit was complaint-driven with four complaint numbers referenced. The facility was found deficient in CNA staffing on multiple days, including no RN coverage on 06/08/2024. The facility was required to submit a Plan of Correction.
Findings
The facility was found to be not in compliance with New Jersey Administrative Code standards due to failure to meet minimum staffing ratios on 7 of 14 day shifts, specifically deficient CNA staffing. The facility was otherwise in substantial compliance with federal requirements.
Deficiencies (1)
Failure to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratio as mandated by the State of New Jersey for 7 of 14 day shifts.
Report Facts
Census: 130
Deficient CNA staffing days: 7
Required CNAs on day shift: 16
Actual CNAs on day shifts: 13
Inspection date: Jun 18, 2024
Revisit date: Jul 23, 2024
Inspection Report
Routine
Census: 118
Deficiencies: 2
Date: Dec 29, 2022
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 not in compliance with infection control regulations, including failure to use appropriate PPE by staff, failure to post COVID-19 outbreak information, inadequate hand hygiene by visitors and staff, failure to disinfect screening equipment, and insufficient PPE availability in isolation areas. Additionally, the facility failed to maintain required minimum direct care staff-to-resident ratios on multiple shifts.
Deficiencies (2)
Failure to utilize appropriate personal protective equipment (PPE) for staff and failure to follow infection control protocols including hand hygiene and equipment disinfection.
Failure to maintain required minimum direct care staff-to-resident ratios for day and evening shifts.
Report Facts
Census: 118
Deficiencies in CNA staffing: 12
Deficiencies in CNA staffing: 1
Residents: 126
Certified Nursing Assistants (CNAs): 15
Required CNAs: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Observed wearing incorrect PPE and interviewed about PPE use |
| CNA #2 | Certified Nursing Assistant | Observed failing to doff PPE and perform hand hygiene during meal tray delivery |
| Licensed Practical Nurse (LPN) | Unit Manager | Interviewed regarding PPE availability and isolation room signage |
| Licensed Practical Nurse/Staff Development (LPN/SD) | Staff Development Nurse | Interviewed about staff education and infection control policies |
| Receptionist | Interviewed regarding visitor screening and hand hygiene enforcement | |
| Staffing Coordinator (SC) | Staffing Coordinator | Interviewed about staffing levels and agency use |
| Licensed Nursing Home Administrator (LNHA) | Administrator | Interviewed regarding outbreak notification and visitor logs |
| Security Officer | Security Officer | Observed wearing improperly secured N95 mask |
Inspection Report
Original Licensing
Capacity: 141
Deficiencies: 0
Date: Oct 25, 2022
Visit Reason
Initial inspection of an addition of 10 licensed beds, increasing the licensed bed count from 131 to 141.
Findings
The facility was found to be in compliance with New Jersey Administrative Code standards and 42 CFR Part 483 requirements. No deficiencies were noted during the inspection of the ten additional beds.
Report Facts
Licensed bed count increase: 10
Inspection Report
Complaint Investigation
Census: 121
Deficiencies: 1
Date: Dec 6, 2021
Visit Reason
The inspection was conducted based on complaint #NJ148877 to determine compliance with long term care facility regulations.
Complaint Details
Complaint #NJ148877 was investigated with a sample size of 3 residents. The facility was found in compliance with 42 CFR, Part 483, Subpart B requirements based on this complaint visit.
Findings
The facility was found not in compliance with New Jersey Administrative Code staffing requirements, failing to meet minimum staff-to-resident ratios on multiple shifts. The complaint investigation concluded the facility was in compliance at the time of the complaint visit.
Deficiencies (1)
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 23 of 49 shifts reviewed.
Report Facts
Deficient shifts: 23
Census: 121
Sample size: 3
Staffing deficits: 6
Staffing deficits: 13
Staffing deficits: 1
Staffing deficits: 2
Inspection Report
Complaint Investigation
Census: 121
Deficiencies: 1
Date: Sep 25, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ146308, NJ146743, and NJ143224 to investigate staffing ratio compliance.
Complaint Details
Complaint Intake NJ146308. The facility failed to meet minimum staffing ratios as required by New Jersey statutes, affecting all residents. Staffing shortages were confirmed through interviews and document review.
Findings
The facility was found not in substantial compliance with staffing ratio requirements as it failed to meet minimum staffing ratios for 16 of 42 shifts reviewed, potentially affecting all residents. The facility was taking corrective actions including increasing CNA pay rates and staffing agency contracts.
Deficiencies (1)
Failed to ensure staffing ratios were met for 16 of 42 shifts reviewed, violating mandatory access to care regulations.
Report Facts
Census: 121
Shifts with staffing deficiencies: 16
Staff-to-resident ratios: 11
Staff-to-resident ratios: 9
Staff-to-resident ratios: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Scheduler | Interviewed regarding staffing schedules and use of agency staff | |
| Administrator | Verified staffing shortages and described corrective actions being taken |
Inspection Report
Annual Inspection
Census: 119
Deficiencies: 5
Date: Jul 15, 2021
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, accuracy of resident assessments, food safety and sanitation, proper garbage disposal, and compliance with staffing requirements. Deficiencies included unsanitary conditions in resident rooms and common areas, inaccurate Minimum Data Set (MDS) assessments, improper food handling and storage, uncovered garbage containers, and failure to meet minimum staffing ratios.
Deficiencies (5)
Failed to maintain a clean and sanitary environment in resident rooms and common areas.
Failed to ensure accurate Minimum Data Set (MDS) assessments for residents.
Failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner.
Failed to provide a sanitary environment by not keeping garbage container area free of debris and uncovered dumpster lid.
Failed to meet minimum staffing ratios as required by state law.
Report Facts
Census: 119
Deficiency severity counts: 5
Staffing ratios: 17.7
Staffing ratios: 23.8
Inspection Report
Life Safety
Deficiencies: 7
Date: Jul 7, 2021
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 07/07/21 and 07/08/21 to assess compliance with fire safety and life safety code requirements for Riverside Nursing and Rehabilitation Center.
Findings
The facility was found to be noncompliant with several Life Safety Code requirements including delayed egress door locking arrangements, emergency lighting, exit signage, fire alarm system maintenance, sprinkler system maintenance, corridor door functionality, and improper use of power strips for electrical equipment. Deficiencies were observed in multiple areas including malfunctioning delayed egress doors, lack of emergency lighting in the electrical room, missing or incorrect exit signage, smoke detector obstruction, gaps in ceiling tiles affecting sprinkler system integrity, corridor doors not closing properly, and unsafe electrical power strip usage with portable air conditioners.
Deficiencies (7)
Exit doors locked with delayed egress devices lacked instructional signage and some devices were not functioning properly.
Emergency lighting was not provided in the basement electrical room with emergency generator.
Exit doors in the Physical Therapy room lacked proper 'No Exit' signage.
Supervised smoke detection was obstructed by an orange dust cover on a smoke detector in the exit corridor.
Sprinkler system maintenance deficiencies due to gaps and missing ceiling tiles compromising smoke resistance and fire rating in multiple locations.
Corridor door to a resident room would not close and latch properly, impeding smoke containment.
Improper use of power strips for high draw appliances (portable window air conditioners) and medical equipment in resident rooms and offices.
Report Facts
Egress doors observed: 15
Smoke detectors observed: 30
Vertical openings reviewed: 50
Doors observed: 30
Rooms observed: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Named in multiple findings including delayed egress door malfunction, emergency lighting, smoke detector obstruction, sprinkler system issues, corridor door malfunction, and electrical equipment violations | |
| Assistant Maintenance Director | Present during observations of delayed egress door deficiencies | |
| Administrator | Informed of all findings during Life Safety Code survey exit conference |
Inspection Report
Abbreviated Survey
Census: 115
Deficiencies: 1
Date: Apr 19, 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 not in compliance with infection control regulations, specifically failing to follow policies for Personal Protective Equipment (PPE) usage and hand hygiene, as evidenced by an Activities Aide not wearing required PPE and not performing hand hygiene, potentially risking COVID-19 transmission.
Deficiencies (1)
Failure to follow infection control policy for PPE usage and hand hygiene, including not wearing goggles or face shield in designated zones and not performing hand hygiene.
Report Facts
Census: 115
Sample size: 6
Observation audits: 5
Completion date: Jul 12, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Provided information about COVID-19 outbreak phase and PPE requirements | |
| Activities Aide | Failed to wear required PPE and perform hand hygiene, leading to deficiency | |
| Assistant Director of Nursing | Provided information about PPE requirements for staff | |
| Unit Manager | Observed and informed Activities Aide about PPE requirements | |
| Activities Director | Provided information about PPE requirements and restrictions for activities staff | |
| Infection Prevention Nurse | Provided information about PPE requirements and infection control practices | |
| Licensed Nursing Home Administrator | Confirmed staff education on PPE requirements |
Inspection Report
Routine
Census: 119
Deficiencies: 0
Date: Feb 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: 9
Inspection Report
Complaint Investigation
Census: 122
Deficiencies: 0
Date: Feb 3, 2021
Visit Reason
The inspection was conducted as a complaint investigation based on complaint #NJ142735.
Complaint Details
Complaint #NJ142735; the facility was found to be in substantial compliance.
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.
Report Facts
Sample size: 3
Inspection Report
Routine
Census: 112
Deficiencies: 0
Date: Dec 17, 2020
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
Abbreviated Survey
Census: 111
Deficiencies: 0
Date: Dec 1, 2020
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: 3
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