Inspection Reports for Roosevelt Care Center At Old Bridge
1133 Marlboro Road, NJ, 08857
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Moderate
Unclassified
Census Over Time
Census
Capacity
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 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: 166
Deficiencies: 3
Aug 27, 2024
Visit Reason
A recertification survey was conducted from 08/19/24 to 08/27/24 to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities, including complaint investigations identified by complaint numbers NJ00165563, NJ00171643, and NJ00172586.
Findings
Deficiencies were cited related to failure to report alleged violations of abuse, neglect, exploitation, or mistreatment timely and appropriately, and quality of care issues including failure to consistently apply interventions to prevent harm to residents. The facility was found not in substantial compliance with certain regulatory requirements.
Complaint Details
Complaint investigation was substantiated as evidenced by failure to report alleged violations to the New Jersey Department of Health (NJDOH) as required. The facility failed to report an incident involving Resident #138 to NJDOH within required timeframes.
Severity Breakdown
Level D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to report alleged violations involving abuse, neglect, exploitation or mistreatment immediately, but not later than 2 hours after the allegation if serious bodily injury or within 24 hours if no serious injury. | Level D |
| Failure to ensure quality of care by consistently applying interventions to prevent harm to residents. | Level D |
| Failure to maintain required minimum direct care staff-to-shift ratios as mandated by the state of New Jersey for 9 of 14 day shifts reviewed. | — |
Report Facts
Census: 166
Sample size: 34
Staffing deficiency days: 9
CNA staffing counts: 16
CNA staffing counts: 20
CNA staffing counts: 20
CNA staffing counts: 20
CNA staffing counts: 18
CNA staffing counts: 20
CNA staffing counts: 19
CNA staffing counts: 20
CNA staffing counts: 18
Inspection Report
Renewal
Census: 167
Capacity: 180
Deficiencies: 9
Dec 8, 2022
Visit Reason
A recertification survey was conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health (NJDOH) to assess compliance with regulatory requirements for Roosevelt Care Center at Old Bridge.
Findings
The facility was found not to be in substantial compliance with 42 CFR 483 subpart B. Multiple deficiencies were cited related to resident rights, medication administration, accuracy of assessments, ADL care, infection control, bedrails, lab services, garbage disposal, and infection prevention and control. Corrective actions and monitoring plans were outlined for each deficiency.
Severity Breakdown
SS=E: 2
SS=D: 5
SS=F: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Facility failed to assure that three sampled residents were treated in a respectful and dignified manner during dining. | SS=E |
| Facility failed to assure one resident did not self-administer medication without assessment, resulting in an extra dose. | SS=D |
| Facility failed to ensure accuracy of assessments for two residents. | SS=D |
| Facility failed to provide assistance with ADLs for two residents dependent on staff. | SS=D |
| Facility failed to ensure proper care for residents with bowel/bladder incontinence, catheter, and UTI. | SS=E |
| Facility failed to ensure prompt notification of lab results to physician. | SS=D |
| Facility failed to properly dispose of garbage and refuse, resulting in potential pest harborage. | SS=F |
| Facility failed to ensure infection prevention and control program was fully implemented. | SS=D |
| Facility failed to ensure proper use and maintenance of bedrails, resulting in entrapment risk. | SS=D |
Report Facts
Survey Census: 167
Total Capacity: 180
Sample Size: 36
Deficiencies cited: 9
Residents reviewed for CNA staffing: 167
CNA staffing deficiencies: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 1 | Licensed Practical Nurse | Named in feeding and wound care findings |
| Director of Nursing | Director of Nursing | Interviewed regarding feeding practices, medication error, and corrective actions |
| Certified Nursing Assistant 1 | Certified Nursing Assistant | Observed feeding residents and interviewed about feeding practices |
| Licensed Practical Nurse 2 | Licensed Practical Nurse | Educated on self-administration of medication |
| Licensed Practical Nurse 3 | Licensed Practical Nurse | Performed wound care competency |
| Certified Nursing Assistant 3 | Certified Nursing Assistant | Educated on facility policy and oral hygiene |
| Certified Nursing Assistant 4 | Certified Nursing Assistant | Interviewed regarding nail care and hygiene |
| Licensed Practical Nurse 10 | Licensed Practical Nurse | Interviewed regarding resident care and equipment |
| Director of Operations | Director of Operations | Interviewed regarding bed rail entrapment risk and garbage disposal |
| Dietary Manager | Dietary Manager | Interviewed regarding garbage disposal area |
| Regional Registered Dietician | Registered Dietician | Interviewed regarding garbage disposal area |
| Social Worker | Social Worker | Interviewed regarding feeding practices and resident dignity |
Inspection Report
Abbreviated Survey
Census: 162
Deficiencies: 1
Sep 30, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with CMS and CDC recommended practices for COVID-19. Additionally, a review of staffing ratios was conducted to evaluate compliance with New Jersey state staffing requirements.
Findings
The facility was found to be in compliance with infection control regulations related to COVID-19. However, the facility was not in compliance with New Jersey staffing requirements, failing to maintain the required minimum direct care staff-to-resident ratios on multiple day shifts during July and September 2022.
Deficiencies (1)
| Description |
|---|
| Failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. |
Report Facts
Census: 162
Sample Size: 7
COVID+ In-house: 21
Deficiencies in CNA staffing: 9
CNA staffing counts: 16.5
CNA staffing counts: 16
CNA staffing counts: 17
CNA staffing counts: 19.5
CNA staffing counts: 19
CNA staffing counts: 15
CNA staffing counts: 19
CNA staffing counts: 19
CNA staffing counts: 17
CNA staffing counts: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Discussed staffing ratio concerns with surveyor | |
| Director of Nursing | Discussed staffing ratio concerns with surveyor | |
| Administrator DON | Will work with staffing coordinator to transfer staff to day shift to fulfill staffing requirements | |
| Staffing Coordinator | Will work with Administrator DON to transfer staff and conduct weekly analysis on CNA needs | |
| Director of Nursing | Director of Nursing | Will conduct staffing/scheduling audits with Assistant Director of Nursing and staffing coordinator |
| Assistant Director of Nursing | Assistant Director of Nursing | Will conduct staffing/scheduling audits with Director of Nursing and staffing coordinator |
Inspection Report
Routine
Census: 158
Deficiencies: 0
Aug 10, 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 to be in compliance with 42 CFR §483.80 infection control regulations and CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 7
COVID + in-house: 12
Inspection Report
Complaint Investigation
Census: 154
Deficiencies: 0
Mar 14, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health based on a complaint (NJ00151673).
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and implemented CMS and CDC recommended practices for COVID-19. The facility met the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.
Complaint Details
Complaint #: NJ00151673. The facility was found in compliance based on this complaint survey.
Report Facts
Sample size: 7
Inspection Report
Abbreviated Survey
Census: 168
Deficiencies: 0
Oct 13, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with CMS and CDC recommended practices for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations related to COVID-19 practices.
Report Facts
Sample size: 6
Inspection Report
Routine
Census: 155
Deficiencies: 0
Feb 4, 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: 156
Deficiencies: 0
Nov 23, 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: 3
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