Inspection Reports for Runnells Care Center

Complaint #2585508 and Complaint #2638227 involved failure to report an injury of unknown origin for Resident #3 and failure to ensure consistent documentation of care and monitoring for Residents #1 and #3. The injury was not reported to the New Jersey State Department of Health. Documentation blanks were found in behavior monitoring and food intake records. The facility acknowledged these deficiencies during interviews with the Assistant Director of Nursing and other administrators.

The facility failed to timely report an injury of unknown origin to the state health department and did not thoroughly update the care plan for the affected resident. Additionally, the facility failed to ensure consistent documentation of care and monitoring of residents, including behavior monitoring and food intake, as required by professional standards and the individualized care plans.

The facility was found deficient in multiple areas including failure to ensure residents' rights to dignified dining, failure to provide appropriate care for residents with contractures, improper glove use and hand hygiene during food preparation, and improper glove technique during wound care and personal care, all posing potential risks to resident health and dignity.

Multiple complaints (NJ00166492, NJ00168703, NJ00172195, NJ00171859, NJ00169098, NJ00169722, NJ00165993, NJ00171738, NJ00168609, NJ00169823) were investigated during the survey.

Deficiencies were cited related to accuracy of assessments, physician visit frequency, psychotropic medication monitoring, staffing ratios, and life safety code violations including illumination of means of egress, linen chute fire rating, and fire door inspections.

Complaint NJ #165993 related to inadequate monitoring of psychotropic medication behaviors for Resident #656.

The facility failed to accurately code MDS assessments for residents taking antidepressants, ensure primary physicians conducted face-to-face visits at required intervals, and adequately monitor and document behaviors related to psychotropic medication use, including the number of episodes, interventions, and outcomes.

The complaint investigation involved multiple complaint numbers. The facility failed to meet minimum staffing requirements on 14 of 21 day shifts from 06/18/2023 to 07/08/2023. The facility also failed to protect the rights of residents to be free from abuse, with documented incidents of resident-on-resident abuse resulting in injuries requiring emergency room visits and hospitalizations. The incidents were reported timely to the state agency and police. The facility conducted investigations and implemented corrective actions including staff re-education and quality assurance monitoring.

The facility was found not in substantial compliance with state and federal regulations, including failure to meet mandatory staffing ratios on multiple day shifts and failure to protect residents from abuse by other residents, resulting in injuries requiring hospitalization.

The complaint investigation substantiated that resident-to-resident abuse occurred resulting in serious injuries to residents R11 and R7. The incidents were reported to the state agency and police within required timeframes. The facility's investigation revealed no prior aggressive behaviors for resident R24 and unclear causation for the altercation between R7 and R23. The abuse was confirmed by staff interviews and medical documentation.

The facility failed to protect residents R11 and R7 from physical abuse by other residents, resulting in facial injuries requiring hospitalization and surgical intervention. Investigations revealed multiple incidents of abuse involving residents R24, R23, R11, and R7, with documented injuries and emergency medical interventions. The facility reported incidents timely and conducted investigations including staff interviews.

The complaint investigation was based on multiple complaints (NJ160624, NJ153610, NJ153387, NJ153453, NJ160500). The facility was found not in substantial compliance with requirements related to accounting and records of personal funds, specifically failure to provide quarterly PNA statements to residents.

The facility failed to ensure that residents receiving Personal Needs Allowance (PNA) were consistently provided quarterly financial statements. Specifically, Residents #3, #4, and #5 did not receive timely quarterly PNA statements as required, indicating a deficiency in accounting and records of personal funds.

The complaint investigation involved multiple allegations of abuse and failure to report incidents. Resident #3 reported being physically abused by staff during the overnight shift. The facility failed to report this allegation to the NJDOH as required by state and federal regulations. Interviews with staff including Licensed Practical Nurses, Unit Manager, Director of Nursing, and Vice President Clinical confirmed the failure to report. The facility policy mandates reporting within 2 hours to the Administrator or Director of Nursing and to the state agency within 5 working days.

The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, due to failure to report a staff-to-resident allegation of abuse involving Resident #3 to the New Jersey Department of Health as required. Interviews and record reviews confirmed the incident was reported internally but not to the state agency within the mandated timeframe.

Deficiencies were cited related to resident dignity and respect, safe and clean environment, professional standards of care, medication administration, quality of care, range of motion, respiratory care, dialysis, pharmacy services, medication errors, medication labeling and storage, staffing ratios, infection prevention and control, resident call system, and life safety code compliance including emergency lighting, exit signage, sprinkler system, corridor doors, smoke barriers, HVAC, and electrical systems.

The facility was found to be in noncompliance with several life safety code requirements including emergency lighting, exit signage, sprinkler system installation, corridor door latching, smoke barrier doors, HVAC ventilation, electrical panel safety, and emergency generator annunciator functionality.

The facility was found deficient in multiple areas including failure to maintain resident dignity during care, inadequate cleanliness of equipment, medication administration errors, failure to follow physician orders, insufficient staffing levels, delayed incontinence care, malfunctioning call bell systems, and improper infection control practices.

Complaint #NJ00145568 involved failure to notify next of kin regarding financial access for Resident #10. Complaint #NJ00146239 involved failure to monitor and notify physician after Resident #1's fall of unknown origin.

The facility was found non-compliant with federal regulations based on two main complaints: failure to notify a cognitively impaired resident's next of kin when accessing financial information, and failure to monitor and document changes in condition after a fall, including delayed notification of the physician and improper transfer procedures.

The complaint investigation involved multiple complaint numbers (NJ142853; NJ141483; NJ140253; NJ138759 and NJ135971). The facility was found not in compliance based on these complaints, including issues with food temperature, food safety, and medical record access.

The facility was found non-compliant due to failure to serve food at palatable temperatures affecting multiple residents, failure to maintain food safety and sanitary practices including improper hand hygiene by dietary staff, and failure to process a medical records request within two working days as required.