Inspection Reports for Seaton Ocean Grove Assisted Living & Memory Care

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Complaint investigation triggered by complaints NJ00174766 and NJ00175006 regarding resident safety, medication administration, and care plan deficiencies at Allegria Assisted Living.

The facility was found not in substantial compliance with New Jersey Administrative Code standards due to failure to ensure resident safety checks, failure to update resident service plans to reflect individualized needs, and failure to accurately administer medications according to prescriber orders. A plan of correction was submitted and verified on 08/28/2024.

Complaint investigation based on complaints NJ00174766 and NJ00175006. Substantiation status not explicitly stated.

The inspection was conducted as a complaint investigation related to deficiencies in the development, implementation, and enforcement of policies and procedures including resident assessments, service plans, and health service plans for residents.

The facility was found not in substantial compliance with New Jersey Administrative Code standards due to failure to ensure comprehensive policies for service plans, health service plans, and resident assessments. Specifically, Resident #1's service plan and health service plan were not updated as required, and assessments were not conducted following changes in condition or medication adjustments.

Complaint #: NJ00171770. The complaint investigation revealed deficiencies related to Resident #1's care, including failure to update service plans and health service plans in accordance with regulations.

A Standard and Complaint survey was conducted by the State Agency on 01/30/2024 and 01/31/2024 based on multiple complaint numbers. The survey included a Life Safety Code Survey and a review of compliance with New Jersey Administrative Code standards for Assisted Living Residences.

The facility was found not in substantial compliance with New Jersey Administrative Code standards. Deficiencies included failure to implement and enforce policies such as fall management and documentation, lack of required medical certifications for residents, failure to conduct nutritional assessments by a Registered Dietician, failure to maintain proper dishwasher temperatures, inadequate hygienic practices in the kitchen, failure to post menus with portion sizes and notify residents of menu changes, failure to monitor and record food temperatures, medication administration errors resulting in harm to a resident, unsanitary conditions in the kitchen and trash room, lack of annual electrical and fire door inspections, and failure to maintain fire safety barriers and egress corridors.

The survey was conducted as a Standard and Complaint survey based on multiple complaint numbers: NJ00163071, NJ00165694, NJ00168716, NJ00145975, NJ00146324, NJ00147510, NJ00162632, NJ00166744, NJ00166271.

The inspection was conducted as a complaint investigation based on complaint number NJ00163452.

The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.

Complaint number NJ00163452 was investigated and the facility was found to be in substantial compliance.

The inspection was conducted as a complaint investigation related to Resident #2's elopement and failure to comply with facility policies and procedures, including the 'Wander Guard' policy.

The facility was found not in substantial compliance with New Jersey Administrative Code 8:36 standards. Deficiencies included failure to implement and enforce the 'Wander Guard' policy, failure to reassess Resident #2 after hospital return, and failure to retain a copy of the Universal Transfer Form in the resident's medical record.

Complaint #NJ00160878. The complaint involved Resident #2's elopement and related failures in policy enforcement and resident assessment. The complaint was substantiated by interviews and record reviews.

The inspection was conducted as a complaint investigation related to concerns about the facility's compliance with New Jersey Administrative Code 8:36, specifically regarding policies and procedures including resident rights and safety.

The facility was found not in substantial compliance due to failure of the administrator to implement and enforce security policies, and failure to update Resident #2's General Service Plan to include safety interventions while on facility grounds. Incidents involving Resident #2 and Resident #3 were documented, highlighting lapses in security and resident safety.

Complaint # NJ00161291. The complaint investigation revealed incidents involving Resident #2 entering Resident #3's room and safety concerns related to Resident #2's discharge and presence on facility grounds. The facility failed to ensure appropriate security and updated care plans to address these issues.

The inspection was conducted as a complaint investigation based on complaint number NJ 00158860.

The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.

Complaint number NJ 00158860 was investigated and the facility was found to be in substantial compliance.

Complaint investigation triggered by complaint number NJ00154750 regarding failure to comply with resident rights and policies related to life-sustaining treatment and code status for residents.

The facility was found not in substantial compliance with New Jersey Administrative Code standards, specifically failing to implement and enforce policies related to resident rights, life-sustaining treatment orders (POLST), and code status. Deficiencies included failure to initiate appropriate emergency procedures for Resident #4, lack of staff education on policies, and failure to ensure authorized personnel made pronouncements of death.

Complaint #NJ00154750 involved allegations that the facility failed to implement policies and procedures regarding life-sustaining treatment and code status, failed to initiate required emergency procedures, and failed to ensure authorized personnel made pronouncements of death for Resident #4.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 05/17/2021 to assess compliance with infection control regulations and CDC recommended practices for COVID-19 preparation.

The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices for COVID-19.

The inspection was conducted as a complaint investigation (Complaint #: NJ 00142139) due to concerns about medication administration errors and failure to implement and enforce policies and procedures related to medication delegation.

The facility was found not in substantial compliance with New Jersey Administrative Code 8:36 standards. Deficiencies included pre-pouring medications by a Certified Medication Aide (CMA), administering medications without physician orders, and failure to ensure medications were administered according to prescriber orders. The facility failed to enforce its policy on medication delegation and pharmaceutical services.

Complaint #: NJ 00142139. The complaint was substantiated as the facility failed to comply with medication administration policies, resulting in medication errors and administration without proper physician orders.