Inspection Reports for Sinai Post-Acute, Nursing & Rehab Center

The facility was found deficient in multiple areas including failure to maintain call bells within reach, unsafe and unsanitary living environment conditions, inadequate discharge planning, failure to follow care plan interventions for mechanical lifts and restorative nursing programs, medication administration errors, improper medication storage and labeling, delayed dental care, inconsistent infection control practices, and failure to maintain essential equipment in safe and sanitary condition.

Complaint NJ00182662 was substantiated based on record review and interviews indicating failure to provide consistent ostomy care to Resident #1017.

The facility failed to provide consistent ostomy care for Resident #1017, who had a colostomy and was dependent on staff for management. The colostomy drainage bag was not emptied during the 11 PM to 7 AM shift, resulting in a burst bag and soiling of the resident and bed. No skin excoriation was noted, and the resident was cleaned and reassured.

Complaint NJ186463 involved allegations of inadequate care planning, supervision, and behavioral health services following a resident's death related to illicit drug use. The complaint was substantiated with findings of deficient practices affecting multiple residents.

The facility failed to develop a comprehensive care plan addressing emotional support for a resident who witnessed another resident's death, failed to ensure adequate supervision to prevent accidents related to drug use, failed to conduct thorough investigations after Narcan administration, and failed to provide necessary behavioral health care services. Additionally, a Licensed Practical Nurse improperly applied a medication patch contrary to physician orders.

The facility failed to timely review and revise the care plan for one resident after falls and overdoses, and failed to follow physician orders and document medication administration for two residents, indicating deficiencies in care planning and pharmaceutical services.

Complaint numbers NJ00175921, NJ00160483, and NJ00159461 triggered the survey. The facility was found not in compliance based on these complaints.

The facility was found not in compliance due to failure to timely review and revise care plans for residents, failure to follow physician orders and medication administration policies for two residents, and failure to maintain required minimum staff-to-resident ratios on multiple shifts.

Complaint # NJ 175415 regarding treatment and rights violations of 11 Justice Involved Residents at Sinai Post-Acute Nursing & Rehab Center.

The facility failed to ensure that 11 Justice Involved Residents were afforded autonomy, treated with dignity and respect, and were free from physical restraints and involuntary seclusion. Residents were secluded to their rooms, restrained with metal ankle shackles attached to beds, restricted from participating in group activities, community dining, and communicating freely with visitors. This resulted in an Immediate Jeopardy (IJ) situation.

Complaint # NJ 175415. Immediate Jeopardy identified due to failure to provide autonomy and rights to 11 residents. Immediate Jeopardy removal plan accepted and verified on 07/29/24.

The facility was found not in substantial compliance with federal requirements, with Immediate Jeopardy identified due to failure to provide 11 residents autonomy to participate in group activities, community dining, dignified meal service, communication with visitors, freedom to leave rooms at will, and freedom from physical restraints. Admission agreements were also not signed by these residents. The facility implemented corrective actions including discharging all affected residents and ceasing admissions of similar residents. The Immediate Jeopardy was removed as of 07/26/24.

The facility was found deficient in multiple areas including maintaining a safe and homelike environment, accurate resident assessments, comprehensive care planning, timely physician visits and documentation, appropriate dialysis medication scheduling, infection control practices, and proper food service equipment storage and sanitation.

The facility failed to accurately code the MDS assessments for two residents, resulting in miscoding of discharge status. The MDS Coordinator admitted errors in coding the discharge assessments for both residents, with one discharge planned and the other unplanned.

Complaint numbers NJ00159458, NJ00159211, NJ00159056, NJ00158923, NJ00158871, NJ00155764, NJ00151577, NJ00150854 were investigated during this survey.

The facility was found to be in substantial compliance with emergency preparedness requirements but had deficiencies related to maintaining a safe, clean, and homelike environment, accuracy of assessments, comprehensive care plans, infection control, food safety, life safety code violations including egress doors, fire alarm system, sprinkler system, and electrical systems. Deficiencies were identified through observation, interviews, and record reviews.

Complaint #: NJ00157788. The complaint investigation found the facility did not report a resident who left the facility without authorization, violating reporting requirements. The incident was substantiated by interviews and record reviews.

The facility failed to report an incident involving a resident who left the facility without staff authorization to the New Jersey Department of Health as required by state law and facility policies. The resident was denied admission but was dropped off and left the facility without being reported as an elopement.

The visit was complaint-related, triggered by concerns about infection control, pressure ulcer care, restorative nursing, dialysis care, physician order compliance, medication management, hospice care, food safety, and infection prevention practices.

The facility was found deficient in multiple areas including failure to consistently provide appropriate pressure ulcer care, failure to follow through with restorative nursing programs, inadequate post dialysis assessments, lack of physician signatures on monthly orders, failure to follow up on consultant pharmacist recommendations, improper medication labeling and storage, failure to maintain hospice nurse communication records and respect resident advanced directives, unsafe food storage temperatures, and inadequate infection prevention and control practices including hand hygiene and sanitization of shared equipment.

The complaint was substantiated as the facility failed to meet the minimum staffing requirements for certified nurse aides during the specified shifts and dates. The facility acknowledged the issue and is taking corrective actions.

The facility was found not in compliance with New Jersey staffing requirements for certified nurse aides during the 7:00 AM to 3:00 PM shift on multiple days from August 1 to August 7, 2021. The Administrator and Director of Nursing acknowledged the staffing concerns and reported efforts to hire new CNAs and offer incentives.

Complaint #: NJ 144443, 144778. The facility was found not in substantial compliance with 42 CFR PART483, SUBPART B, based on this complaint visit.

The facility failed to ensure that the refrigerator in the 3rd floor dayroom was checked and documented daily for temperature, and that residents' food items stored there were properly labeled and dated. This posed a risk to food safety and resident health.