Inspection Reports for Southern Ocean Center
1361 NJ-72 West, Manahawkin, NJ 08050, United States, NJ, 08050
Back to Facility ProfileDeficiencies per Year
20
15
10
5
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 explains 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, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Complaint Investigation
Census: 131
Deficiencies: 1
Jul 12, 2024
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ173739 and NJ175403, focusing on compliance with staffing requirements and infection control.
Findings
The facility was found in compliance with COVID-19 infection control regulations but was not in compliance with New Jersey staffing ratio requirements, failing to meet minimum CNA staffing ratios on multiple day, evening, and overnight shifts during the two-week complaint period.
Complaint Details
Complaint #: NJ173739, NJ175403. The facility failed to meet minimum staffing ratios as mandated by New Jersey law during the complaint period from 06/23/2024 to 07/06/2024.
Deficiencies (1)
| Description |
|---|
| Failed to ensure staffing ratios were met for 14 of 14-day shifts, 3 of 14-evening shifts, and 2 of 14-overnight shifts reviewed, potentially affecting all residents. |
Report Facts
Census: 131
Sample Size: 8
Deficient staffing shifts: 14
Deficient staffing shifts: 3
Deficient staffing shifts: 2
Required CNAs: 16
Actual CNAs: 11
Required CNAs: 7
Actual CNAs: 5
Required total staff: 9
Actual total staff: 8
Required CNAs: 15
Actual CNAs: 10
Required CNAs: 6
Actual CNAs: 5
Required total staff: 8
Actual total staff: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Re-educated by Market Clinical Advisor on NJ minimum staffing mandate. | |
| Director of Nursing | Re-educated by Market Clinical Advisor on NJ minimum staffing mandate. | |
| Staffing Coordinator | Re-educated by Market Clinical Advisor on NJ minimum staffing mandate and responsible for auditing staffing sheets. |
Inspection Report
Routine
Census: 123
Capacity: 132
Deficiencies: 8
May 2, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities, including complaint investigations and life safety code survey.
Findings
Deficiencies were cited related to notice requirements before transfer/discharge, comprehensive assessment after significant change, bowel/bladder incontinence care, sufficient nursing staff, pharmacy services, infection prevention and control, and life safety code compliance. The facility failed to meet several regulatory requirements impacting resident care and safety.
Complaint Details
The survey included complaint investigations for complaints #159232, 159474, 159711, 159967, 160488, 165676, 165838, 169655, 169813, 170197. Deficiencies were substantiated related to notification of transfer, assessment after significant change, staffing, and medication management.
Severity Breakdown
SS=D: 5
SS=E: 1
SS=F: 2
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to notify resident and representative in writing prior to transfer or discharge. | SS=D |
| Failed to complete a significant change assessment within 14 days after a resident's status change. | SS=D |
| Failed to provide appropriate treatment and care for residents with urinary and fecal incontinence. | SS=D |
| Insufficient nursing staff to provide nursing care on a 24-hour basis. | SS=D |
| Failed to maintain accurate records and accountability for controlled drugs and medication administration. | SS=E |
| Failed to establish and maintain an infection prevention and control program. | SS=D |
| Failed to ensure fire doors were inspected annually and maintained in accordance with NFPA 101 Life Safety Code. | SS=F |
| Failed to ensure low voltage wiring was protected in accordance with NFPA 101. | SS=F |
Report Facts
Census: 123
Total Capacity: 132
Deficiencies cited: 8
Survey Date: May 2, 2024
Follow-up Completion Date: Jun 4, 2024
Inspection Report
Life Safety
Census: 102
Capacity: 117
Deficiencies: 3
Apr 30, 2024
Visit Reason
A Life Safety Code Survey was conducted by Healthcare Management Solutions, LLC on behalf of the New Jersey Department of Health on 04/30/2024 to assess compliance with fire safety regulations and the 2012 Edition of the National Fire Protection Association (NFPA) 101 Life Safety Code.
Findings
The facility was found to be in noncompliance with several Life Safety Code requirements including inadequate fire barrier enclosure of the boiler room, unprotected low voltage wiring under seven feet, and failure to conduct annual inspections of fire doors. These deficiencies had the potential to affect all 102 residents.
Severity Breakdown
SS=F: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| The boiler room was not at least one-hour fire rated as a 3-inch sprinkler pipe going through the East Wall was not sealed with fire rated material. | SS=F |
| Low voltage wiring under seven feet for the fire alarm system was not protected in conduit in the dry sprinkler room and elevator machine room. | SS=F |
| Fire doors were not inspected annually by a qualified individual and lacked required inspection tags. | SS=F |
Report Facts
Occupied beds: 102
Total licensed capacity: 117
Deficiency completion dates: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed and confirmed deficiencies related to fire safety and maintenance |
Inspection Report
Annual Inspection
Census: 116
Deficiencies: 18
Apr 6, 2022
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to resident rights, self-determination, request/refusal of treatment, reporting of alleged violations, investigation of alleged violations, care plan timing and revision, services meeting professional standards, nutritive value and food temperature, frequency of meals and snacks, food procurement and sanitation, dialysis care, sufficient nursing staff, influenza and pneumococcal immunizations, COVID-19 testing and vaccination of staff.
Severity Breakdown
SS=D: 9
SS=E: 5
SS=F: 2
: 3
Deficiencies (18)
| Description | Severity |
|---|---|
| Failed to ensure resident dignity by failing to ensure privacy covers were in place for residents with urinary bags, affecting 2 residents. | SS=D |
| Failed to follow facility policy for Activities of Daily Living (ADLs) and ensure resident's right to make choices about aspects of life, specifically bathing requests for 1 resident. | SS=E |
| Failed to follow facility policy for Advance Directives to ensure complete and updated documentation and to inform and offer educational material regarding Advance Directives for 1 resident. | SS=E |
| Failed to report an allegation of abuse to the state survey agency for 1 resident. | SS=D |
| Failed to thoroughly investigate an allegation of abuse for 1 resident. | SS=D |
| Failed to update and revise resident care plans to include interventions for pressure injury and unsafe behavior for 2 residents. | — |
| Failed to follow standards of practice by failing to accurately document a locked emergency cart and staff signatures indicating it was locked when it was not locked. | SS=D |
| Failed to investigate an incident of unsafe smoking behavior by a resident and failed to document and implement interventions to prevent recurrence. | SS=D |
| Failed to administer respiratory care per physician orders, failed to change and label respiratory supplies weekly, and failed to post cautionary signage for oxygen therapy for 4 residents. | SS=E |
| Failed to consistently offer residents bedtime snacks for 5 residents. | SS=F |
| Failed to maintain the kitchen in a clean and sanitary manner including wet nesting of insulated bases, dirty ceiling vents, soiled shelves, worn can opener with metal shavings, worn cutting boards, unrestrained facial hair, and improper storage of emergency water. | SS=F |
| Failed to follow policy for dialysis care including failure to document pre and post dialysis assessments, failure to accurately monitor and document fluid intake, and failure to ensure medication administration did not exceed fluid restrictions for 1 resident. | SS=E |
| Failed to maintain required minimum direct care staff to resident ratios on multiple day and night shifts. | — |
| Failed to provide food at appropriate hot and cold temperatures and failed to monitor and document food temperatures properly. | SS=D |
| Failed to consistently offer residents bedtime snacks and document acceptance or refusal for 5 residents. | — |
| Failed to maintain kitchen sanitation and food safety including unclean can opener, dirty cutting boards, unrestrained facial hair, and improper storage of food and emergency water. | — |
| Failed to develop and implement a process to track and perform weekly COVID-19 testing for unvaccinated or not up-to-date staff and failed to include all contracted hires and volunteers in vaccination tracking. | SS=E |
| Failed to ensure all staff were fully vaccinated for COVID-19 and failed to track vaccination status of all staff including contracted hires and volunteers. | SS=D |
Report Facts
Resident census: 116
Deficiency cited count: 16
Staffing deficiency days: 14
Staffing deficiency days: 3
Staff vaccination non-compliance: 16
Staff vaccination non-compliance: 3
Food temperature deviations: 4
Bedtime snack refusals or not offered: 16
Emergency water bottles: 51
Certified Nurse Aide staffing: 8
Certified Nurse Aide staffing: 9
Certified Nurse Aide staffing: 9
Certified Nurse Aide staffing: 8
Certified Nurse Aide staffing: 8
Certified Nurse Aide staffing: 8
Certified Nurse Aide staffing: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident #54 | Named in privacy cover deficiency | |
| Resident #69 | Named in privacy cover deficiency | |
| Resident #50 | Named in bathing request deficiency | |
| Resident #2 | Named in advance directive deficiency | |
| Resident #51 | Named in abuse reporting and investigation deficiencies | |
| Resident #11 | Named in care plan revision deficiency | |
| Resident #17 | Named in care plan revision, respiratory care, and accident hazards deficiencies | |
| Resident #63 | Named in respiratory care deficiency | |
| Resident #27 | Named in respiratory care deficiency | |
| Resident #4 | Named in dialysis care deficiency | |
| Resident #23 | Named in bedtime snack deficiency | |
| Resident #68 | Named in bedtime snack deficiency | |
| Resident #44 | Named in bedtime snack deficiency | |
| Resident #25 | Named in bedtime snack deficiency | |
| Food Service Director | FSD | Named in food safety deficiencies |
| Assistant Food Service Director | AFSD | Named in food safety deficiencies |
| Cook #1 | Named in food safety deficiencies | |
| LPN #1 | Named in dialysis care deficiency | |
| LPN #2 | Named in dialysis care deficiency | |
| LPN #3 | Named in dialysis care deficiency | |
| LPN #4 | Named in dialysis care deficiency | |
| Director of Nursing | DON | Named in multiple deficiencies including dialysis and COVID-19 vaccination |
| Infection Preventionist | IP | Named in COVID-19 testing and vaccination deficiencies |
| Licensed Nursing Home Administrator | LNHA | Named in COVID-19 vaccination deficiencies |
| Maintenance Director | MD | Named in food safety deficiencies |
| Dietary Staff #2 | Named in food safety deficiencies | |
| Regional Manager | RM | Named in food safety deficiencies |
| Human Resources Manager | HRM | Named in abuse reporting deficiency |
Inspection Report
Life Safety
Deficiencies: 2
Apr 6, 2022
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 04/06/22 to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the 2012 NFPA 101 Life Safety Code for existing health care occupancies.
Findings
The facility was found noncompliant with emergency lighting requirements and hazardous area enclosures. Specifically, a battery backup emergency light was missing above one of two emergency generator transfer switches, and fire-rated doors to hazardous areas were not self-closing and properly separated by smoke-resisting partitions, posing fire and smoke risks.
Severity Breakdown
SS=F: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide a battery backup emergency light above one of two emergency generator transfer switches as required by NFPA 101:2012. | SS=F |
| Failed to ensure fire-rated doors to hazardous areas were self-closing and separated by smoke-resisting partitions, with combustible materials improperly stored in the medical records room. | SS=F |
Report Facts
Room size: 217.8
Combustible cardboard boxes: 50
Combustible medical records: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed and confirmed findings related to emergency lighting and hazardous area door deficiencies |
Inspection Report
Routine
Census: 117
Deficiencies: 0
Feb 11, 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.
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
Complaint Investigation
Census: 94
Deficiencies: 1
Sep 16, 2021
Visit Reason
The inspection was conducted based on complaints NJ148246 and NJ148369 to investigate infection control practices and compliance with 42 CFR PART 483, SUBPART B for Long Term Care Facilities.
Findings
The facility was found not in substantial compliance due to failure to prevent the spread of infection, specifically by failing to keep soiled linens and a soiled brief off the floor. The facility was otherwise found compliant with COVID-19 infection control regulations. A follow-up revisit on 10/28/2021 confirmed correction of the cited deficiency.
Complaint Details
Complaint # NJ148246, NJ148369 triggered the inspection. The facility was found not in substantial compliance based on these complaints. The infection control deficiency was substantiated and corrected by 10/28/2021.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to prevent the spread of infection by failing to keep soiled linens and a soiled brief off the floor. | SS=D |
Report Facts
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in infection control deficiency related to handling of soiled linens |
| CNA #2 | Certified Nursing Assistant | Named in infection control deficiency related to handling of soiled linens |
Inspection Report
Complaint Investigation
Census: 103
Deficiencies: 0
Jun 15, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ140853, NJ143714, and NJ143793.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B for Long Term Care Facilities based on this complaint survey.
Complaint Details
Complaint numbers NJ140853, NJ143714, and NJ143793 were investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample Size: 4
Inspection Report
Routine
Census: 88
Deficiencies: 0
Jan 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.
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