Inspection Reports for Spring Hills Morristown
17 Spring Pl, Morristown, NJ 07960, United States, NJ, 07960
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Census Over Time
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, NJDHSS Privacy Officer | Contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 0
Aug 27, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ163186 and NJ164564.
Findings
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 Details
Complaint investigation for complaints NJ163186 and NJ164564; facility found in substantial compliance.
Report Facts
Sample Size: 4
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 12
Mar 14, 2024
Visit Reason
A Recertification and Complaint Survey was conducted due to multiple complaint numbers, to determine compliance with New Jersey licensure procedures and standards applicable to all licensed facilities.
Findings
The facility was found not in compliance with multiple regulatory requirements including failure to report a serious preventable adverse event, incomplete universal transfer forms, lack of full access to electronic medical records, failure to implement policies related to resident care and emergency procedures, failure to provide adequate resident care and rights, incomplete personnel files, failure to complete resident assessments, medication administration errors, failure to provide emergency services such as CPR, incomplete resident records, and failure to maintain adequate heating and air conditioning on the third floor.
Complaint Details
Complaint numbers NJ00149240, NJ00151046, NJ00153350, NJ00155359, NJ00168837 triggered the complaint investigation. The facility was found deficient in multiple areas related to resident care, documentation, and facility maintenance.
Deficiencies (12)
| Description |
|---|
| Failure to notify the Department of Health of a serious preventable adverse event involving Resident #2. |
| Failure to document Universal Transfer Forms for Residents #6 and #9. |
| Failure to provide full access to the electronic medical record for surveyors. |
| Failure to implement policies related to CPR, call bell response, emergency procedures, fall response, and incident reporting. |
| Failure to ensure Resident #2 received appropriate level of care addressing changing physical status. |
| Failure to ensure residents' rights to be free from neglect for Residents #2 and #4, including delayed call bell response and failure to initiate emergency lifesaving procedures. |
| Incomplete personnel files for 6 of 10 staff, missing application, job descriptions, reference checks, licenses, certifications, physical exams, tuberculosis testing, and mandatory training. |
| Failure to complete resident assessments by registered nurse for Resident #6. |
| Failure to administer medications as prescribed and failure to document rationale for missed medications for Residents #5, #7, and #8. |
| Failure to provide CPR for Resident #2 despite full code status and unresponsiveness. |
| Failure to maintain requested medical records accessible to surveyors for Residents #7 and #8. |
| Failure to maintain heating and air conditioning system on the third floor, resulting in cold hallways for several months. |
Report Facts
Census: 89
Sample size: 20
Time lapse: 80
Temperature limit: 82
Number of personnel files incomplete: 6
Number of residents with missed medications: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeanny Joseph | Executive Director | Named in Plan of Correction and responsible for ensuring compliance and training. |
| Assistant Director of Resident Care | Created progress notes related to Resident #2's death and interviewed during survey. | |
| Certified Medication Aide #1 | CMA | Interviewed regarding incident with Resident #2, unable to recall details. |
| Certified Medication Aide #2 | CMA | CPR certified at time of incident, interviewed about Resident #2 incident. |
| Director of Nursing | DON | Interviewed about EMR access, medication administration, and transfer forms. |
| Director of Environmental Services | DES | Responsible for HVAC maintenance and temperature monitoring. |
| Maintenance Assistant | MA | Reported HVAC unit replacement and temperature conditions on third floor. |
| Caregiver #4 | Caregiver | Reported HVAC issues on third floor and use of fans and portable heaters. |
Inspection Report
Routine
Census: 83
Deficiencies: 0
Dec 18, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards and CDC recommended practices for COVID-19 preparation.
Report Facts
Sample size: 5
Inspection Report
Abbreviated Survey
Census: 76
Deficiencies: 3
Nov 18, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey infection control regulations and CDC recommended practices during the COVID-19 pandemic.
Findings
The facility was found not in compliance with infection control standards including failure to monitor dishwasher wash cycle temperatures, inadequate social distancing and mask use among residents, and improper use of disinfectant chemicals not following manufacturer's contact time recommendations.
Deficiencies (3)
| Description |
|---|
| Dishwasher temperature gauge for the wash cycle was inoperable and staff failed to monitor wash cycle temperatures, risking improper sanitization of dishes and silverware. |
| Residents failed to maintain six-foot social distancing and proper mask use while waiting outside the dining room, contrary to NJDOH Executive Directive and CDC guidance. |
| Facility failed to follow manufacturer's specifications for disinfectant contact time; dining room staff wiped tables before the required 10-minute dwell time for effective COVID-19 disinfection. |
Report Facts
Residents observed: 8
Dishwasher cycles observed: 4
Disinfectant contact time: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Interviewed regarding dishwasher temperature monitoring and disinfectant use; unaware of wash cycle temperature documentation requirement and manufacturer's disinfectant dwell time | |
| Corporate Chef | Interviewed; expected Food Service Directors to monitor dishwasher temperature logs | |
| Executive Director | Interviewed; expected Food Service Director to monitor dishwasher temperature logs and nursing staff to monitor residents' mask use and dining room behavior |
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