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 named as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 75
Deficiencies: 3
Apr 16, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by Complaint #NJ00184862 at the Assisted Living Program (ALP) within Spring Oak of Toms River.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards, specifically failing to appoint an Administrator or alternate on a half-time basis, and deficiencies were noted in administration, resident records, and documentation related to a Facility Reportable Event involving Resident #2.
Complaint Details
Complaint #NJ00184862 was substantiated with findings including failure to appoint an Administrator on a half-time basis and deficiencies related to Resident #2's care and documentation following a Facility Reportable Event.
Deficiencies (3)
| Description |
|---|
| Failure to appoint an Administrator or alternate on a half-time basis as required by regulation. |
| Failure to ensure the development of a facility policy for the use of a specific device in Resident #2's room and failure to maintain proper documentation related to a Facility Reportable Event. |
| Failure to ensure documentation of a nursing assessment was maintained in Resident #2's medical record. |
Report Facts
Census: 51
Total Capacity: 75
Sample Size: 3
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 3
Apr 1, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00145792) to determine compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance with state standards, with deficiencies including failure to develop and implement a comprehensive security policy, failure to notify the Registered Nurse of changes in a resident's condition, and failure to accurately administer and document medications for Resident #1.
Complaint Details
Complaint #NJ00145792 was substantiated with findings related to security policy deficiencies, failure to notify the RN of resident condition changes, and medication administration/documentation errors for Resident #1.
Deficiencies (3)
| Description |
|---|
| Failure to ensure that a comprehensive security policy for the facility was developed and implemented. |
| Failure to provide documented evidence that the Registered Nurse was notified of changes in Resident #1's condition. |
| Failure to ensure medications were accurately administered and documented by qualified personnel in accordance with prescriber orders for Resident #1. |
Report Facts
Sample size: 3
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