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Inspection Reports for Spring Oak at Toms River

NJ

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Inspection Report Summary

The most recent inspection on November 20, 2025, did not identify any deficiencies. Earlier inspections showed some deficiencies related to administration, resident care documentation, security policies, and medication management. Complaint investigations in April 2025 and April 2024 were substantiated, citing issues such as failure to appoint an administrator on a half-time basis, incomplete documentation following a reportable event, lack of a comprehensive security policy, and medication administration errors. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history suggests some challenges in administrative oversight and resident care documentation, with no deficiencies noted in the latest report indicating improvement.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

42% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025
Unclassified
State average

Census

Latest occupancy rate 68% occupied

Based on a April 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

40 50 60 70 80 90 Apr 2024 Apr 2025
Census
Capacity
Data available only at inspection dates

Notice

Deficiencies: 0 Date: 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
NameTitleContext
Devon L. GrafDirectorNJDHSS Privacy Officer named as contact for privacy practices

Inspection Report

Complaint Investigation
Census: 51 Capacity: 75 Deficiencies: 3 Date: 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.
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.
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.
Deficiencies (3)
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 Date: 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.
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.
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.
Deficiencies (3)
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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