Inspection Reports for Stonebridge At Montgomery Health Care Center
100 Hollinshead Spring Road, Skillman, NJ, 08558
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 20, 2025, did not identify any deficiencies and focused on informing individuals about privacy practices. Earlier inspections showed some deficiencies, including issues with food safety, life safety code violations, and emergency preparedness. Prior reports also noted problems with injury reporting, resident transfer procedures, infection control, staffing levels, and fire safety equipment maintenance. Complaint investigations were not listed in the available reports. The facility appears to have addressed previous concerns, as the latest inspection found no deficiencies.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
66% occupied
Based on a February 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves as a Notice of Privacy Practices informing individuals about how their medical information may be used and disclosed by NJDHSS, and describing 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 regarding their health 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
Annual Inspection
Census: 33
Capacity: 50
Deficiencies: 8
Date: Feb 6, 2024
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 food procurement and safety, including improper labeling and storage of food items, and life safety code violations including egress door locking, emergency lighting, sprinkler system maintenance, corridor door closures, and gas equipment storage.
Deficiencies (8)
Food Procurement, Store/Prepare/Serve-Sanitary - failed to label, date, and store potentially hazardous foods appropriately to prevent food borne illness and maintain kitchen equipment to prevent microbial growth.
Egress Doors - failed to ensure 15-second delayed egress feature on exit door functioned properly.
Emergency Lighting - failed to provide battery back-up emergency light above interior emergency generator transfer switch.
Hazardous Areas - Enclosure - failed to ensure fire-rated doors to hazardous areas were self-closing, labeled, and separated by smoke resisting partitions.
Sprinkler System - Maintenance and Testing - failed to maintain all parts of automatic sprinkler system in optimal condition.
Corridor Doors - failed to ensure corridor doors resisted passage of smoke and ensured complete bedroom door closure for smoke/fire confinement.
Electrical Systems - Essential Electric System - failed to ensure remote manual stop station for interior diesel generator was installed.
Gas Equipment - Cylinder and Container Storage - failed to prohibit combustible storage within 5 feet of quantities of oxygen exceeding 300 cubic feet.
Report Facts
Census: 33
Total Capacity: 50
Deficiencies cited: 8
Date survey completed: Feb 6, 2024
Plan of correction completion date: Mar 11, 2024
Inspection Report
Annual Inspection
Census: 31
Deficiencies: 8
Date: Sep 9, 2021
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 failure to report injuries of unknown origin, failure to investigate and prevent alleged violations, improper resident transfer causing injury, improper food handling and storage, failure to maintain infection control standards during treatment, failure to maintain minimum staffing ratios, and life safety code violations including emergency lighting and fire extinguisher maintenance.
Deficiencies (8)
Failure to report three injuries of unknown origin to the New Jersey Department of Health for Resident #14.
Failure to complete a thorough investigation related to an injury of unknown origin for Resident #14.
Failure to ensure resident was transferred using correct mechanical lift device and sufficient staff assistance, resulting in injury to Resident #14.
Failure to properly handle and store potentially hazardous foods and maintain kitchen equipment to prevent microbial growth and cross contamination.
Failure to maintain infection control standards during wound treatment for Resident #2, including improper glove use and hand hygiene.
Failure to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey.
Failure to provide battery backup emergency lighting above the emergency generator's transfer switch independent of the building's electrical system and emergency generator.
Failure to perform and document monthly visual examination of fire extinguishers on two of 25 extinguishers.
Report Facts
Census: 31
Staffing noncompliance dates: 9
Fire extinguishers inspected: 25
Fire extinguishers with missing monthly inspection documentation: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Named in relation to failure to report injuries and failure to investigate allegations | |
| Administrator | Named in relation to failure to report injuries and staffing issues | |
| Certified Nursing Assistant | CNA | Named in relation to improper resident transfer causing injury |
| Registered Nurse | RN | Named in relation to infection control deficiency during wound treatment |
| Director of Facilities Services | Named in relation to emergency lighting and fire extinguisher maintenance | |
| Director of Rehabilitation | Named in relation to resident transfer and therapy recommendations |
Inspection Report
Routine
Census: 26
Deficiencies: 0
Date: Jan 11, 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 related to COVID-19.
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
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