Inspection Reports for Stratford Manor Rehabilitation And Care Center

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A Recertification Survey was conducted from 4/15 to 4/24/2024 to determine compliance with 42 CFR Part 483 for Long-Term Care Facilities. Complaint investigations were also completed during this survey based on complaint numbers NJ155673, 156615, 156876, 158687, 161314, and 164633.

Multiple deficiencies were cited including failure to ensure reasonable accommodations for resident needs, failure to complete and submit resident assessments timely, failure to develop and implement person-centered comprehensive care plans, failure to follow physician orders, failure to provide respiratory care properly, failure to provide pharmaceutical services according to standards, failure to maintain food safety, and failure to maintain infection control practices. Corrective actions were documented for each deficiency.

Complaint investigations were conducted for complaint numbers NJ155673, 156615, 156876, 158687, 161314, and 164633. The survey included review of staffing ratios, resident care, medication administration, and infection control. Deficiencies were substantiated as evidenced by observations, interviews, and record reviews.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and recommended COVID-19 practices.

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.

A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities. The survey was a Standard Survey conducted from 2/23/22 through 3/8/22.

The facility was found to have multiple deficiencies including failure to administer medications as ordered, failure to complete full body assessments after falls, improper respiratory care and tracheostomy suctioning, medication administration errors, and life safety code violations related to fire alarm systems and sprinkler coverage. An Immediate Jeopardy situation was identified but removed after implementation of a Removal Plan. Corrective actions and plans of correction were submitted and accepted.

The inspection was conducted to assess compliance with New Jersey Administrative Code, Chapter 8:39, Standards for Licensure of Long Term Care Facilities, specifically focusing on staffing ratios as mandated by state law.

The facility failed to maintain the required minimum direct care staff-to-resident ratios for the day shift and did not ensure that no fewer than half of all staff members were Certified Nursing Assistants (CNAs) on the overnight shifts, as required by New Jersey state regulations.

The inspection was conducted as a complaint survey based on complaints NJ144253, NJ144724, and NJ144193.

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 numbers NJ144253, NJ144724, and NJ144193 were investigated and found to be unsubstantiated as the facility was in compliance.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.

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.

The inspection was conducted based on complaints NJ00135218, NJ00135548, and NJ00136596 to determine compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.

The facility failed to ensure wound treatments were completed per physician's orders for one resident (Resident #2) out of three investigated for wound care. Missing documentation of wound treatment completion was noted on multiple dates, despite staff assertions that treatments were performed.

The complaint investigation was based on complaint intake NJ00135548. The facility was found not in compliance with quality of care requirements related to wound treatment documentation and completion.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and recommended COVID-19 practices.

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.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and CDC recommended practices.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.