Inspection Reports for Summit Place Assisted Living
540 Mullica Hill Rd, Glassboro, NJ 08028, United States, NJ, 08028
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Notice
Deficiencies: 0
Nov 19, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their health information may be used and disclosed, and their rights related to this information.
Findings
The notice details 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, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 8
Dec 26, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint # NJ 00179909 to determine compliance with New Jersey Administrative Code standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance with standards, with deficiencies related to administration, medication management, staffing schedules, and pharmaceutical services. Specific issues included failure to enforce policies, maintain accurate narcotic inventories, maintain staffing schedules, and ensure proper medication administration and supervision.
Complaint Details
Complaint # NJ 00179909 triggered the investigation. The complaint was substantiated as evidenced by multiple deficiencies found related to medication management, staffing, and policy enforcement.
Deficiencies (8)
| Description |
|---|
| Failure to ensure implementation and enforcement of all policies and procedures including resident rights. |
| Failure to maintain a written staffing schedule for employees during October 2024. |
| Failure to ensure Registered Nurse maintained supervision of delegated tasks to Licensed Practical Nurse and Certified Medication Aide. |
| Failure to ensure medication administration with certified medication aide regarding pertinent medication information and documentation. |
| Failure to ensure Registered Nurse reviewed and signed off delegated medication administration tasks weekly. |
| Failure to maintain accountability and records for controlled substances for Resident #3. |
| Failure to maintain accurate narcotic inventory logs and reconcile discrepancies. |
| Failure to maintain proper medication pass monitoring and supervision by Health and Wellness Director and Licensed Practical Nurses. |
Report Facts
Census: 33
Sample Size: 5
Deficiencies cited: 8
Completion Dates: Jan 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dorothy Dilger | Director of Health and Wellness | Trainer for Tag Medication Administration and named in plan of correction |
| Denise Kaizar | CALA | Submitted the plan of correction |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 1
Aug 7, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on complaint NJ 00175625 regarding compliance with New Jersey Administrative Code 8:36 for assisted living residences.
Findings
The facility was found not in substantial compliance due to failure to provide full access to all resident electronic medical records (EMR) to the surveyor, specifically access to one of the two EMR systems was denied, impeding the surveyor's review process.
Complaint Details
Complaint # NJ 00175625 triggered the survey. The facility failed to provide full access to resident EMR #2 system despite attempts by the Executive Director to obtain access. Paper charts were provided instead. The facility policy states they will provide appropriate access to state licensing agencies.
Deficiencies (1)
| Description |
|---|
| Failure to provide full access to all resident electronic medical records (EMR) to surveyor for 3 residents reviewed. |
Report Facts
Census: 36
Sample Size: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed regarding access to resident medical records and provided partial access to EMR systems |
Inspection Report
Routine
Census: 29
Deficiencies: 2
Dec 21, 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 during a Norovirus outbreak.
Findings
The facility was found not in compliance with infection control standards, specifically failing to maintain proper documentation of services during the Norovirus outbreak for 12 of 16 residents reviewed, and housekeeping staff did not follow proper cleaning procedures to prevent cross contamination.
Deficiencies (2)
| Description |
|---|
| Failed to maintain documentation of services provided during a Norovirus outbreak for 12 of 16 residents reviewed. |
| Housekeeping staff failed to follow proper cleaning procedures, including infrequent changing of mop water and mop heads, increasing risk of infection spread. |
Report Facts
Residents affected: 12
Residents reviewed: 16
Census: 29
Rooms per hallway: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Horvath | Executive Director | Interviewed regarding outbreak and infection control practices |
Inspection Report
Routine
Census: 29
Deficiencies: 3
Sep 21, 2021
Visit Reason
Standard survey of 39 residential units to assess compliance with New Jersey Administrative Code 8:36 for licensure of assisted living residences and personal care homes.
Findings
The facility was found not in substantial compliance with licensure standards, with deficiencies including failure to implement employee physical examination policies, elevated hot water temperatures in resident rooms posing burn risks, and fire doors that initially failed to latch properly but were later corrected.
Deficiencies (3)
| Description |
|---|
| Failure to develop and implement a policy for physical examinations for employees upon hire and thereafter, with no documented physical examination records for five employees. |
| Hot water temperatures in resident rooms exceeded the acceptable range of 105-120 degrees Fahrenheit, with temperatures recorded between 129-131 degrees, posing a risk of burns to residents. |
| Fire doors failed to close properly and latch securely within the frame, preventing containment of smoke and fire, posing a safety hazard to all residents. |
Report Facts
Census: 29
Sample Size: 5
Hot Water Temperature: 130
Hot Water Temperature: 129
Hot Water Temperature: 131
Hot Water Temperature: 108
Hot Water Temperature: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide | Named in deficiency for lack of physical examination record | |
| Receptionist/Life Enrichment Coordinator | Named in deficiency for lack of physical examination record | |
| Housekeeper | Named in deficiency for lack of physical examination record | |
| Chef | Named in deficiency for lack of physical examination record | |
| Licensed Practical Nurse | Named in deficiency for lack of physical examination record | |
| Executive Director | Provided information on physical examination policy absence and hot water temperature adjustments | |
| Certified Assisted Living Administrator (CALA) | Informed surveyor of hot water temperature issues, maintenance vacancies, and fire door problems | |
| Divisional Vice President for Facilities Management | Reported on water heater temperature settings and fire door repairs |
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