Notice
Deficiencies: 0
Nov 19, 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, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Routine
Census: 62
Deficiencies: 0
Nov 11, 2022
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 related to COVID-19.
Findings
The facility was found to be in compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.
Inspection Report
Abbreviated Survey
Census: 63
Deficiencies: 2
Mar 8, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found not to be in compliance with infection control regulations, specifically failing to implement required resident screening during Phase 0 reopening and failing to provide documented evidence of pneumococcal vaccination offers or administration for certain residents.
Deficiencies (2)
| Description |
|---|
| Failure to develop and implement a policy ensuring resident screening in Phase 0 of reopening according to NJDOH Executive Directive No. 20-026, including consistent vital signs monitoring and symptom assessment. |
| Failure to provide documented evidence that residents were offered or assisted in receiving pneumococcal vaccination prior to or upon admission for 3 of 5 residents reviewed. |
Report Facts
Residents reviewed for infection prevention and control: 5
Residents reviewed for pneumococcal vaccination administration: 5
Residents with vaccination documentation deficiencies: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maryssa Seminario | Executive Director | Named in relation to failure to develop and implement resident screening policy and vaccination documentation |
| Resident Care Director | Interviewed regarding pneumococcal vaccination offering and infection control procedures |
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