Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Notice
Deficiencies: 0
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 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
Routine
Census: 59
Deficiencies: 0
Oct 19, 2023
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 for COVID-19 preparation.
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.
Report Facts
Sample Size: 6
Inspection Report
Routine
Census: 55
Deficiencies: 4
Jan 24, 2022
Visit Reason
A Standard Survey with Covid-19 Focused Infection Control was conducted to assess compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences and related programs.
Findings
The facility was found not in substantial compliance with all standards, with deficiencies noted in staff training on pain management, ventilation in resident bathrooms, storage clearance below sprinkler heads, and securing of chemical cleaning supplies.
Deficiencies (4)
| Description |
|---|
| Failure to ensure staff received annual in-service training on pain management for five employees reviewed. |
| Failure to consistently ensure ventilation was present and properly functioning in resident apartment bathrooms without windows. |
| Failure to ensure items stored in storage areas were at least 18 inches below sprinkler heads in 6 of 8 storage areas inspected, posing a fire hazard. |
| Failure to ensure chemical cleaning supplies were locked and secured on a cleaning cart, allowing resident access to harmful chemicals. |
Report Facts
Census: 55
Employees reviewed for pain management training: 5
Storage areas with insufficient clearance: 6
Storage areas inspected: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Todd Graf | Executive Director | Named as the legal entity representative signing the Plan of Correction. |
| Housekeeper #1 | Named in relation to unsecured cleaning cart with chemical supplies. | |
| Maintenance Director | Interviewed regarding ventilation and chemical safety deficiencies. | |
| Resident Care Director | Interviewed regarding staff training scheduling. | |
| Certified Medication Aide #1 | Employee whose pain management training was reviewed. | |
| Nursing Assistant #1 | Employee whose pain management training was reviewed. | |
| Licensed Practical Nurse #1 | Employee whose pain management training was reviewed. | |
| Licensed Practical Nurse #2 | Employee whose pain management training was reviewed. | |
| Dietary Aide #1 | Employee whose pain management training was reviewed. |
Inspection Report
Abbreviated Survey
Census: 57
Deficiencies: 0
Dec 4, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.
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