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 explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and NJDHSS's legal duties 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
Follow-Up
Census: 56
Deficiencies: 0
Dec 21, 2020
Visit Reason
A Covid-19 Revisit 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 the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 0
Inspection Report
Abbreviated Survey
Census: 57
Deficiencies: 4
Nov 21, 2020
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 the COVID-19 pandemic.
Findings
The facility was found not in compliance with infection prevention and control requirements, including failure of dietary staff to perform proper hand hygiene, improper disinfection of shared vital signs equipment, inadequate sanitizer concentration in food preparation areas, and dishwasher temperatures below manufacturer recommendations, all of which had the potential to affect multiple residents.
Deficiencies (4)
| Description |
|---|
| Failure to ensure dietary staff performed hand hygiene between tasks and glove changes, and after peri-care. |
| Failure to disinfect shared vital signs equipment with EPA-approved disinfectants effective against COVID-19. |
| Failure to maintain sanitizer solution at required parts per million (PPM) in food preparation areas. |
| Failure to ensure dishwasher met manufacturer's recommended wash and rinse temperatures. |
Report Facts
Census: 57
Sanitizer solution PPM: 0
Dishwasher wash temperature: 149
Dishwasher rinse temperature: 169
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Care Manager #1 | Observed failing to perform hand hygiene after cleaning food preparation surfaces and doffing gloves. | |
| Executive Chef | Acknowledged failure to perform hand hygiene after handling dirty dishes and preparing food; responsible for dietary staff training. | |
| Care Manager #4 | Observed with contaminated gloves and acknowledged failure to remove gloves and wash hands before exiting resident room. | |
| Director of Nursing | Interviewed regarding importance of hand hygiene and plans for increased staff training. | |
| Certified Medication Technician #1 | Observed using non-EPA approved wipes for disinfecting vital signs equipment. | |
| Administrator | Interviewed regarding infection control deficiencies and corrective actions. |
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