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 explains the types of information covered, the circumstances under which health information may be used or disclosed, the rights of individuals 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: 60
Deficiencies: 1
May 31, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00173938) following a Facility Reportable Event Report regarding an incident involving Resident #2.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code 8:36 standards due to failure by the Executive Director to enforce the Fall Management policy for Resident #2. The Individual Service Plan (ISP) was not updated to reflect increased monitoring requirements after the resident's fall incidents.
Complaint Details
Complaint #NJ00173938 was substantiated based on interviews, record reviews, and facility documents showing deficient practice related to fall management and monitoring for Resident #2.
Deficiencies (1)
| Description |
|---|
| Failure to enforce the Fall Management policy and update Resident #2's Individual Service Plan to include specific locations and times of increased monitoring after falls. |
Report Facts
Census: 60
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named as responsible for failure to enforce policy and procedure related to fall management | |
| Resident Care Director | Interviewed and confirmed deficiencies in updating Resident #2's Individual Service Plan |
Inspection Report
Abbreviated Survey
Census: 50
Deficiencies: 0
Jan 26, 2021
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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