Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
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, NJDHSS Privacy Officer | Contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 0
Jul 18, 2023
Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ00165696.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.
Complaint Details
Complaint number NJ00165696 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 3
Inspection Report
Original Licensing
Deficiencies: 1
Jan 19, 2022
Visit Reason
The inspection was an initial licensing survey for Sunrise of Mountain Lakes to determine 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 the emergency generator annunciator panel in a location observable by operating staff 24 hours a day, as required by the New Jersey Uniform Construction Code. The deficiency was corrected by relocating the annunciator panel to a compliant location.
Deficiencies (1)
| Description |
|---|
| Failure to provide the annunciator panel for the emergency generator in a location observable by operating staff 24 hours a day, in accordance with New Jersey Uniform Construction Code, N.J.A.C. 5:23-3, Use Group I-2. |
Report Facts
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Germaine Dignan | Executive Director CALA | Named in Plan of Correction as legal entity representative signing the plan |
| Maintenance Coordinator | Interviewed regarding location of emergency generator annunciator panel |
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