Inspection Reports for Sunrise of Old Tappan
195 Old Tappan Rd, Old Tappan, NJ 07675, United States, NJ, 07675
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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 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
Complaint Investigation
Census: 69
Deficiencies: 5
Mar 21, 2024
Visit Reason
The inspection was a standard survey with complaints related to call system response times, medication administration, and resident care plan revisions.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards due to deficiencies in call system policy and response times, improper medication administration and documentation, and failure to revise a resident's service plan after return from rehabilitation. The facility was required to submit a plan of correction.
Complaint Details
Complaints NJ00133956, NJ00157240, and NJ00161021 were investigated, involving issues with call system response times, medication administration errors, and failure to update resident care plans.
Deficiencies (5)
| Description |
|---|
| Failure to ensure development and implementation of policies and procedures regarding the call system to ensure timely response for 2 of 8 residents. |
| Failure to ensure proper use of outside pharmacies and medication administration for Resident #2, including failure to administer medication as prescribed. |
| Failure to revise Resident #3's General Service Plan upon return from rehabilitation. |
| Licensed Practical Nurse failed to notify Registered Nurse of Resident #3's change in condition requiring assessment. |
| Failure to administer medications in accordance with prescriber orders for Resident #2, including improper use of electronic medication administration record system. |
Report Facts
Census: 69
Sample Size: 8
Call response time: 8
Call response time range: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director of Care | Regional Director of Care (RDC) | Interviewed regarding medication administration and electronic MAR system issues |
| Resident Care Director | Resident Care Director (RCD) | Interviewed regarding call system response time and policy |
| Executive Director | Executive Director (ED) | Interviewed regarding call system policy absence |
| Wellness Director | Registered Nurse and Wellness Director (WD) | Interviewed regarding resident assessments and notification procedures |
| Wellness Nurse | Registered Nurse (WN) | Interviewed regarding notification of RN for resident assessment |
| Licensed Practical Nurse | Licensed Practical Nurse (LPN) | Interviewed regarding medication administration and failure to notify RN |
| Wellness Registered Professional Nurse | Registered Nurse (RN) | Interviewed regarding medication administration and resident medication custody |
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