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 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: 73
Deficiencies: 1
May 30, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint # NJ 00151503) to assess compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance due to failure to consistently document assessments and treatments in residents' medical records, specifically for Resident #2. Documentation of showers/baths and other care tasks were incomplete or missing.
Complaint Details
Complaint # NJ 00151503 was substantiated based on interviews, record reviews, and facility documents showing inconsistent documentation in Resident #2's medical record.
Deficiencies (1)
| Description |
|---|
| Failure to ensure all assessments and treatments by health care and service providers were consistently documented in a resident's medical record. |
Report Facts
Sample Size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director of Nursing | Regional Director of Nursing | Interviewed regarding documentation issues in Resident #3's medical record |
| Executive Director | Executive Director | Interviewed regarding missed showers/baths documentation for Resident #2 |
| Lead Care Manager | Lead Care Manager | Interviewed regarding residents' schedules and documentation practices |
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