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, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 0
Apr 24, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ00185409.
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 NJ00185409 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 3
Inspection Report
Routine
Census: 64
Deficiencies: 0
Feb 18, 2022
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 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.
Inspection Report
Abbreviated Survey
Census: 63
Deficiencies: 0
Sep 28, 2021
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 09/28/2021 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: 3
Inspection Report
Abbreviated Survey
Census: 55
Deficiencies: 1
Mar 31, 2021
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 to be in compliance with New Jersey Administrative Code 8:36 infection control regulations. Specifically, the Executive Director failed to develop and implement a policy ensuring resident screening in Phase 0 of reopening, resulting in inadequate screening of residents for vital signs and COVID-19 symptoms during the outbreak period.
Deficiencies (1)
| Description |
|---|
| Failure to develop and implement a policy ensuring resident screening in Phase 0 of reopening, including monitoring vital signs and symptoms of COVID-19 as required. |
Report Facts
Census: 55
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named as responsible for failure to develop and implement resident screening policy | |
| Health and Wellness Director | Interviewed regarding resident testing and screening procedures | |
| Registered Nurse | Documented COVID-19 testing of Resident #1 |
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