Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
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, NJDHSS Privacy Officer | Contact person for privacy practices and rights |
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 0
May 22, 2024
Visit Reason
The inspection was conducted as a complaint intake investigation identified as NJ00173851.
Findings
The facility was found to be in substantial compliance with New Jersey standards for licensure of assisted living residences and related programs during this complaint investigation.
Complaint Details
Complaint Intake: NJ00173851. The facility was found to be in substantial compliance with applicable standards.
Report Facts
Sample Size: 3
Inspection Report
Abbreviated Survey
Census: 54
Deficiencies: 1
Nov 21, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess compliance with New Jersey infection control regulations and CDC recommended practices during the COVID-19 pandemic.
Findings
The facility failed to ensure that newly admitted or readmitted residents were quarantined for 14 days in accordance with Executive Directive 20-026 and NJ Department of Health guidance, affecting four residents. Observations and interviews revealed lack of isolation signage and inconsistent quarantine practices.
Deficiencies (1)
| Description |
|---|
| Failure to ensure newly admitted/readmitted residents were quarantined for 14 days as required by Executive Directive 20-026 and NJDOH guidance. |
Report Facts
Census: 54
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace M. Cosgrove | NJ CALA | Signed the Plan of Correction |
| Licensed Practical Nurse (LPN #1) | Interviewed regarding COVID-19 positive residents and quarantine practices | |
| Executive Director (ED) | Interviewed multiple times regarding resident admissions, quarantine, and isolation practices | |
| Care Manager (CM #1) | Interviewed regarding hospital readmissions and isolation status | |
| Resident Care Coordinator (RCC) | Interviewed regarding residents in isolation and quarantine |
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