Notice
Deficiencies: 0
Nov 19, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their health 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, legal duties of NJDHSS, and the rights of individuals to access, amend, and restrict their health information.
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: 59
Deficiencies: 0
Sep 16, 2022
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ00157333.
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 NJ00157333 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 4
May 21, 2021
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ 00145490 and NJ 00137629 regarding compliance with New Jersey Administrative Code 8:36 for Assisted Living Residences.
Findings
The facility was found not in substantial compliance with standards, specifically failing to implement weight monitoring policies, investigate an injury of unknown origin to rule out abuse, report the injury to the Department of Health, notify the responsible party of a change in skin integrity, and notify a registered nurse of the resident's change in condition.
Complaint Details
Complaint #: NJ 00145490, NJ 00137629. The investigation found multiple deficiencies related to Resident #3 including failure to follow weight monitoring policy, failure to investigate injury of unknown origin, failure to report injury to DOH, failure to notify Responsible Party of skin integrity changes, and failure to notify RN of condition changes.
Deficiencies (4)
| Description |
|---|
| Failure to implement policy for monitoring weight loss and gain and failure to investigate injury of unknown origin to rule out abuse for Resident #3. |
| Failure to report an injury of unknown origin to the Department of Health for Resident #3. |
| Failure to maintain documented evidence that the Responsible Party was notified of a change in skin integrity for Resident #3. |
| Failure to notify a Registered Nurse of a change in condition of Resident #3's skin integrity. |
Report Facts
Census: 47
Sample Size: 4
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