Inspection Reports for
The Village At Meadowbrook
40 Freneau Avenue, Matawan, NJ, 07747
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
69% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
65 residents
Based on a May 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves as a Notice of Privacy Practices informing individuals about how their medical information may be used and disclosed by NJDHSS and describing their rights related to this information.
Findings
The notice outlines the types of information covered, reasons for use and disclosure of health information, individual rights regarding their health information, legal duties of NJDHSS, and contact information for privacy concerns.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer listed as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 2
Date: May 3, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ00172694 and NJ00172687 regarding the facility's compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Complaint Details
The complaint investigation involved allegations that the facility failed to notify the Registered Nurse when Resident #2 experienced a significant medical event leading to hospital transfer. The complaint was substantiated as the CMA and PT did not inform the DOW, delaying medical assessment and intervention.
Findings
The facility was found not in substantial compliance due to failure of the Certified Medication Aide (CMA) and Physical Therapist (PT) to notify the Director of Wellness (DOW), a Registered Nurse, when Resident #2 experienced a significant change in condition requiring hospital transfer. This failure delayed assessment and medical intervention. A plan of correction was implemented and verified on a revisit.
Deficiencies (2)
Failure to post and distribute a statement of resident rights including the right to receive pain management as needed.
Certified Medication Aide and Physical Therapist failed to notify the Registered Nurse of a resident's change in condition requiring medical assessment and intervention.
Report Facts
Census: 65
Sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Registered Nurse | Named as the RN who was not informed timely about Resident #2's condition |
| Certified Medication Aide | Failed to notify the RN of Resident #2's change in condition | |
| Physical Therapist | Failed to notify the RN of Resident #2's change in condition | |
| Wellness Nurse Supervisor | Reported Resident #2's condition to the Director of Wellness |
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 3
Date: Mar 4, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00170604) to determine compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences and personal care homes.
Complaint Details
Complaint #NJ00170604 was substantiated based on observations, interviews, and record reviews indicating medication storage and security deficiencies.
Findings
The facility was found not in substantial compliance due to failures in medication storage and security practices, including unsecured medication carts and rooms, unattended keys, and improper handling of discontinued medications. The facility implemented a removal plan verified on the revisit date.
Deficiencies (3)
Failure to implement and enforce the Policy and Procedure titled 'Medication Labeling and Storage' regarding secured storage of medications in Medication Room #1, evidenced by unattended keys on medication cart and unlocked treatment cart.
Failure to ensure all medications not self-administered by residents were stored in a safe storage area and kept locked when not in use, evidenced by open medication room door with discontinued medications left unsecured.
Failure to ensure keys to the medication cart were kept on the person responsible for administering medication at all times, evidenced by unattended keys on top of the medication cart.
Report Facts
Census: 61
Sample Size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide (CMA) | Interviewed regarding medication cart keys and treatment cart status | |
| Director of Nursing | Interviewed regarding medication cart locking procedures and medication storage policies | |
| Executive Director (ED) | Found responsible for failure to implement and enforce medication storage policies |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Date: Aug 17, 2023
Visit Reason
The inspection was conducted as a complaint investigation for complaint numbers NJ00157870 and NJ00165837.
Complaint Details
Complaint numbers NJ00157870 and NJ00165837 were investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with N.J.A.C. Title 8 Chapter 36 standards for licensure of assisted living residences, comprehensive personal care homes, and assisted living programs during this complaint investigation.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 1
Date: Aug 18, 2022
Visit Reason
The inspection was conducted as a standard and complaint survey due to complaint NJ00156583 to assess compliance with New Jersey Administrative Code 8:36 for licensure of assisted living residences.
Complaint Details
Complaint NJ00156583 triggered the inspection. The complaint was substantiated by observation and interview confirming lack of sprinkler coverage in the main electrical room.
Findings
The facility was found not in substantial compliance due to failure to provide proper fire sprinkler coverage in all areas, specifically the main electrical room on the first floor lacked a sprinkler head, which is a fire safety hazard.
Deficiencies (1)
Failure to provide proper fire sprinkler coverage to all areas of the facility as required by New Jersey Uniform Construction Code and NFPA 13 standards.
Report Facts
Census: 56
Sample Size: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Silva | Executive Director | Signed plan of correction and referenced as Executive Director of Spring Hills Senior Communities |
| Maintenance Director | Present during inspection and confirmed absence of sprinkler in main electrical room but no full name provided |
Inspection Report
Routine
Census: 56
Deficiencies: 0
Date: Mar 3, 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
Complaint Investigation
Census: 56
Deficiencies: 2
Date: Dec 29, 2020
Visit Reason
The inspection was a complaint investigation triggered by complaint #NJ00141972 to assess compliance with New Jersey Administrative Code 8:36 for Assisted Living Residences.
Complaint Details
Complaint #NJ00141972 was substantiated with findings related to Resident #2's care plan and apartment sanitation.
Findings
The facility was found not in substantial compliance due to failure to review and update resident care plans timely upon changes in condition and failure to maintain cleanliness and sanitation in resident apartments, specifically Resident #2's apartment which was heavily soiled and not properly maintained.
Deficiencies (2)
Failure to ensure that General Service Plans were reviewed and updated upon a change in condition to address resident's current needs and behaviors in a timely manner for Resident #2.
Failure to maintain cleanliness and sanitation of carpets, showers, and all surfaces in Resident #2's apartment, including heavily soiled carpet fibers, furniture, and bathroom floor tiles.
Report Facts
Census: 56
Sample size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Mentioned in relation to Resident #2's care and apartment condition |
| LPN #2 | Licensed Practical Nurse | Wrote behavior note for Resident #2 |
| LPN #3 | Licensed Practical Nurse | Documented acuity note for Resident #2 |
| LPN #4 | Licensed Practical Nurse | Wrote monthly wellness check notes for Resident #2 |
| LPN #5 | Licensed Practical Nurse | Wrote transfer to hospital summary note for Resident #2 |
| LPN #6 | Licensed Practical Nurse | Wrote return from hospital/rehabilitation summary note for Resident #2 |
| Director of Resident Care | DRC | Interviewed regarding Resident #2's condition and care plan |
| Housekeeping Director | HD | Interviewed regarding cleaning and sanitation issues in Resident #2's apartment |
| Activity Assistant | AA | Interviewed regarding Resident #2's behaviors and room condition |
| Executive Director | ED | Interviewed regarding complaints about Resident #2's room condition and cleaning |
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