Inspection Reports for
Tower Lodge Care Center
1506 Gully Road, Wall, NJ, 07719
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
5.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as New Jersey average
New Jersey average: 5.2 deficiencies/year
Deficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
90% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves to inform recipients about the privacy practices of NJDHSS, including how medical information may be used and disclosed, and the rights of individuals regarding their health 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, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Routine
Deficiencies: 3
Date: Sep 18, 2024
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in nursing care, staffing requirements, and food service sanitation at Tower Lodge Care Center.
Findings
The facility was found deficient in notifying physicians of significant weight discrepancies for a resident, failing to ensure registered nurse coverage for required hours on weekends, and maintaining sanitary conditions in the kitchen food preparation and storage areas.
Deficiencies (3)
Failure to notify the physician of a significant weight discrepancy for Resident #34.
Failure to ensure a Registered Nurse worked 7 days a week for at least 8 consecutive hours a day for 15 of 15 weekends reviewed.
Failure to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination and potential food borne illness.
Report Facts
Weight difference: 23.6
Weekends without RN coverage: 15
Resident weights recorded: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding weight documentation and nurse responsibilities. |
| Director of Nursing | Director of Nursing | Interviewed regarding weight discrepancy procedures and staffing issues. |
| Food Service Director | Food Service Director | Present during kitchen sanitation observations. |
| Licensed Nursing Home Administrator | Licensed Nursing Home Administrator | Participated in meetings with survey team regarding deficiencies. |
Inspection Report
Annual Inspection
Census: 54
Capacity: 60
Deficiencies: 5
Date: Sep 18, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Complaint Details
Complaint #: NJ00172520. The complaint triggered a recertification survey to determine compliance with long term care facility regulations.
Findings
Deficiencies were cited related to failure to maintain professional standards in clinical practice, failure to ensure RN staffing requirements, unsanitary food service conditions, failure to complete LGBTQI+ training for designated staff, and failure to maintain HVAC air filters properly.
Deficiencies (5)
Facility failed to maintain professional standards of clinical practice by not notifying the physician of a significant clinical issue for 1 of 2 residents.
Facility failed to ensure a registered nurse worked 7 days a week for at least 8 consecutive hours a day as required.
Facility failed to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination and potential food borne illness.
Facility failed to ensure that one administrative staff member and one direct care staff member completed the required LGBTQI+ and HIV+ training program.
Facility failed to maintain resident room air conditioning unit filters in a clean condition as required by NFPA standards.
Report Facts
Census: 54
Total Capacity: 60
Deficiencies cited: 5
PBJ Staffing Infractions: 15
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 22, 2024
Visit Reason
The inspection was conducted as an annual survey of Tower Lodge Care Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 54
Deficiencies: 0
Date: Jan 22, 2024
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 5
Inspection Report
Routine
Deficiencies: 3
Date: Sep 26, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to care plan revisions, notification of physicians regarding pacemaker checks, and food safety and sanitation practices in the nursing facility.
Findings
The facility failed to timely revise care plans for residents with new diagnoses, failed to notify physicians of incomplete pacemaker checks, and failed to maintain proper food labeling, storage, and employee sanitary practices, including failure to wear beard guards.
Deficiencies (3)
Failure to revise care plans for 2 of 14 residents reviewed, including delayed update for seizure diagnosis and interventions.
Failure to notify the physician of incomplete pacemaker checks for Resident #39.
Failure to handle potentially hazardous foods and maintain sanitation, including improper labeling, storage, and employee sanitary practices.
Report Facts
Residents reviewed for care plan revision: 14
Pacemaker checks reviewed: 3
Days delayed for care plan revision: 12
Facility policy review date: Mar 10, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nursing Home Administrator (LNHA) | Met with surveyor regarding delay in care plan revision and pacemaker check issues. | |
| Director of Nursing (DON) | Met with surveyor regarding delay in care plan revision and pacemaker check issues. | |
| Minimum Data Set Coordinator (MDSC) | Responsible for updating care plans following hospitalization; explained delay due to vacation. | |
| Certified Nurse's Assistant (CNA) | Interviewed about awareness of special armrest for Resident #8. | |
| Licensed Practical Nurse (LPN) | Interviewed about documentation and responsibility for pacemaker checks and armrest. | |
| Director of Rehabilitation (DOR) | Interviewed about documentation of armrest for Resident #8. | |
| Food Service Director (FSD) | Accompanied surveyors during kitchen inspection and provided policies. |
Inspection Report
Annual Inspection
Census: 56
Capacity: 60
Deficiencies: 8
Date: Sep 26, 2023
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to care plan timing and revision, failure to notify physician of incomplete pacemaker checks, and food safety violations including improper food labeling and sanitation. Life safety code deficiencies were also noted including emergency illumination, exit signage, and electrical system maintenance.
Deficiencies (8)
Failed to revise care plans timely for 2 of 14 residents reviewed.
Failed to notify physician of incomplete pacemaker checks for Resident #39.
Failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner.
Failed to maintain minimum direct care staff-to-resident ratios for the day shift as mandated by the State of New Jersey.
Did not offer residents evening activities two nights per week.
Failed to provide emergency illumination that would operate automatically along the means of egress.
Failed to provide exit signs with continuous illumination indicating direction of travel where direction was not apparent.
Failed to functionally test non-hospital grade electrical receptacles in resident rooms annually for grounding, polarity, and blade tension.
Report Facts
Census: 56
Total Capacity: 60
Sample Size: 17
Deficient CNA staffing days: 11
Deficiency completion dates: Multiple deficiencies corrected by 11/6/2023 as per revisit report
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding staffing and care plan revision |
| Maintenance Director | Maintenance Director (MD) | Interviewed regarding life safety code deficiencies and electrical system maintenance |
| Regional Director | Regional Director (RD) | Interviewed regarding life safety code deficiencies |
| Administrator | Licensed Nursing Home Administrator (LNHA) | Interviewed regarding care plan revision and staffing issues |
| Minimum Data Set Coordinator | MDS Coordinator | Responsible for updating care plans following hospitalization |
| Food Service Director | Food Service Director (FSD) | Interviewed regarding food safety and sanitation deficiencies |
| Activities Assistant | Activities Assistant (AA) | Interviewed regarding lack of evening activities |
Inspection Report
Follow-Up
Census: 38
Deficiencies: 1
Date: Aug 12, 2021
Visit Reason
The inspection was conducted to assess compliance with New Jersey staffing regulations, specifically to verify if the facility maintained the required minimum direct care staff-to-resident ratios for the day shift as mandated by state law.
Findings
The facility failed to maintain the required minimum direct care staff-to-resident ratios for the day shift on 10 of 14 days reviewed, with CNA to resident ratios ranging from 1:9.5 to 1:19, exceeding the state minimum of 1 CNA to 8 residents. The facility implemented corrective actions including policy revisions, staff re-education, and increased recruitment efforts.
Deficiencies (1)
Failed to maintain the required minimum direct care staff-to-resident ratios for the day shift as mandated by the state of New Jersey.
Report Facts
Census: 38
Deficiencies cited: 1
Staffing ratios: 19
Staffing ratios: 9.5
Staffing ratios: 12.6
Inspection Report
Routine
Deficiencies: 3
Date: Aug 9, 2021
Visit Reason
The inspection was conducted to evaluate compliance with food safety, sanitation, infection prevention, and COVID-19 screening protocols at Tower Lodge Care Center.
Findings
The facility was found deficient in proper storage, labeling, and dating of potentially hazardous foods, failure to discard expired items, inadequate hand hygiene practices by the Food Service Director, and failure to screen all visitors for COVID-19 symptoms upon entry as required by the facility's policies.
Deficiencies (3)
Failure to store, label, and date potentially hazardous foods properly to prevent food-borne illness, including thawing meat improperly and keeping expired health shakes.
Failure to perform hand hygiene in accordance with facility policy, including improper handwashing duration and not washing hands after touching garbage lid before handling serving utensils.
Failure to ensure all visitors entering the building were screened for signs and symptoms of COVID-19 in accordance with the facility's Outbreak Response Plan.
Report Facts
Weight of meat improperly thawed: 10
Temperature of thawed meat: 66.7
Number of health shakes disposed: 19
Handwashing duration by Food Service Director: 8
Recommended handwashing duration: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Observed disposing cigarette, handling food improperly, and performing inadequate hand hygiene | |
| Dietary Aide | Observed disposing expired health shakes and interviewed by surveyor | |
| Licensed Nursing Home Administrator | Present during entrance conference addressing concerns | |
| Director of Nursing | Present during entrance conference addressing concerns | |
| Assistant Director of Nursing | Present during entrance conference addressing concerns | |
| Registered Nurse/Infection Preventionist | Interviewed about COVID-19 screening procedures | |
| Licensed Practical Nurses (2) | Interviewed about PPE requirements during survey | |
| Certified Nursing Aides (3) | Observed escorting surveyors and informing staff of survey presence |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 1
Date: Jun 11, 2021
Visit Reason
The inspection was conducted as a complaint survey based on multiple complaint numbers (NJ136976; NJ142606; NJ142848; NJ143888; NJ144058) to determine compliance with 42 CFR Part 483, Subpart B for Long Term Care Facilities.
Complaint Details
The visit was complaint-related involving multiple complaint numbers. The facility was found non-compliant with regulations regarding accident hazards and supervision related to call bell accessibility for residents.
Findings
The facility failed to ensure that three residents (Residents #10, #11, and #12) had their call bell activators within reach, posing safety concerns. Observations revealed call bells were out of reach and staff did not ensure accessibility. The Director of Nursing acknowledged the safety risk and corrective actions were planned.
Deficiencies (1)
Failure to ensure residents had call bell activators within reach to prevent accidents.
Report Facts
Census: 39
Sample Size: 14
Number of residents with call bell deficiency: 3
Plan of Correction Completion Date: Aug 2, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Stated the importance of residents having call bell access and acknowledged safety concerns. | |
| Certified Nurse Aide (CNA) #1 | Verified that residents' call bell activators were out of reach and residents were unable to use them. |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 2
Date: Jan 6, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted due to concerns about the facility's failure to implement timely Transmission Based Precautions (TBP) to prevent COVID-19 transmission after staff tested positive.
Complaint Details
The investigation was complaint-driven based on concerns about COVID-19 infection control practices, specifically failure to identify exposed residents and implement TBP timely after two CNAs tested positive for COVID-19. The facility was notified of Immediate Jeopardy on 01/06/2021 at 4:45 PM.
Findings
The facility failed to timely identify residents exposed to COVID-19 positive staff and implement TBP, resulting in an Immediate Jeopardy situation. The facility did not conduct documented contact tracing and delayed TBP implementation from 11/23/2020 to 12/06/2020. Additionally, infection control protocols regarding doffing of soiled isolation gowns were not properly followed.
Deficiencies (2)
Failure to implement Transmission Based Precautions in a timely manner to prevent COVID-19 transmission after staff tested positive.
Failure to follow appropriate infection control protocols regarding doffing of soiled isolation gowns.
Report Facts
Census: 43
Deficiency duration: 13
Residents at risk: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nursing Home Administrator (LNHA) | Named in failure to ensure timely implementation of TBP and contact tracing. | |
| Director of Nursing/Infection Preventionist (DON/IP) | Named in failure to ensure timely implementation of TBP and contact tracing. | |
| Corporate Registered Nurse (CRN) | Involved in infection control and contact tracing efforts. | |
| Licensed Practical Nurse (LPN #1) | Observed failing to properly doff soiled isolation gown. | |
| Certified Nursing Assistants (CNA #1 and CNA #2) | Staff who tested positive for COVID-19 and exposed residents. |
Inspection Report
Routine
Census: 49
Deficiencies: 0
Date: Dec 10, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 8
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