Deficiencies (last 2 years)
Deficiencies (over 2 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% better than New Jersey average
New Jersey average: 5.2 deficiencies/year
Deficiencies per year
4
3
2
1
0
Notice
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of the New Jersey Department of Health and Senior Services, including how personal health 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, legal duties of the department, and contact information for privacy concerns.
Report Facts
Effective date: 2011
Response time: 30
Disclosure accounting period: 6
Disclosure accounting period for electronic records: 3
Complaint filing address: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer, contact person for privacy practices and complaints |
Inspection Report
Routine
Census: 21
Deficiencies: 2
Date: Dec 1, 2021
Visit Reason
Standard Survey of 19 residential units to assess compliance with New Jersey Administrative Code 8:36 for licensure of Assisted Living Residences.
Findings
The facility was found not in substantial compliance with all standards, specifically failing to conduct required monthly fire drills, ensure drills on all shifts, conduct drills for disasters other than fire, and ensure all staff participated in drills annually. Additionally, the facility failed to request the local fire department to attend at least one joint fire drill annually.
Deficiencies (2)
Failed to conduct at least one fire drill monthly for 8 out of 12 months; failed to ensure four drills occurred during each working shift annually for several months; failed to conduct a drill other than fire for 12 of 12 months; failed to ensure all staff participated in at least one drill annually for 4 of 15 employees.
Failed to request the local fire department to attend at least one joint fire drill annually for the last 12 months of fire drills reviewed.
Report Facts
Census: 21
Sample Size: 5
Employees not participating in drills: 4
Fire drills missed: 8
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