Inspection Reports for
United Methodist Communities At Pitman
535 North Oak Avenue, Pitman, NJ, 08071
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
66% occupied
Based on a April 2021 inspection.
Occupancy rate over time
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 explains the types of information covered, the circumstances under which health information may be used or disclosed, the rights of individuals to access and control their information, and the department's legal duties to protect privacy.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 13, 2025
Visit Reason
The inspection was conducted based on complaint #404125 regarding a burn injury sustained by Resident #4 when a CNA served soup without checking its temperature, resulting in second and third-degree burns.
Complaint Details
Complaint #404125 was substantiated. The investigation confirmed that CNA #1 did not check the soup temperature before serving, leading to second and third-degree burns on Resident #4. CNA #1 was suspended for three days. Training records showed CNA #1 had not received recent training on microwave reheating prior to the incident.
Findings
The facility failed to ensure Resident #4's safety when CNA #1 served soup without checking its temperature, causing burns to the resident's right inner thigh. The CNA was suspended for three days, and the facility's reheating food policies and staff training were reviewed, revealing gaps in training prior to the incident.
Deficiencies (1)
Failure to ensure a nursing home area is free from accident hazards and provide adequate supervision to prevent accidents, resulting in burns to Resident #4 due to improperly reheated soup.
Report Facts
Days suspended: 3
BIMS score: 5
Burn injury size: 1
Burn injury redness size: 11.4
Date of incident: May 2, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Assistant | Failed to check soup temperature before serving, causing resident injury; suspended for 3 days |
| Director of Nursing | Director of Nursing | Provided statements regarding incident and staff training |
| Nurse Practitioner | Nurse Practitioner | Assessed Resident #4's burn injuries and updated treatment |
| Licensed Nursing Home Administrator | Licensed Nursing Home Administrator | Commented on staff training and competencies |
| CNA #2 | Certified Nurse Assistant | Interviewed regarding reheating food training; training records reviewed |
| Nurse Educator | Nurse Educator | Discussed staff training requirements and competencies |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 27, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with health and safety regulations at United Methodist Communities at Pitman.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 0
Date: Feb 14, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory survey of the nursing home facility.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Jul 14, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding failure to notify the Ombudsman of emergency hospital transfers, inaccurate completion of Minimum Data Set (MDS) assessments, inadequate nail care for residents, improper food handling and storage, and failure to follow infection control practices.
Complaint Details
The complaint investigation focused on failure to notify the Ombudsman of emergency transfers, inaccurate MDS assessments, inadequate nail care, improper food handling and storage, and poor infection control practices related to hand hygiene.
Findings
The facility failed to notify the Ombudsman about a resident's emergency hospital transfer, inaccurately completed MDS assessments for multiple residents, did not provide adequate nail care to a dependent resident, improperly handled and stored food items leading to discards, and failed to follow proper hand hygiene protocols during meal service.
Deficiencies (5)
Failure to notify the Office of the State of Long-Term Care Ombudsman about a resident's emergency hospital transfer.
Failure to accurately complete the Minimum Data Set (MDS) assessments for 7 of 17 residents, including incomplete sections on cognitive patterns and mood.
Failure to provide nail care to a resident dependent on staff for activities of daily living, resulting in long, jagged, broken nails with debris.
Failure to properly handle and store potentially hazardous foods, including unlabeled or expired items and improper utensil storage.
Failure to follow appropriate infection control practices for hand hygiene during meal service, including lack of hand hygiene between residents and when handling food and utensils.
Report Facts
Residents reviewed for MDS accuracy: 17
Residents affected by MDS deficiency: 7
Residents affected by nail care deficiency: 1
Residents affected by infection control deficiency: 2
Dates of food items discarded: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nursing Home Administrator | LNHA | Acknowledged failure to notify Ombudsman and MDS deficiencies |
| Social Worker | SW | Responsible for sending emergency transfer notifications and completing MDS sections |
| Minimum Data Set Coordinator | MDS/C | Acknowledged incomplete MDS assessments and explained staffing issues |
| Certified Nursing Assistant #1 | CNA | Interviewed regarding ADLs and nail care for Resident #3 |
| Certified Nursing Assistant #2 | CNA | Interviewed regarding ADLs and nail care for Resident #3 |
| Registered Nurse Unit Manager | RN/UM | Interviewed about nail care policies and practices |
| Household Coordinator | Lead CNA | Provided nail care and educated CNAs |
| Acting Director of Nursing | DON | Interviewed regarding MDS completion, nail care, and infection control |
| Executive Chef | EC | Observed and identified food storage and labeling deficiencies |
| Area Manager | AM | Observed food storage issues and interviewed about food handling |
| Area General Manager | AGM | Interviewed about food labeling and utensil sanitation |
| Certified Nursing Aide | CNA | Observed failing to perform hand hygiene during meal service |
| Registered Nurse | RN | Interviewed about hand hygiene observations |
| Unit Manager | UM | Acknowledged hand hygiene deficiencies in dining room |
Inspection Report
Deficiencies: 7
Date: May 24, 2021
Visit Reason
The inspection was conducted to assess the facility's compliance with food handling, sanitation, and safety standards to prevent food borne illness.
Findings
The facility failed to maintain proper sanitation and safe food handling practices, including dust buildup on fans blowing onto clean utensils, improper storage of clean plates, lack of internal thermometers in milk refrigeration, wet nesting of baking pans, and exposed plastic food wrap. The facility also lacked policies for cleaning kitchen fans, use of internal thermometers, and protecting plastic wrap from contamination.
Deficiencies (7)
Fan in dry storage room had substantial dust buildup blowing onto plastic forks.
Fan in dish room had excessive dust buildup blowing onto cleaned and sanitized dishware.
Cleaned and sanitized plates were not stored inverted and exposed to fan blowing.
No internal thermometer found in milk box; temperature log showed 36°F.
Wet nesting of baking pans observed on drying rack.
Plastic food wrap boxes were opened and exposed on prep counters.
Facility lacked policy for cleaning kitchen fans, use of internal thermometers, and protecting plastic wrap from contamination.
Report Facts
Residents Affected: 2
Temperature: 36
Number of baking pans stacked: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Chef | Accompanied surveyor during kitchen observations and involved in findings | |
| Food Service Director | Accompanied surveyor during kitchen observations and involved in findings |
Inspection Report
Complaint Investigation
Census: 118
Deficiencies: 0
Date: Apr 28, 2021
Visit Reason
The inspection was conducted as a complaint investigation to assess 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
The survey was complaint-driven; however, the facility was found to be in substantial compliance, indicating no substantiated deficiencies.
Findings
The facility was found to be in substantial compliance with the applicable standards based on this complaint survey.
Inspection Report
Routine
Census: 114
Deficiencies: 0
Date: Nov 25, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 11/25/20 to assess compliance with infection control regulations and CDC recommended practices for COVID-19 preparation.
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.
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