Inspection Reports for
Wedgwood Gardens Care Center

The facility failed to post State survey inspection results in a prominent location accessible to residents and visitors, breached resident confidentiality by posting identifiable health information, did not develop a comprehensive care plan for oxygen therapy for one resident, and failed to implement an effective water management program to reduce the risk of Legionella exposure.

The facility failed to post the State survey inspection results in prominent, accessible locations for residents and visitors, with the survey results only available behind the receptionist desk in a non-prominent location. Resident council meetings did not discuss or inform residents about the survey results posting.

The survey included complaint investigations for complaint numbers NJ165593, NJ165671, NJ174138, NJ176421, and NJ181604. The facility was found not to be in substantial compliance with regulations based on these complaints.

The facility was found not to be in substantial compliance with federal regulations, with deficiencies cited in areas including resident rights, privacy/confidentiality, staffing ratios, infection control, life safety code violations, and care planning. Deficiencies had the potential to affect all 92 residents. Corrective actions and plans of correction were documented.

The facility was found deficient in accurately completing resident assessments, posting daily nurse staffing information, maintaining controlled medication accountability, ensuring medication administration without errors, and following infection prevention and control protocols including hand hygiene and use of personal protective equipment.

Complaint NJ159023 substantiated. Immediate Jeopardy identified on 11/1/2022 due to failure to activate ERS for Resident #2. IJ removed after corrective actions on 11/9/2022.

The facility failed to activate the ERS including calling for assistance, calling 911, and using emergency supplies for Resident #2 who was found unresponsive and later pronounced deceased. The Registered Nurse did not call a code or 911 immediately and failed to follow facility emergency policies. The Director of Nursing did not investigate or report the incident. The facility was found not in substantial compliance and Immediate Jeopardy was identified and later removed after staff education and corrective actions.

The complaint investigation found that staff did not offer hand hygiene to residents prior to meals and failed to consistently wear required PPE when entering rooms under Droplet Precautions. Resident statements and observations confirmed these issues. The complaint was substantiated based on observations, interviews, and record reviews.

The facility failed to consistently offer hand hygiene to residents before meals and did not consistently don appropriate PPE to minimize infection spread. These deficiencies were observed across multiple units and involved several residents and staff members.

The facility was found not in substantial compliance due to failure to consistently offer residents hand hygiene prior to meals and failure to consistently don appropriate Personal Protective Equipment (PPE) to minimize infection spread. Observations and interviews revealed multiple instances where residents were not offered hand hygiene and staff did not properly use PPE, especially on the COVID-19 observation unit.