Inspection Reports for
White House Healthcare And Rehabilitation Center
560 Berkeley Avenue, Orange, NJ, 07050
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
90% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Nov 19, 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 the New Jersey Department of Health and Senior Services and related components.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights regarding their health information, and the department's legal duties and responsibilities.
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
Routine
Census: 159
Deficiencies: 7
Date: Sep 5, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care planning, bed hold policies, range of motion care, laboratory test follow-up, dental services, and food safety and sanitation in the facility.
Findings
The facility was found deficient in multiple areas including failure to allow a resident to exercise rights related to social activities, failure to invite residents/families to quarterly care plan meetings, failure to provide written bed hold notices upon transfer, failure to apply prescribed splints consistently, failure to timely follow up on abnormal lab results, failure to schedule dental services timely after dentures were lost, and multiple food safety and sanitation violations in the kitchen and nursing pantries.
Deficiencies (7)
Failed to allow one resident to exercise her right to attend group activities despite enhanced barrier precautions not restricting this.
Failed to invite one resident and family member to quarterly care plan meetings, limiting their opportunity to provide input.
Failed to provide written notice of bed hold policy and/or transfer notices containing all necessary information to three residents upon transfer.
Failed to ensure one resident had elbow splint/hand roll applied as ordered, risking worsening contractures.
Failed to follow up timely on abnormal urinary lab results for one resident, resulting in no documented physician notification or treatment.
Failed to schedule dental services within three days after dentures were lost for one resident.
Failed to maintain kitchen and nursing pantries in a sanitary manner, including improper freezer and refrigerator temperatures, rusted and uncleanable surfaces, unlabeled foods, unclean microwaves, and improper sanitizer concentrations.
Report Facts
Residents receiving meals: 147
Residents total: 159
Resident sample size: 32
Residents affected by right to activities deficiency: 1
Residents affected by care plan meeting deficiency: 1
Residents affected by bed hold notice deficiency: 3
Residents affected by splint application deficiency: 1
Residents affected by lab follow-up deficiency: 1
Residents affected by dental services deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant 2 | CNA | Interviewed regarding resident R15's care and activity participation |
| Licensed Practical Nurse 2 | LPN | Interviewed regarding resident R15's infection and activity restrictions |
| Activity Director | AD | Interviewed regarding activity programs for residents with candida auris |
| Activity Aide | AA | Interviewed regarding 1:1 visits for resident R15 |
| Infection Preventionist | IP | Interviewed regarding infection control precautions for resident R15 |
| Director of Nursing | DON | Interviewed regarding resident rights, care plan meetings, splint application, and lab follow-up |
| Family Member 1 | Interviewed as responsible party for resident R103 regarding care plan meetings and dental services | |
| Social Service Director | SSD | Interviewed regarding care plan meetings and dental services |
| Minimum Data Set Coordinator | MDSC | Interviewed regarding care plan meeting invitations |
| Licensed Practical Nurse 1 | LPN | Interviewed regarding bed hold notices |
| Administrator | Interviewed regarding bed hold notices and dental services scheduling | |
| Certified Nursing Assistant 1 | CNA | Interviewed regarding splint application and resident care |
| Director of Rehab | DOR | Interviewed regarding splint application and therapy for resident R58 |
| Registered Nurse 3 | RN | Interviewed regarding lab results follow-up for resident R58 |
| Dietitian | RD | Interviewed regarding diet changes related to lost dentures |
| Assistant Administrator | AA | Interviewed regarding dental services scheduling and denture loss |
| Dietary Manager | DM | Interviewed and toured kitchen and pantries regarding food safety and sanitation |
| Dietary Aide 1 | DA | Observed during kitchen sanitation follow-up |
| Maintenance Director | Interviewed regarding maintenance and repairs in kitchen |
Inspection Report
Routine
Deficiencies: 2
Date: Jun 6, 2024
Visit Reason
The inspection was conducted to evaluate compliance with physician documentation requirements, medication order signings, and pharmacist drug regimen review in the nursing home.
Findings
The facility failed to ensure that physicians signed and dated monthly medication orders and performed face-to-face monthly visits for 19 of 32 residents over a six-month period. Additionally, the Consultant Pharmacist failed to report medication irregularities related to drug timing and interactions for one resident.
Deficiencies (2)
Failure to ensure physicians signed and dated monthly medication orders and performed required face-to-face visits for multiple residents over a six-month period.
Consultant Pharmacist failed to report irregularities in medication timing and potential drug interactions for Resident #83.
Report Facts
Residents reviewed: 32
Residents with deficiencies: 19
Months of missing physician signatures: 6
BIMS score: 3
BIMS score: 13
BIMS score: 12
Medication administration times: 4
Medication administration times: 5
Medication administration times: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Manager (UM), Licensed Practical Nurse (LPN) | Interviewed regarding physician documentation and medication administration | |
| Unit Manager (UM), Registered Nurse (RN) | Interviewed regarding physician documentation practices | |
| License Nursing Home Administrator (LNHA), Director of Nursing (DON), Assistant DON, two Assistant LNHAs, Administrator in Training (AIT) | Met with survey team regarding concerns with physician visits and order signings | |
| Consultant Pharmacist (CP) | Interviewed about medication timing and irregularity reporting | |
| Medication nurse | Interviewed about medication administration for Resident #83 |
Inspection Report
Annual Inspection
Census: 159
Capacity: 176
Deficiencies: 8
Date: Jun 6, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long-Term Care Facilities. Complaint investigations were also completed during this survey.
Complaint Details
Complaint NJ00165538 involved failure to maintain required minimum direct care staff-to-resident ratios as mandated by the State of New Jersey.
Findings
Deficiencies were cited related to physician visits, drug regimen review, staffing ratios, employee health requirements, exit signage, smoke barrier doors, and emergency electrical system maintenance. Plans of correction were provided for all cited deficiencies.
Deficiencies (8)
Facility failed to ensure physicians signed and dated monthly medication orders and performed face-to-face monthly visits for 19 of 32 residents reviewed over a 6 month period.
Pharmacist failed to report irregularities found in medical records to the facility, specifically regarding medication timing and potential drug interactions for Resident #83.
Facility failed to maintain required minimum direct care staff-to-resident ratios as mandated by the State of New Jersey.
Facility failed to ensure 1 of 10 recently hired employees completed a health history or received a physical examination by a physician or advanced practice nurse within two weeks prior to employment or upon employment.
Facility failed to ensure 1 of 10 employees received the required two-step Mantoux tuberculin skin test upon employment.
Facility failed to provide exit signs with continuous illumination indicating direction of travel in all locations where direction to nearest exit was not apparent, affecting 6 exit signs.
Facility failed to maintain smoke barrier doors to resist transfer of smoke when completely closed; a gap of approximately 1/4 inch was observed compromising smoke door integrity.
Facility failed to certify that the emergency generator transfers power to the building within the required 10-second time frame as required by NFPA 99 & 110.
Report Facts
Census: 159
Total Capacity: 176
Residents reviewed: 32
Deficient residents: 19
Staffing ratio deficiency: 1
Generator load tests: 12
Inspection Report
Routine
Deficiencies: 2
Date: Aug 11, 2022
Visit Reason
The inspection was conducted to assess compliance with respiratory care and immunization policies, including the cleanliness and maintenance of respiratory equipment and the offering of pneumonia vaccinations to residents.
Findings
The facility failed to maintain cleanliness of oxygen concentrator filters, change nasal cannula tubing timely, and properly transfer hospital oxygen orders into the EMR for one resident, increasing infection risk. Additionally, the facility failed to offer an additional pneumonia vaccine to a resident as recommended by CDC guidelines.
Deficiencies (2)
Failed to maintain cleanliness of oxygen concentrator filter and change nasal cannula tubing for Resident 120, and failed to transfer hospital oxygen orders to EMR.
Failed to offer and document option for additional pneumonia vaccine to Resident 111 as per CDC guidelines.
Report Facts
Residents sampled for immunization reviews: 5
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding oxygen tubing and concentrator filter maintenance |
| Assistant Administrator | Assistant Administrator | Observed and washed oxygen filter; interviewed about maintenance logs |
| Registered Nurse/Unit Manager | Registered Nurse/Unit Manager | Interviewed about oxygen tubing change procedures |
| Director of Nursing | Director of Nursing | Interviewed about nursing staff expectations for oxygen tubing changes and order entry |
| Infection Control Preventionist | Infection Control Preventionist | Interviewed regarding pneumonia vaccination status and policy |
Inspection Report
Follow-Up
Census: 145
Deficiencies: 1
Date: Aug 11, 2022
Visit Reason
The inspection was conducted to assess compliance with New Jersey staffing regulations, specifically to verify correction of previously cited deficiencies related to maintaining minimum direct care staff-to-resident ratios.
Findings
The facility was found deficient in maintaining the required minimum direct care staff-to-resident ratios on one day shift (08/06/22) with 17 CNAs for 145 residents instead of the required 18 CNAs. The facility implemented corrective actions including contracting a staffing specialist consultant, increasing recruitment efforts, and monitoring staffing ratios weekly. A revisit on 10/25/2022 confirmed correction of the cited deficiency.
Deficiencies (1)
Failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey.
Report Facts
Residents present: 145
Certified Nurse Aides (CNAs) present: 17
Certified Nurse Aides (CNAs) required: 18
Inspection Report
Complaint Investigation
Census: 142
Deficiencies: 0
Date: Jul 20, 2022
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ00149897 and NJ00153709.
Complaint Details
Complaint # NJ00149897, NJ00153709. The facility was found compliant based on the complaint survey.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.
Report Facts
Sample Size: 3
Inspection Report
Routine
Census: 136
Deficiencies: 0
Date: Jan 19, 2022
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 and recommended practices for 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: 5
Inspection Report
Complaint Investigation
Census: 121
Deficiencies: 0
Date: Dec 10, 2020
Visit Reason
The inspection was conducted as a complaint survey based on Complaint #: NJ00135736.
Complaint Details
Complaint #: NJ00135736. The facility was found compliant based on this complaint survey.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.
Report Facts
Sample Size: 3
Inspection Report
Routine
Census: 125
Deficiencies: 0
Date: Dec 3, 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: 3
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