Inspection Reports for
Winchester Gardens Assisted Living Center
333 Elmwood Avenue, Maplewood, NJ, 07040
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies 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 explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their 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
Complaint Investigation
Census: 59
Deficiencies: 1
Date: Aug 26, 2021
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint #NJ00147344 to determine compliance with New Jersey Administrative Code standards for assisted living residences.
Complaint Details
Complaint #NJ00147344 was investigated and substantiated based on evidence including interviews with the Executive Director, Assistant Executive Director, Licensed Practical Nurse, Director of Nursing, and Assisted Living Coordinator, review of medical records and security video, and facility policy review.
Findings
The facility was found not in substantial compliance with all applicable standards, specifically failing to implement and enforce its policy and procedure regarding a reportable event involving two residents. The deficiency was substantiated through observation, interviews, record review, and security video evidence.
Deficiencies (1)
Failure to implement and enforce policy and procedure related to administration and resident protection, including failure to properly report and document an incident involving residents.
Report Facts
Sample Size: 3
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