Accelerate Skilled Nursing and Rehab Piscataway

Inspectors wroteBased on interviews and review of pertinent facility documents on 11/05/25, 11/06/25, and 11/10/25, it was determined that the facility failed to ensure a cognitively impaired resident (Resident #1) was protected from neglect when the resident was found unresponsive outside on the patio during a heat wave and was sent to the emergency room for heat stroke (life-threatening from environmental heat exposure). This deficient practice was identified for 1 of 4 residents reviewed for abuse and neglect (Resident #1). On 07/29/25 at 11:15 AM, Resident #1's Representative (RR #1), a companion, discovered Resident #1 outside on the second-floor patio unresponsive. RR #1 immediately informed the Registered Nurse (RN #1), who went outside and found the resident unconscious. [...]

Inspectors wroteBased on interviews and review of pertinent facility documents on 11/05/25, 11/06/25, and 11/10/25, it was determined that the facility failed to report within two hours to the New Jersey Department of Health (NJDOH) an allegation of neglect that occurred on 07/29/25. This deficient practice was identified for 1 of 4 residents reviewed for abuse and neglect (Resident #1), and was evidenced by the following:The surveyor reviewed the medical record for Resident #1. A review of the admission Record (AR) face sheet (an admission summary), revealed that Resident #1 was admitted to the facility with diagnoses which included but were not limited to; [...]

Inspectors wroteBased on interviews and review of pertinent facility documents on 11/05/25, 11/06/25, and 11/10/25, it was determined that the facility failed to thoroughly investigate an incident of resident heat stroke (life-threatening from environmental heat exposure) to rule out neglect. This deficient practice was identified for 1 of 4 residents reviewed for abuse and neglect (Resident #1), and was evidenced by the following:The surveyor reviewed the medical record for Resident #1. A review of the admission Record (AR) face sheet (an admission summary), revealed that Resident #1 was admitted to the facility with diagnoses which included but were not limited to; [...]

Inspectors wroteBased on record review, interview, and review of facility policy, the facility failed to ensure that medical records were provided to residents or their legal representatives in a timely manner. This deficient practice was identified for three of six sampled residents (R)13, (R)15, and (R)16 which delayed access to essential health information. Review of the facility's policy titled Authorization for Release of Information dated 05/01/22 revealed that access to view documents must be provided within 24 hours of receipt of a request, and copies of records must be provided within two working days. 1. Review of R13's diagnosis sheet provided by the facility revealed an admission date of 05/20 and discharge date in 06/20. [...]

Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to provide care and treatment in a timely manner for an unavoidable pressure ulcer for one of three residents (Resident (R) 5) reviewed for pressure ulcers out of a total sample of 20. The wound was not properly assessed for seven days. This resulted in harm when the wound was determined to be an unstageable pressure ulcer that resulted in hospitalization for the resident with a diagnosis of sepsis, with the pressure ulcer being the possible source of the sepsis. Review of the facility's policy titled, Pressure Injury Prevention Guidelines, dated 03/04/25, revealed, . to promote healing of existing pressure injuries, it is the policy of this facility to implement evidence-based interventions for all residents who are assessed at risk or who have a pressure injury present . [...]

Inspectors wroteBased on observation, interview, record review and policy review, it was determined that the facility failed to a.) store potentially hazardous foods in a manner to prevent food borne illness, and b.) failed to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination from foreign substances and potential for the development a food borne illness. This deficient practice was evidenced by the following: On 11/22/24 at 10:56 AM, in the presence of the Food Service Director, the surveyor observed the following: 1. On the shelf holding the water dispenser, the surveyor observed that the shelf was soiled with brown and white colored debris and the drip tray underneath the water dispenser spout was soiled with built up dried grown substance. 2. The surveyor observed the Boiler handle covered in cream colored debris lifted with the tip of the surveyor's pen. 3. [...]

Inspectors wroteComplaint # NJ00169291 Based on observation, interview, and record review it was determined that the facility failed to maintain the dignity of 3 of 20 residents reviewed (Resident # 62, Resident # 34, Resident #35). This deficient practice was found with 3 Certified Nursing Aides (CNA) observed during the survey. The deficient practice was evidenced by the following: 1. On 11/22/24 at 1:15PM, the surveyor observed Resident # 62's representative ask CNA # 1 to help the resident. At that time CNA # 1 walked up to the representative and stood about 12 inches away from the representative. The CNA # 1 stated in a loud voice that she cannot help that resident right now as that resident will hit her since the resident is aggressive. The surveyor interviewed the CNA # 1 who stated that the resident hurts her and the resident refuses care. [...]

Inspectors wroteBased on interview and record review it was determined that the facility failed to implement their Abuse Prohibition policy by: a) ensuring a newly hired employee's criminal background investigation report (CBI) was reviewed in a timely manner by Administration prior to their date of hire for 1 of 10 employee records reviewed, Employee #4, and b) ensuring all newly hired employees were appropriately screened by conducting reference checks prior to their date of hire for 8 of 10 employee records, Employee #1, 3, 4, 5, 6, 7, 8, 9, reviewed. The deficient practice is evidenced by the following information. The surveyor performed the Abuse Prohibition Employee Pre-Screening Task on 11/27/24. The surveyor randomly selected 10 newly hired employees who began employment after the last standard recertification inspection. 1. [...]

Inspectors wroteComplaint # NJ 177778 Based on observation, interview, and record review, it was determined that the facility failed to ensure a) implementation of a resident's care plan for an as needed and preventative skin care treatment (against pressure ulcer/injury) from 1/25/24 to 6/25/24, b) provide prescribed treatment, Z-guard paste in a timely and consistent manner, c) administer Clonazepam, (Klonopin; medication used for anxiety) as scheduled, and in accordance with the physician's order. The deficient practice was identified for one (1) of five (5) residents reviewed for pressure ulcer, Resident #76 and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]

Inspectors wroteComplaint # NJ 00168225; NJ 00172462; NJ 00161955, NJ 00177778; NJ00169881; NJ 00168886 Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that incontinence care was provided to dependent residents in a timely manner for 4 of 4 residents (Resident #66, #44, #49 and #29) observed for incontinence care on 1 of 2 units, 2nd-floor Unit. This deficient practice was evidenced by the following: a. On 11/22/24 at 8:20 AM, the surveyor and CNA #1 entered Resident #66's room and observed the resident in bed. The surveyor and CNA #1 noted a strong malodorous smell of urine. CNA #1 exposed Resident #66's pull-up which was saturated with urine. The surveyor reviewed the medical record for Resident #66. [...]

Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to provide a specialty device, darco boots, that was recommended as a change to provide support and pressure relief for pressure ulcers in a timely manner for one (1) of five (5) residents, Resident #14, reviewed for pressure ulcers. This deficient practice was evidenced by the following: On 11/21/24 at 10:53 AM, the surveyor interviewed Resident #14 in their room. The surveyor observed dressings and booties to both feet that were on footrests of the wheelchair. The resident stated that they were waiting for darco boots (a specialty wound care shoe with multi-density insoles for customization and off-loading and an ultra-soft lining to reduce friction) that the wound consult physician had recommended and thought it was taking a long time. [...]

Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to follow Center for Disease Control recommendations and guidelines for Hand Hygiene. This deficient practice was evidenced by the following: According to the CDC Hand Hygiene in Healthcare Settings, Hand Hygiene Guidance, last reviewed on January 30, 2020, included that Healthcare personnel should use an alcohol-based hand rub or wash with soap and water for the following clinical indications: Immediately before touching a patient Before performing an aseptic task or handling invasive medical devices Before moving from work on a soiled body site to a clean body site on the same patient After touching a patient or the patient's immediate environment After contact with blood, body fluids, or contaminated surfaces Immediately after glove removal. 1. [...]

Inspectors wroteBased on interview, medical record review, and review of other pertinent facility documents, it was determined that the facility failed to offer a resident a COVID-19 Immunization. This deficient practice was identified for 3 of 5 residents reviewed for immunization (Resident #9, Resident #41, and Resident #55). The deficient practice was evidenced by the following: 1. A review of the resident #41's admission record reflected the resident was admitted to the facility with diagnoses that included but were not limited to, urinary tract infection. A review of Resident #41's quarterly Minimum Data Set (MDS), an assessment tool, dated 9/27/24, revealed a Brief Interview for Mental Status (BIMS) score of 13, which indicated intact cognitive functioning. A review of the electronic medical record (EMR) indicated that Resident #41 had received Covid vaccines on 9/14/2/1 and 10/5/21. [...]

Inspectors wroteNJ Complaint #174731 Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to report to the New Jersey State Department of Health (NJDOH) an injury of unknown origin for an incident on 6/4/24. This deficient practice was identified for 1 of 1 resident (Resident #75) reviewed for accident/incident, and was evidenced as follows: On 11/23/24 at 12:20 PM, during an interview with the surveyor, the Director of Nursing informed the surveyor that there was no reportable on file for Resident #75 (report filed with the NJDOH) but would reach out to the previous management for clarification. The surveyor reviewed the medical record for Resident #75. [...]

Inspectors wroteBased on observation, interview, review of medical records, other facility documentation, and review of the Resident Assessment Instrument (RAI) User's Manual, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS), an assessment tool, for 1of 5 residents reviewed (Resident #41). This deficient practice was evidenced by the following: On 11/22/24 at 11:37 AM, the surveyor introduced self to Resident #41, who became annoyed and did not wish to speak to anyone from the Department of Health and instructed surveyor not to come back again. A review of the resident's admission record reflected the resident was admitted to the facility with diagnoses that included but were not limited to, urinary tract infection. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to administer oxygen therapy according to the physician's order for 1 of 1 resident, Resident #6, reviewed for respiratory care and services. The deficient practice was evidenced by the following information. The surveyor observed Resident #6 on 11/21/24 at 10:36 AM seated in the hallway in a wheelchair outside their room. The resident was receiving oxygen therapy from a portable oxygen concentrator at a rate of 3 liters per minute (LPM) through a nasal cannula. The surveyor observed the resident on 11/22/24 at 10:45 AM seated in their room in a wheelchair receiving oxygen at 3 LPM. The surveyor observed the resident on 11/26/24 at 9:50 AM seated in a wheelchair in the hallway receiving oxygen at 4.5 LPM. The surveyor interviewed the resident's assigned nurse on 11/26/24 at 9:51 AM. [...]

Inspectors wroteComplaint# NJ 177778 Based on observation, interview, and review of pertinent facility documentation it was determined that the facility failed to ensure sufficient staff were available to administer medications in a timely manner in accordance with the physician's order. This deficient practice was identified for one (1) of two (2) resident investigated for Activities of Daily Living (ADL). Refer 658 E Reference: New Jersey Department of Health (NJDOH) memo, dated 1/28/21, Compliance with N.J.S.A. (New Jersey Statutes Annotated) 30:13-18, new minimum staffing requirements for nursing homes, indicated the New Jersey Governor signed into law P.L. 2020 c 112, codified at N.J.S.A. 30:13-18 (the Act), which established minimum staffing requirements in nursing homes. The following ratio(s) were effective on 2/01/21: One Certified Nurse Aide (CNA) to every eight residents for the day shift. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that all medications were administered without error of 5% or more. During the medication administration observation performed on 11/22/24, the surveyor observed three (3) nurses administer medications to five (5) residents. There were 25 opportunities, and three (3) errors were observed which calculated to a medication administration error rate of 12 %. This deficient practice was identified for two (2) of five (5) residents, (Residents #38 and #46), that were administered medications by one (1) of three (3) nurses. The deficient practice was evidenced as follows: 1. On 11/22/24 at 7:53 AM, the surveyor observed the Registered Nurse (RN#1) preparing to administer the morning medications to Resident #46. [...]

Inspectors wroteBased on interviews, medical record review, and review of other pertinent facility documents, it was determined that the facility failed to offer residents a pneumococcal vaccine or document the reason for ineligibility for the pneumococcal vaccine for 2 of 3 residents reviewed for immunizations (Resident #58 and Resident #41). The deficient practice was evidenced by the following: Reference: Centers for Disease Control (CDC) recommends pneumococcal vaccination (PCV) for many adults based on age, having certain risk conditions, and pneumococcal vaccines already received . CDC recommends PCV15, PCV20, or PCV21 for adults who never received a PCV and are Ages 65 years or older Ages 19 through 64 years with certain risk conditions. [...]

Inspectors wroteCOMPLAINT #NJ00170353 Based on interview, medical record review, and review of other pertinent facility documents on 2/15/24, it was determined that the facility failed to provide written notice of discharge to the resident, resident representative, and the Office of the Long-Term Care Ombudsman (LTCO) for 3 of 3 residents (Resident #3, Resident #5, and Resident #6), reviewed for facility-initiated discharges. This deficient practice was evidenced by the following: 1.) The surveyor reviewed the medical records of Resident #3. Review of the Resident #3's admission Record (AR) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to hypertension, dysphagia (difficulty swallowing), and cognitive communication deficit. Review of Resident #3's Progress Notes (PN) revealed the following: [...]

Inspectors wroteBased on observation, interviews, medical record review and other pertinent facility documentation, it was determined that the facility's Administrator failed to ensure that the facility was in compliance with the following regulatory requirements, which affected the safety of all the residents in the facility. The Administrator failed to ensure: [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure: 1.) immediate action was taken to initiate contact tracing upon the identification of a COVID positive staff member, Registered Nurse #1 (RN #1), who was symptomatic and provided care to 9 residents on 1 of 2 units and tested positive for COVID-19 while at work on 12/24/22 2. [...]

Inspectors wroteBased on interview, medical record review, and review of facility documents, it was determined that the facility failed to ensure: 1.) a symptomatic Registered Nurse #1 (RN #1) notified the supervisor, prior to the start of her shift on 12/24/22 that she was ill, 2.) a process was in place to conduct immediate resident and staff testing upon identification of a COVID-19 positive staff member (RN #1) who provided care to 9 residents on 1 of 2 units while working on 12/24/22, and for two residents who tested positive for COVID-19 (Residents #33 and #235) 3.) the facility followed the relevant Centers for Disease Control and Prevention (CDC), Federal, and State guidance for infection control, and 4.) the facility's Outbreak Plan and COVID-19 policies were followed to prevent exposure and mitigate the spread of COVID-19, a deadly, highly transmissible infectious disease. [...]

Inspectors wroteBased on interview and review of facility documentation, it was determined that the facility failed to provide evidence that Certified Nursing Assistants (CNAs) received annual performance evaluations and 12 hours of mandatory in-service training as required. This deficient practice was identified for 5 of 5 CNAs and was evidenced by the following: On 1/4/23 at 11:40 AM the surveyor reviewed the facility's list of CNAs and requested the in-service training and performance evaluations for 5 randomly selected who had been hired on 4/1/2021. On 1/5/23 at 10:00 AM, the Human Resources (HR) director provided the surveyor with a printout of a document titled, Transcript Report-Nurse Aide Completions with Training Hours. A review of the Transcript Report-Nurse Aide Completions with Training Hours included CNA #5, #6, and #7, but did not include CNA #8 or #9. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to a.) ensure that expired medications and supplies were removed from the medication rooms and unit emergency carts where other current in use items were stored, b.) ensure that each medication room refrigerator was maintained and locked, c.) ensure that each medication room refrigerator contained a secured/locked narcotics box and d.) consistently document medication room refrigerator temperatures. This deficient practice was identified for 2 of 2 units and was evidenced by the following: On 01/10/23 at 10:46 AM, surveyor #1 inspected the medication room on the second floor with the Registered Nurse Supervisor (RNS) and observed the following: 1. The RNS and surveyor #1 reviewed the medications stored in the large refrigerator and the RNS confirmed the following items were expired: [...]

Inspectors wroteBased on observations, interviews, and record reviews, it was determined that the facility failed to a.) handle potentially hazardous foods, and maintain equipment and sanitation in a safe, consistent manner to prevent foodborne illness and b.) consistently document refrigeration temperatures for 3 out of 3 resident rooms. This deficient practice was evidenced by the following: On 01/03/23 from 9:52 AM to 10:36 AM, the surveyor observed the following in the kitchen in the presence of the Dining Services Director (DSD). 1. In a food preparation area, the surveyor observed that two of four five-pound packages of ground hamburger that were being thawed inside of a stock pot under running water within the sink, protruded halfway out of the stock pot and were not fully submerged beneath the water. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to develop and/or implement a person-centered comprehensive care plan that addressed all of the resident's medical needs and diagnosis for 6 of 14 residents (Residents #52, #235, #14, #21, #56 and #50) reviewed for comprehensive care plans. The deficient practice was evidenced by the following: 1. On 1/3/23 at 11:05 AM, the surveyor observed Resident #52 lying in the bed, alert and awake. Resident #52 stated they were admitted to the facility to receive intravenous (IV) antibiotic therapy and showed to the surveyor the IV access site to the right arm. The surveyor reviewed the hybrid medical record of Resident #52 which revealed the following: [...]

Inspectors wroteBased on observations, interviews, review of medical records and other facility documentation, it was determined the facility failed to consistently follow standards of professional clinical practice with regard to: a) accurately documenting medication administration for 1 of 1 residents (Resident #52) reviewed for antibiotic use, b) adhering to physician's orders for blood pressure medication parameters, clarification of physician's orders and adherence to the facility Medication Administration policy for 3 of 4 residents observed during medication administration pass (Residents #185, #186 and #187), and c. administering oxygen to a resident without physician orders for 1 of 3 residents (Resident # 14) reviewed for oxygen. This deficient practice was identified as follows: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to a.) evaluate and complete a wound assessment for one resident's wound in a timely manner, b.) complete weekly skin assessments for one resident and c.) discontinue a wound treatment when resolved. This deficient practice was identified for 1 of 1 resident (Resident #29) reviewed for pressure ulcers and was evidenced by the following: On 01/03/23 at 10:05 AM, the surveyor observed Resident #29's legs were contracted, and the resident was lying supine in bed on an air mattress with the head of the bed elevated. The resident stated that he/she had a wound on the shin. According to the admission Record Report, the resident was admitted with diagnoses which included, but were not limited to, contracture of muscle. [...]

Inspectors wroteBased on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to ensure that a resident with limited range of motion of the right hand received appropriate services to prevent further decrease in range of motion. This deficient practice was identified for 1 of 1 residents (Resident #21) reviewed for positioning and mobility and was evidenced by the following: During the initial tour of the facility on 01/03/23 at 10:03 AM, the surveyor observed Resident #21 with a contracture to the right hand. The surveyor observed a hand roll located on the resident's bedside table. Resident #21 stated that he/she can apply and remove the hand roll without assistance. On 01/06/23 at 11:00 AM, the surveyor observed Resident #21 with a contracture to the right hand. The resident's hand roll was observed on the bedside table. [...]

Inspectors wroteBased on interview and record review, it was determined that the facility failed to a.) act on or respond to, recommendations made by the Consultant Pharmacist (CP) in a timely manner. This deficient practice was identified for 1 of 5 residents reviewed for medication regimen review (Resident #5) and was evidenced by the following: The surveyor reviewed the progress notes (PN) from 06/01/22 through 01/12/23 and observed that the CP generated Medication Regimen Review (MMR) PNs dated 06/29/22, 08/01/22, 09/30/22, 10/31/22, 11/20/22 and 12/31/22 with his recommendations to be completed by the physician. The surveyor observed that the physician did not address the CP MMR Progress Notes. During an interview with the surveyor on 01/10/23 at 10:36 AM, the surveyor asked the Director of Nursing (DON) for the physician's response to the CP recommendations for Resident #5. [...]

Inspectors wroteBased on observation, interview, and record review of facility documentation, it was determined that the facility failed to implement their protocol to monitor and track resident antibiotic use for the month of December 2022. This deficient practice was identified for 1 of 1 resident (Resident #52) reviewed for antibiotics and was evidenced by the following: On 1/9/23 at 9:10 AM, the surveyor asked the DON and IP to provide information on Antibiotic Stewardship tracking and surveillance. On 1/10/23 at 9:25 AM, the DON provided the surveyor with the facility's Antibiotic Stewardship Report (an automated report generated from the information entered about initial resident infection trends). A review of the provided Antibiotic Stewardship Report, dated 1/9/23, indicated the monthly data for antibiotic use and infections from 12/1/22 to 12/31/22. [...]

Inspectors wroteBased on interview and review of pertinent facility documents, it was determined that the facility failed to ensure resident representatives were informed of a newly confirmed COVID-19 diagnosis of a staff member in the facility by 5 PM the next calendar day. This deficient practice was identified for 1 of 1 staff who tested positive for COVID-19 (Registered Nurse #1) and was evidenced by the following: During the entrance conference on 1/3/23 at 11:00 AM, the surveyor requested the process of notification of confirmed and suspected COVID-19 cases to residents and resident representatives. On 1/4/22 at 10 AM, Surveyor #1 reviewed the facility's COVID tracker (an internal tool that documents COVID-19 positive staff) titled COVID-19 Employee Detail, which revealed RN #1 was positive for COVID-19 on 12/24/22. [...]

Inspectors wroteBased on observation, interview, and review of facility documentation provided, it was determined that the facility failed to maintain proper kitchen sanitation practices, store dry foods in a safe and sanitary environment to prevent the development of food borne illness, and maintain 2 of 3 ice machines used for residents in a sanitary manner. The deficient practice was observed and was evidenced by the following: On 10/06/2020 at 9:25 AM, during the initial tour of the kitchen in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. On the drying rack, there were 20 multiple sized serving trays/pans nestled on top of each other. The surveyor asked the FSD to separate the trays/pans and observed moisture between them. The FSD stated the pans should be separated to allow for proper drying to prevent bacteria growth. 2. [...]

Inspectors wroteBased on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to a.) label intravenous (IV) hydration and b.) label and store tube feedings in accordance with the facility policy for 1 of 1 residents (Resident #52) reviewed for IV and tube feedings. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: [...]

Inspectors wroteBased on observation, interview, and review of medical records and other facility documentation, it was determined that the facility failed to address recommendations made by the Consultant Pharmacist in a timely manner for 1 of 16 residents (Resident #6) reviewed for drug regimen. This deficient practice was evidenced by the following: On 10/07/2020 at 11:44 AM, the surveyor observed Resident #6 in bed eating breakfast. The resident stated when he/she received Tylenol for pain it was effective for pain management. According to the admission Record, Resident #6 was admitted to the facility on 07/2020 with diagnoses that included, but were not limited to: Cerebral infarction (stroke), left sided hemiplegia (paralysis), and hypertension (elevated blood pressure). [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that staff wear the appropriate personal protective equipment (PPE) for residents on contact plus airborne isolation, to address the risk for infection transmission, in accordance with the facility policy and acceptable standards of infection control practice. This deficient practice was identied for 3 of 3 residents (Residents #18, #22, and #27) reviewed for infection control practices and was evidenced by the following: On 10/08/2020 at 8:10 AM, as Surveyor #1 entered the facility's conference room, a notice was left from the Administrator that the facility had a positive employee who worked on the second floor, and that after consultation with the local health department, the facility was on outbreak status with full house precautions for both floors in the facility. [...]