Anchor Care and Rehabilitation Center

Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain a clean and sanitary environment for 1 of 5 units, 3 west reviewed for environment. This deficient practice was evidenced by the following: On 6/15/2025 at 09:51 AM during initial tour the surveyor observed what appeared to be a spill of an orange/brown substance and a spoon on the floor of room [ROOM NUMBER] B on the 3 [NAME] unit. On 06/16/2025 at 09:19 AM and 06/17/2025 at 09:56 the surveyor observed the same orange/brown substance in the same location on the floor in room [ROOM NUMBER] B on 3 [NAME] unit. During an interview on 06/18/2025 with the surveyor, the Housekeeping Director (HD) said the residents' rooms are cleaned and mopped every day. [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure the resident's environment is free from accident hazards and the resident received adequate supervision to prevent accidents specifically by leaving a cup of two, unidentified tablets at the bed side. The deficient practice was identified for 1 of 5 residents (Resident # 249) reviewed for Accidents. The deficient practice was evidenced by the following: On 06/15/2025 at 9:53 AM during the initial tour of the facility, the surveyor observed a plastic cup containing two, unidentified tablets on the bed side table. Resident # 249 was asleep in bed and no staff were in the room at the time. [...]

Inspectors wroteBased on observations, interview, record review, and review of pertinent facility documents it was determined that the facility failed to provide appropriate and sufficient care specifically by having the catheter drain bag in contact with the floor, outside of a privacy bag, and left on top of the bed. The deficient practice was identified for 2 of 2 Residents (Resident # 7 and 250) reviewed for Urinary Catheter or Urinary Tract Infections. The deficient practice was evidenced by the following: A review of Resident # 250's orders located in the Electronic Medical Record (EMR) revealed that he/she had an order to change the indwelling catheter and urine drainage bag as ordered/as needed based off clinical indications such as (but not limited to) infection, obstruction, or when the closed system is compromised. [...]

Inspectors wroteBased on observation, interview, record review, and review of facility documents, it was determined that the facility failed to a.) provide documentation of an individualized and resident specific Peritoneal Dialysis ([PD] a way to remove waste products from blood using a cleansing fluid and a catheter tube in the abdomen) training for staff; b.) obtain individualized PD prescription; and c.) document assessments of the PD treatment, post complications, catheter site, and signs of infection. This deficient practice was identified for 1 of 1 resident (Resident #45) reviewed for dialysis and was evidenced by the following: On 06/15/2025 at 10:58 AM, the surveyor Resident #45 in bed. The resident did not respond to surveyor inquiry when knocked on the door. A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to store medical supplies in accordance with professional standards, as evidenced by the presence of expired supplies. This deficient practice was identified in 2 of 2 medication storage rooms inspected. The deficient practice was evidenced by the following: On [DATE] at 10:30 AM, the surveyor inspected the 1 East Unit medication storage room in the presence of Licensed Practical Nurse #1 (LPN #1) and observed the following expired items: five safety needles (23G x 1.5) dated [DATE], two staple removal kits dated [DATE], and three boxes of thermometer probes dated [DATE]. On [DATE] at 11:42 AM, the surveyor inspected the Subacute Unit medication storage room in the presence of Registered Nurse #1 (RN #1) and observed 10 expired feeding tube extension kits dated [DATE]. [...]

Inspectors wrote2. Upon initial tour of the facility on 06/15/2025 at 10:05 AM, surveyor #2 observed Resident #139 seated in bed. The surveyor observed an Auto-Adjusting Positive Airway Pressure machine (APAP- a machine designed to a condition where the throat muscles relax during sleep and block the airway) with the tubing and nasal piece hanging over the side table. When asked if the facility has ever provided a storage bag Resident #139 stated that they were never offered and would have accepted since it is always hitting the floor'. A review of the [admission Record], an admission summary, revealed the resident had diagnoses which included, but were not limited to: Respiratory Failure and Hypoxemia (low levels of oxygen in the blood). [...]

Inspectors wroteC #: NJ177500 Based on interviews, medical record review, and review of other pertinent facility documents on 12/04/24 and 12/05/24, it was determined that the facility staff failed to consistently document in the Resident CNA (Certified Nursing Assistant) Documentation Record (RCDR) on care provided to the resident according to the facility policy and protocol for 3 of 5 residents (Resident #2, Resident #3, and Resident #5) reviewed for documentation. This deficient practice was evidenced by the following: 1. According to the Resident Face Sheet (RFS), Resident #5 was admitted with diagnoses including but not limited to Stage 4 Sacral Pressure Sore (damage to the skin and tissue caused by prolonged pressure on a bony area of the body), and Age-related osteoporosis (a bone disease that causes bones to become weak and more likely to break). [...]

Inspectors wroteComplaint #: NJ00168186 Based on interview and review of pertinent facility documents, it was determined that the facility failed to ensure that a non-certified Temporary Nurse Aide (TNA) a.) was currently enrolled in a Certified Nursing Assistant (CNA) training program and had completed the first 16 hours of the training program by [DATE], and b.) had completed the CNA training program by [DATE]. This deficient practice was identified for 1 of 2 TNAs (TNA #1) who worked on 5 of 5 nursing units (1 East, 1 West, 2 East, 2 West, and 3 West) and was scheduled to work on an independent resident assignment during 2 of 3 shifts (day and evening shift). The deficient practice was evidenced by the following: The surveyor reviewed TNA #1's employee file: Review of TNA #1's, Certificate of Completion revealed that they were a Temporary Nurse Aide as of [DATE]. [...]

Inspectors wroteBased on observation, interview and review of facility documentation, it was determined that the facility failed to a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of food borne illnesses, b. properly wash hands and c.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination. This deficient practice was evidenced by the following: On 03/01/2023 at 9:40 AM, the surveyor toured the kitchen, in the presence of the Regional Food Service Director (RFSD) and the Food Service Director (FSD) and observed the following: On the overhead shelf, there was an unlabeled bag of rice and a bag of beans wrapped in clear plastic along with a cup of chicken broth that was unlabeled. [...]

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to maintain professional standards of clinical practice for 3 of 28 residents reviewed (Resident #78, #135 and #44 ) by a.) not monitoring meal intake for a resident with excessive weight loss (Resident #78), b.) not completing pain assessments before and after administering pain medications to assess for effectiveness for a resident (Resident #135) and c.) not following Physician's Orders by not removing an elopement alarm once the order was discontinued (Resident #44). 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 record review it was determined the facility failed to a.) accurately account for and document the administration of controlled medications, b.) maintain clean and sanitary medication storage areas, and c.) ensure the accountability of the narcotic shift count log was completed in accordance with facility policy. This deficient practice was identified in 1 of 3 medication storage rooms and 2 of 4 medication carts reviewed and evidenced by the following: a.) On [DATE] at 10:31 AM, the surveyor in the presence of the Licensed Practical Nurse #1 (LPN1) inspected the second-floor west wing's (2 West), B - medication cart (2WB). [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility staff failed to ensure a resident received and consumed liquids in the appropriate amount according to physician orders for 1 of 1 resident (Resident #92) who was on a fluid restricted diet. This deficient practice was evidenced by the following: On 5/11/21 at 1:34 PM, two surveyors observed Resident # 92 lying upright in bed with an overbed table positioned over his/her lap. The resident was alert, oriented and interviewable. The surveyors observed an opened 12-ounce can of diet gingerale on the overbed table. On 5/13/21 at 8:51 AM, two surveyors observed the resident in bed with eyes closed. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to: a.) perform handwashing appropriately for 4 of 10 staff and, b.) disinfect and sanitize the equipment used in the COVID-19 screening process, and table used in testing visitors for 3 of 3 staff in accordance with the Centers for Disease Control and Prevention guidelines for infection control to mitigate the spread of COVID-19. This deficient practice was evidenced by the following: According to the U.S. CDC guidelines Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, updated February 23, 2021, included, Hand Hygiene: HCP should perform hand hygiene before and after all patient contact, contact with potentially infectious material, and before putting on and after removing PPE, including gloves. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain professional standards of clinical practice by a.) not following manufacturing specifications for the administration of a delayed released medication and b.) not clarifying a physician's order for 2 of 27 residents (Resident #22 and Resident #90) reviewed. 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 record review, it was determined that the facility failed to maintain the necessary respiratory care and services for a resident who was receiving tracheostomy (trach) care and nebulizer (neb) treatment according to standards of practice. This deficient practice was identified for 1 of 1 resident (Resident # 278) reviewed for tracheostomy care. This deficient practice was evidenced by the following: According to the U.S. CDC guidelines Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, updated February 23, 2021, included, Hand Hygiene: HCP should perform hand hygiene before and after all patient contact, contact with potentially infectious material, and before putting on and after removing PPE, including gloves. [...]

Inspectors wroteBased on interview and record review, it was determined that the facility failed to a.) ensure that the Consultant Pharmacist (CP) reported irregularities of a drug regimen to the facility, and b.) act upon the CP report of irregularities found while reviewing the monthly drug regimen. This deficient practice was identified for 2 of 26 residents, #31 and #119 reviewed. This deficient practice was evidenced by the following: 1. On 5/11/21 at 10:11 AM, the surveyor observed Resident #31 lying in bed awake and confused. The surveyor observed a tube feeding pump at bedside which was turned off and there was no formula hanging. The surveyor reviewed the medical record for Resident #31. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to properly label, store and dispose of medications in 4 of 7 medication carts inspected. This deficient practice was evidenced by the following: On [DATE] at 11:00 AM, the surveyor inspected 2 [NAME] B side medication cart in the presence of a Licensed Practical Nurse (LPN#1). The surveyor observed an opened bottle of Xalatan Eye Drops with an opened date of [DATE]. An opened bottle of Xalatan eye drops have a 42-day expiration date. The surveyor interviewed LPN#1 who stated that the opened bottle of Xalatan eye drops was expired and should have been removed from the active inventory medication cart. On [DATE] at 11:10 AM, the surveyor inspected the 2 East medication cart in the presence of LPN #2. The surveyor observed an opened Basaglar Insulin Pen with an opened date of [DATE]. [...]

Inspectors wroteBased on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices and properly store potentially hazardous foods in a safe and sanitary environment to prevent the development of food borne illness. This deficient practice was observed during kitchen tours and was evidenced by the following: On 5/10/21 at 9:54 AM, two surveyors toured the kitchen with the Food Service Director (FSD) and observed 35 loaves of white bread stored in a dry storage area dated 5/2 with a handwritten marker. The FSD stated that 5/2 was the date the bread was delivered. There was no expiration date on the loaves of white bread. [...]