Aristacare at Manchester LLC

Inspectors wroteBased on observation, record review, interview and review of pertinent facility documentation, it was determined that the facility failed to treat residents with respect and dignity. Specifically, by a.) staff failed to provide timely assistance to Resident #2, who was observed with drool and an orange liquid substance dripping from the mouth and beard and b.) staff failed to provide privacy for Resident #95 during hygienic care. [...]

Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure the SNF ABN (skilled nursing facility advanced beneficiary notice) was complete and accurate which placed the residents and/or representatives at risk of not being fully informed. This was identified for 1 of 3 residents (Resident # 98 ) reviewed for SNF Beneficiary Protection and was evidenced by:A review of Resident #98's admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: Muscle Weakness, Dysphagia, and Malignant Neoplasm of the Colon. Review of Resident #98's SNF Beneficiary Notification Review, which was provided by the facility, indicated the resident no longer required skilled care effective 5/6/2025. [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that appropriate care and services were provided to prevent complications of enteral feeding (delivers nutrition directly into the digestive system through a tube), by failing to check for proper placement of the feeding tube before administering the enteral feeding. This deficient practice was identified for 1 of 1 resident (Resident #46) investigated for tube feeding and was evidenced by the following: On 8/21/25 at 9:15 AM, the surveyor reviewed the medical record for Resident #46. A review of the admission Record (admission summary) reflected that Resident #46 was admitted to the facility with diagnoses that included but not limited to; [...]

Inspectors wroteBased on observation, record review, interview, and pertinent facility documentation, it was determined that the facility failed to ensure that a medication was secured in a locked compartment accessible only to authorized personnel with a key. Specifically, the facility failed to secure medication that was left at a resident's bedside. This deficient practice was identified for 1 of 1 resident (Resident #10) and was evidenced by the following: On 08/21/2025 at 11:21 PM, the surveyor observed Resident #10 in their bedroom, seated in a wheelchair with a bedside table in front of them. On the table was a box containing a 10-milliliter bottle of eye itch relief drops (used to relieve itching in the eyes). The resident stated that their daughter had brought the eye drops because their eyes sometimes feel dry. [...]

Inspectors wroteComplaint: NJ183978Based on interview, review of medical records and other pertinent facility documentation it was determined that the facility failed to maintain medical records accurately and completely in accordance with acceptable standards and practice. This identified for 1 of 46 residents (Resident # 150) reviewed medical records and evidenced by the following:A review of the admission Record, an admission summary, revealed that Resident #150 had diagnoses which included, but were not limited to: metabolic encephalopathy and moderate protein-calorie malnutrition. A review of the resident's individual comprehensive care plan (ICCP) had the following a focus areas, dated 2/27/2025, that the resident had an alteration in gastro-intestinal status [related to] presence of colostomy. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) sanitize reusable medical equipment in between resident use during medication administration and b.) contain soiled laundry securely and transport to the designated holding area to prevent the potential spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines and standards of clinical practice. This deficient practice was identified for 2 unsampled residents (Resident #81 and Resident #155) observed during medication administration and was evidenced by the following:Reference: Contaminated textiles and fabrics often contain high numbers of microorganisms from body substances, including blood, skin, stool, urine, vomitus, and other body tissues and fluids. [...]

Inspectors wroteBased on interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to ensure the Infection Preventionist actively performed responsibilities in accordance with her facility designated role. Specifically, by not administering an annual influenza vaccine to 1 of 5 residents reviewed for vaccinations (Resident #10). The deficient practice was evidenced by the following: On 08/25/2025 at 12:10 PM, the surveyor reviewed the electronic medical records of Resident #10, which revealed that the resident was admitted to the facility on [DATE], during the influenza season. Documentation showed that the resident signed an influenza immunization consent form on 11/01/2024, indicating agreement to receive the vaccine. [...]

Inspectors wroteComplaint NJ #165621 Based on record review, interview, and review of pertinent documentation, it was determined that the facility failed to a.) adequately supervise a cognitively impaired resident (Resident # 535) with exit seeking behavior from eloping the facility. This posed the likelihood of serious injury, serious harm, serious impairment or death for 1 of 3 residents reviewed for wandering/elopement. A review of a closed record revealed a Progress Note (PN) dated 05/28/23, identified that staff were unable to locate Resident #535 in the facility for approximately one hour. Resident # 535 was found at a local restaurant located near the facility. This resulted in an Immediate Jeopardy (IJ) situation. The IJ began on 05/28/23 and was identified on 04/17/24. The IJ template was given to the Licensed Nursing Home Administrator (LNHA) on 04/17/24 at 3:10 PM. [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to complete and maintain an ongoing communication record between the facility and the dialysis center for 1 of 2 residents (Resident #19) reviewed for dialysis. The deficient practice was evidenced by the following: A review of the facility policy Hemodialysis Communication undated, included but was not limited to: to have effective communication . between facility and dialysis center . Steps . ensure the resident has their communication binder with them and filled out completely to include pre and post dialysis weights, vitals, and any medications provided . According to the admission Record, Resident #19 was admitted with diagnoses which included but were not limited to acute kidney failure, psychosis, Dementia, and dependence on renal dialysis. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined the facility failed to ensure an accurate ordering and receiving of narcotic medications on the required Federal narcotic acquisition forms (DEA 222 forms) were completed with sufficient detail to enable accurate reconciliation for 3 of 3 forms provided: This deficient practice was evidenced by the following: On 4/17/24 at 10:45 AM, the surveyor reviewed the facility provided DEA 222 forms which revealed on three of the three provided forms Part 5, had not been completed upon receipt of the medications from the Provider Pharmacy as instructed on the reverse of the ordering form. The forms were as follows: Order form number: 231659497; 231659498; 23165949. On 4/17/24 at 10:50 AM, the surveyor and DON reviewed the provided DEA 222 forms. [...]

Inspectors wroteBased on observation, interview, review of medical records, and other pertinent facility documentation it was determined that the facility failed to obtain physician orders consistent with professional standards of clinical practice for an orthotic device (used to treat various conditions of the foot and ankle) and for the treatment of a skin tear. This deficient practice was identified for 1 of 28 residents reviewed (Residents #24) and was evidenced by the following: Reference: New Jersey Statutes, Title 45, Chapter 11, Nursing Board, The Nurse Practice Act for the state of New Jersey states; [...]

Inspectors wroteBased on observation, interview, record review and review of pertinent documentation, it was determined that the facility failed to ensure that staff provided a resident with the appropriate physician ordered liquid consistency. This deficient practice occurred for 1 of 9 resident (Resident #24) reviewed for physician ordered pudding thick liquid consistency and was evidenced by the following:The evidence was as follows:On 04/12/24 at 8:31 AM, during a surveyor interview with Resident #24 a Certified Nurse Aide (CNA) brought the resident's meal tray into the room and placed it on the bed-side table. The CNA informed the resident he was going to get the resident coffee and then exited the room. The CNA returned with a 9-ounce burgundy coffee cup that was filled close to the top of the mug with coffee. [...]

Inspectors wroteBased on interview, record review and review of pertinent facility documents, it was determined that the facility failed to accurately document in the medical records. This deficient practice was identified for 1 of 29 residents (Resident #183) medical records reviewed and was evidenced by the following: The surveyor reviewed the medical record for Resident #183. A review of the admission Record face sheet reflected that the resident was admitted to the facility with diagnoses that included, lack of coordination, type 2 diabetes mellitus (high blood glucose), and abnormalities of gait (pattern a person walks) and mobility. A review of the Incident Report revealed that a staff member (Certified Nursing Assistant - CNA) bumped into the resident with a meal cart resulting in the resident sustaining a skin tear on their right third toe on 2/24/23 at 8:45 AM. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to adhere to accepted standards of infection control practices for the proper storage of respiratory tubing and mask after use for 2 of 2 residents reviewed (Resident #40 and #241). The deficient practice was evidenced by the following: 1. On 04/11/22 at 10:30 AM during the initial tour, the surveyor toured the subacute Unit and observed Resident #241 in bed, the head of the bed was elevated and the resident was resting with their eyes closed. The resident was receiving oxygen via a nasal cannula (tube inserted to the nose for oxygen delivery). The surveyor observed the Nebulizer mask (used for breathing treatments) directly placed on top of the night stand, touching the Nebulizer machine and in closed proximity of the resident's phone and toiletries items. [...]

Inspectors wroteComplaint # NJ 169435 Based on interviews, record review, and review of other facility documentation, it was determined that the facility failed to ensure the development of an individualized resident-centered care plan for a resident with documented behaviors toward residents and staff. This deficient practice was identified for 1 of 29 residents reviewed for the development of individualized care plans (Resident # 234). The evidence was as follows: On 04/16/24 at 10:00 AM, the surveyor reviewed the medical record for Resident #234. A review of the admission face sheet record (an admission summary), reflected that the resident was admitted to the facility with diagnoses which included schizo-affective disorder, depression, and dementia with behavioral disturbance. [...]

Inspectors wroteBased on observation, interview, and review of facility documentation, it was determined that the facility failed to a.) maintain kitchen equipment in a manner to prevent microbial growth and b.) label and date potentially hazards foods to prevent foodborne illness. This deficient practice was evidenced by the following: On 12/5/21 at 9:50 AM, the surveyor conducted a kitchen tour with the Food Service Director (FSD) and observed the following: 1. One opened half gallon container of almond milk not labeled when opened with printed expiration date of 2/18/22. The FSD stated that the facility did not label when opened because they went by the printed expiration date on the container. The surveyor and FSD observed on the container a manufacturer's specification to use within fourteen days of opening. 2. [...]

Inspectors wroteBased on observation, interview and review of pertinent facility documents, it was determined that the facility failed to ensure that suction equipment supplies, nasal cannula, and saline solution that all expired in 2020 and 2021 respectively were removed from active inventory in 3 of 3 emergency carts. This deficient practice was evidenced by the following: On [DATE] at 1:16 PM, the surveyor observed an emergency cart located on the third floor adjacent to the nurse's station. The cart contained the following: suction tubing expired 10/2020 saline solution expired [DATE] and [DATE]. At this time, the surveyor interviewed the Licensed Practical Nurse/Unit Manager (LPN/UM #1) who stated that the 11:00 PM to 7:00 AM shift nurse inspected the carts daily to ensure that the items were not expired and the quantities were correct. [...]