Aristacare at Parkside

Inspectors wroteBased on observation, interview, and review of facility policy, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 07/01/2026 from 9:14 AM until 9:50 AM, the surveyor observed the following in the kitchen in the presence of the Dietary Director (DD): 1. In the dessert refrigerator, there was a chef salad on a plate wrapped in clear plastic with no label and no date. The DD said yes it should have been labeled and dated. 2. In the dessert refrigerator, there was an opened jar of kosher dill pickles with an opened date of 05/25/2026. The DD said the pickles were good for one month after opening and she would discard them.3. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to provide a safe, clean, and homelike environment for 3 of 5 shower rooms observed on 2 of 3 units reviewed under the Environmental Task. The deficient practice was evidenced by the following:On 07/01/2026 at 12:15 PM, during initial tour, the surveyor observed a drop-down ceiling tile that was peeling with large water stains and unknown black growth across three tiles on the shower stall ceiling in the third-floor B side shower room. On 07/01/2026 at 12:22 PM, during initial tour the surveyor observed a drop-down ceiling tile with a water mark and black growth in front of the second shower stall to the right in the A side shower room. [...]

Inspectors wroteBased on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to ensure that an indwelling catheter (tube inserted into the bladder to drain urine) drainage bag was secured in a manner that provided privacy for 2 of 2 residents reviewed for a urinary catheter, (Resident #2 and Resident # 124). This deficient practice was evidenced by the following: During the initial tour of the unit on 07/01/2026 at 09:34 AM, Resident #2 was observed in bed with an indwelling catheter drainage bag hung on the bed frame visible from the hallway not in a privacy bag. The privacy bag was next to the drainage bag. A review of the most recent Annual Minimum Data Set (MDS), an assessment tool used to manage care dated 05/29/2026, revealed Resident #2 had an indwelling catheter. [...]

Inspectors wroteBased on observation, interview, and clinical record review, the facility failed to ensure that a resident who required respiratory care received services consistent with professional standards of practice. This deficient practice affected 1 of 5 residents reviewed for respiratory care (Resident #124). This deficient practice was evidenced by the following: On [DATE] at 09:46 AM, the surveyor observed Resident #124 in bed. Resident #124 was observed receiving oxygen via a tracheostomy (a surgically created opening in the windpipe which allows air to bypass the nose and mouth and enter the lungs). The surveyor did not observe an artificial manual breathing unit (AMBU) bag, (a hand-held bag valve mask used to deliver positive pressure ventilation to patients who are not breathing or are not breathing adequately). [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to routinely post the Nursing Home Resident Care Staff Report (NHRCSR) from 6/26/2026 until 07/1/2026 (four days) in a place within the facility which was readily accessible to both residents and visitors. This deficient practice was evidenced by the following:On 07/01/2026 at 9:06 AM, the surveyor observed the NHRCSR dated 06/26/2026 for the day, evening, and night shift, posted on a ledge behind the reception desk in the front lobby. The report indicated the census for each shift was 195. During an interview on 07/07/2026 at 10:56 AM, with the surveyor, the staffing coordinator (SC) stated she would bring the NHRCSR down to the lobby every day for the following day. [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents it was determined that the facility staff failed to 1.) use appropriate infection control practices specifically by failing to wear a gown when providing wound care and 2.) implement appropriate transmission-based precautions specifically by applying precautions to a room that contained a resident with a potentially infectious wound. The deficient practice was identified for 1 of 1 (Resident #164 ) residents reviewed for Pressure Ulcer/Injury and 1 of 2 (Resident #9) residents reviewed for Transmission Based Precautions. The deficient practice was evidenced by the following:On 07/01/2026 at 10:19 AM during initial tour, observed staff outside of Resident #164's room with the wound treatment cart. [...]

Inspectors wroteCOMPLAINT #NJ00186243, NJ00186326 Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 5/15/25 and 5/20/25, it was determined that facility staff allowed a severely cognitively impaired resident to exit the secured locked unit and then exit the facility while wearing a Wander Guard (WG) device. Staff also failed to follow the facility's Secure Care/Wanderguard System and Elopements policies on 5/11/25 for 1 of 3 residents (Resident #1). The resident was located at an off-site location by a relative and returned to the facility on 5/11/25 at approximately 9:30 P.M. This deficient practice placed all cognitively impaired residents who were at risk for elopement in an Immediate Jeopardy (IJ) situation. The deficient practice was evidenced by the following: [...]

Inspectors wroteBased on observations, interview, and record review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner to prevent food borne illness. This deficient practice was observed by the following: On 3/6/2025 from 10:02AM to 10:55 AM, the surveyor observed the following in the presence of the Food Service Director (FSD): Prep Area: 1. Upon washing hands in the prep area, the surveyor did not observe a self-closing waste receptacle next to the handwashing station. When asked if a waste receptacle was required next to the hand washing sink, the FSD responded that there was trash can upon entrance to the room that the kitchen staff use. The surveyor did not observe a lid to the garbage receptacle. 2. The table-mounted manual can opener was observed to be dirty with an unknown brown substance around the cutting blade. [...]

Inspectors wroteBased on observation, interview, and pertinent facility documentation, it was determined that the facility failed to maintain a homelike environment that was clean, safe, and sanitary. This deficient practice was identified for 3 of 4 floors (2nd, 3rd, and 4th floors). This deficient practice was evidenced by the following: 1. On 03/10/2025 at 12:25 PM, Surveyor #1 observed Shower Room B on the 4th floor: the door was missing a section of the panel facing into the shower room, the white shower curtain for a stall was ripped, there were white debris on a blue shower curtain in another stall, the tiles surrounding the toilet were cracked, brown debris was present in a shower stall, and the drain contained brown matter. During an interview with Surveyor #1 on 03/11/2025 at 10:21 AM, the Housekeeping Director (HD) said that the shower rooms were cleaned twice daily. [...]

Inspectors wroteBased on observation, interview, record review, and review of facility documents, it was determined that the facility failed to ensure palatable temperature of food for 1 of 1 lunch meal. This deficient practice was evidenced by the following: On 3/11/25 at 11:08 AM, surveyors conducted a meeting with the Resident Council which included nine residents. All nine residents reported that food not served at proper temperatures. On 3/11/25 at 11:16 AM, the surveyor observed the Regional Food Service Director (RFSD) who calibrated (process to make sure the instrument is taking an accurate temperature reading) before he proceeded to obtain food temperatures from the steam table. The RFSD confirmed that cold items should be below 41 degrees and hot items should be above 160 degrees. During this time, items were removed and reheated to proper temperatures from the steam table. [...]

Inspectors wrote2. On 03/06/2025 at 11:07 AM during the initial tour, Surveyor # 2 observed Resident # 75 in bed in their room. At that time, Surveyor # 2 observed a nebulizer face mask (Mask used to deliver aerosolized medication through the nose and mouth) on top of the nebulizer machine. The mask was not covered and exposed to the air. On 03/11/2025 at 11:09 AM, Surveyor # 2 observed Resident # 75 in bed in their room. At that time, Surveyor # 2 observed the nebulizer face mask on top of the nebulizer machine. The mask was not covered and exposed to the air. A review of Resident # 75's Electronic Medical Record (EMR) revealed under Order Summary that he/she had an order to Change neb [nebulizer] tubing weekly, sign and date. On 03/11/2025 during an interview with Surveyor # 2, the Director of Nursing (DON) confirmed that nebulizers should be in covered in a bag. [...]

Inspectors wroteBased on interview and record review, it was determined that the facility failed to accurately transmit the Minimum Data Set (MDS) for 2 of 3 residents reviewed for Resident Assessment, Residents #46 and #21, and was evidenced by the following: The MDS is a comprehensive federal mandated process for clinical assessment of all residents that should be completed and submitted to the Quality Measure System. The facility must electronically transmit the MDS no later than 14 days after assessment being completed. After transmitting of the MDS, it will generate a quality measure to enable a facility to monitor the residents decline and progress. The following residents were identified that the MDS were not transmitted timely: 1. Resident # 46: the discharge return not anticipated MDS dated [DATE] was completed 11/9/2024 and was due to be transmitted no later than 11/23/2024. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to accurately assess the status of a resident in the Minimum Data Set (MDS), an assessment tool used to facilitate care. This deficient practice was identified for 1 of 36 residents (Resident #100) reviewed for MDS accuracy and was evidenced by the following: The surveyor reviewed the medical record for Resident #100. A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: Parkinsonism, Major Depressive Disorder, and Schizoaffective Disorder, BiPolar Type. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed implement the recommendations into the resident's assessment and care planning from a resident's Pre-admission Screening and Resident Review (PASARR) level 2 determination. This deficient practice was identified for 1 of 1 residents (Resident #100) reviewed for PASARR and was evidenced by the following: . A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: Parkinsonism, Major Depressive Disorder, and Schizoaffective Disorder, BiPolar Type. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents it was determined that the facility failed to keep medications stored and labeled properly specifically by having unpackaged medications in the drawers and not labeling a medication with an opened date. The deficient practice was identified for 3 of 4 medication carts reviewed under the Medication Task. The deficient practice was evidenced by the following: On 03/07/2025 at 11:01 AM while on the second floor, the surveyor inspected the 2-C Cart. At that time while observing the top drawer of the cart, the surveyor observed an opened insulin injection pen (insulin medication needle delivery device) without a date it was opened. In the second and third drawer of the cart, the surveyor discovered ten, loose tablets and capsules. [...]

Inspectors wroteComplaint: NJ00183795, NJ00173600, NJ00174453 Based on observation, interview and review of facility meal tickets it was determined that the facility failed to ensure the preferences on the meal tickets were followed for 2 of 2 residents observed for food concerns. (Resident #89 and Resident #101 This deficient practice was evidenced by the following: According to the admission Record, Resident #89 was admitted to the facility with diagnoses including but not limited to; Morbid (severe) Obesity due to excess calories, and Type 2 Diabetes Mellites with Hyperglycemia (high blood sugar). According to the Minimum Data Set, an assessment tool used to manage care dated 12/26/2024, revealed that Resident # 89 had intact cognition. During a dining observation on 03/11/2925 at 12:23 PM, the surveyor inspected Resident #89's lunch tray and ticket for accuracy. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, the facility failed to ensure that food brought in from visitors was stored in a safe and sanitary condition by failing to document temperatures on a temperature log for personal refrigerators. The deficient practice was identified for 2 of 2 Residents who had personal refrigerators in their room. The deficient practice was evidenced by the following: On 03/07/2025 at 12:15 PM, the surveyor observed Resident # 70 in bed in their room. At that time, the surveyor observed a black, small refrigerator in their room. At that time, the surveyor observed paper on the side of the fridge titled, Temperature Log indicating the month of March. The log did not have any temperatures recording on it including the current date. On 03/09/2025 at 12:18 PM, the surveyor observed Resident # 49 in bed in their room. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to a.) properly store medications, b.) maintain clean and sanitary medication storage areas, and c.) properly label opened multidose medications. This deficient practice was observed in 2 of 2 medication storage rooms and 3 of 3 medication carts and was evidenced by the following: On 01/05/23 at 11:05 AM, in the presence of the Unit Manager Registered Nurse (UM/RN), the surveyor observed the two main (2M) medication storage room door unsecured and slightly opened. The UM/RN confirmed that the door to the medication storage room should have been closed and secured. The surveyor and the UM/RN entered the 2M medication storage room and observed the following: Three (3) sterile auto guard intravenous (IV) 24-gauge (24GA) catheters expired on 6/30/2021. [...]

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 and b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination. This deficient practice was evidenced by the following: On 01/03/2023 at 9:45 AM, the surveyor toured the kitchen, in the presence of the Food Service Director (FSD) and observed the following: In the dry storage room, there was a red food coloring bottle with the date written on it of October 2020. The FSD discarded the bottle and confirmed that the item should have been thrown away. The surveyor selected random cans from the non-dented shelf and observed 2 dented cans on the non-dented can shelf. [...]

Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to keep the garbage container area free of garbage and debris. This deficient practice was evidenced by the following: On 01/03/2023 at 10:30 AM, the surveyor accompanied by the Food Service Director (FSD) took an exterior tour of the designated facility's garbage area. In the area, was a trash compactor and a dumpster. The surveyor and FSD observed the area around the facility's trash compactor and dumpster were littered with trash, which included plastic wrappers, cardboard boxes, empty containers, paper, and other unidentifiable objects. There were also two cardboard boxes laid across two holes that were filled with water from the rain. [...]

Inspectors wroteBased on observation, interview, and review of medical records and other facility documentation, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS) for 2 of 33 residents reviewed (Residents #29 and #121). This deficient practice was evidenced by the following: The surveyor reviewed the admission Record for Resident #29 which reflected that the resident was admitted with diagnoses that included dementia and essential hypertension. The surveyor reviewed the Physician's orders for Resident # 29. There was an order dated 7/22/22 for: Accutech # 0 and bar code # B-0218-3458 in (R)wrist. (This is a wander/elopement alarm). [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain professional standard of practice by: a.) ensuring prescribed medications were unavailable and document communication with the physician, b.) administer insulin from a pre-filled insulin pen using appropriate needles per manufacturer instructions, c.) perform proper hand hygiene, and d.) appropriately assess the scale of pain level when administering pain medication in accordance with a physician's order, for 2 of 34 residents (Resident #361 and Resident #11) reviewed for professional standards of nursing practice. 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, record review and review of other facility documentation, it was determined that the facility failed to a.) clarify and transcribe a Physician's Order (PO) for a gauze roll (a type of splint that provides a barrier between the fingers and the palm to prevent injury to the palm from finger contracture) to the left hand and b.) follow a physician's order for the application of a gauze roll to the left hand, and c.) document in the Electronic Medical Administration Record (EMAR) and Treatment Administration Record (TAR) for 1 of 3 residents ( Resident #10) reviewed for positioning and mobility. On 01/03/23 at 1:52 PM, the surveyor observed Resident #10 lying in bed with his/her daughter at the bedside. The daughter stated that she was concerned with the resident's left hand contracture. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide documented evidence on sign-in sheets that the facility's Medical Director had attended the quarterly Quality Assessment and Assurance (QAA) and Quality Assurance and Performance Improvement (QAPI) meetings. This deficient practice was identified for 6 of 8 (QAA/QAPI) monthly meetings and 1 of 3 quarterly meetings reviewed and was evidenced by the following: On 01/20/23 at 10:30 AM, the surveyor reviewed the attendance sign-in sheets for the facility's monthly QAA/QAPI meetings. The surveyor reviewed the sign-in sheets provided by the facility for the months of April, June, July, August, September, October, November, and December of 2022. [...]