Careone at Ridgewood Avenue

Inspectors wroteComplaint #: NJ2639235Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 07/08/2026 and 07/09/2026, it was determined that the facility failed to maintain medical records in accordance with accepted professional standards and practices for medication administration and treatment administration for a resident (Resident #4). This deficient practice was identified for 1of 9 (Resident #4) residents reviewed for medication administration and treatment administration, and was evidenced by the following:According to Resident #4's admission Record (AR), the resident was admitted with diagnoses that included but were not limited to: [...]

Inspectors wrotePart B 2. The surveyor interviewed Resident #98 on 5/30/25 at 10:58 AM. The resident was seated in a wheelchair at the bedside. The resident stated they were currently receiving chemotherapy. The resident stated they were experiencing generalized weakness and weakness of the left leg resulting in difficulty with ambulation. The resident stated they use the call bell device to request assistance getting from the bed to the wheelchair, for toileting, and for dressing. The resident stated the call bell response can be very slow. The resident described an incident which had occurred the previous week. The resident had propelled their wheelchair into the bathroom unassisted. The resident transferred themself onto the toilet and had a bowel movement. The resident rang the call bell for assistance with cleaning themself. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to provide pain management that is consistent with professional standards of practice, the resident's goal and preference, and ensure a.) an assessment of a resident's pain was conducted after verbalized pain, and an as needed pain medication was administered when requested (Resident #10) c.) administer the correct narcotic pain medication based on the resident's reported pain intensity and in accordance with the physician's order (Resident #47). This deficient practice was identified for 2 of 2 residents investigated for pain management and was evidenced by the following: 1.) On 6/3/25 at 9:26 AM, the surveyor observed Resident #10 seated in the dining area with other residents. The surveyor overheard the resident speaking loudly from the nurse's station, I want my pain medication. [...]

Inspectors wroteBased on observations, interviews, record review, and review of other facility documents, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure a.) disposition and removal of a narcotic medication for an Unsampled Resident who was discharged on 5/21/25, b.) consistent quality control testing was conducted for the blood glucose (bg) used for residents, c) supplies that required dating when opened were dated, d.) a blood pressure medication was administered for Resident #47, in accordance with the physician orders, e.) a narcotic medication was disposed in accordance with facility policy that allowed for accurate reconciliation and accountability (Resident #10). [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain the call bell within reach of the resident. This deficient practice was identified for 1 of 21 residents reviewed for accommodation of needs (Resident #62), and was evidenced by the following: On 05/30/25 at 11:50 AM, the surveyor observed Resident #62 in his room in bed. The call bell device was located on the floor between the resident's bed and roommates' bed not within Resident #62's reach. The surveyor reviewed the medical record for Resident #62. A review of the admission Record reflected that Resident #62 was admitted to the facility with diagnoses that included but were not limited to; malfunctioning of the cystostomy (medical device inserted into the bladder to drain urine) pneumonitis r/t inhalation of food and vomit, and Alzheimer's disease. [...]

Inspectors wroteBased on observation and interview, it was determined that the facility failed to post the prior year's State of New Jersey (State) inspection results in an area that was readily accessible to residents, families, and the public. The deficient practice was evidenced by the following: On 6/2/25 at 10:10 AM, the surveyor looked for the most recent State inspection results on the north and south Nursing Units and was unable to locate them. On 6/2/25 at 10:15 AM, during an interview with the surveyor, the receptionist stated that the prior year's survey results were in a binder in the lobby but was not sure where they were located. After a search, the surveyor located the binder on the back wall of the lobby lying flat on the top shelf of a cabinet behind a decorative container not easily accessible to residents. [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure a nebulizer mask was stored in accordance with infection control measures for 1 of 4 residents reviewed for Respiratory therapy, Resident #41. 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 wroteNJ00173564 Based on observation, interview, and record review it was determined that the facility failed to maintain an accurately documented and complete record for 2 of 21 records reviewed (Resident #98, 363). The deficient practice was evidenced by the following: 1. The surveyor interviewed Resident #98 on 5/30/25 at 10:58 AM. The resident was seated in a wheelchair at the bedside. The resident stated they use the call bell device to request assistance getting from the bed to the wheelchair, for toileting, and for dressing. The resident stated the call bell response can be very slow. The resident described a fall incident which had occurred the previous week on 5/24/25. A review of the electronic medical record revealed the following information. [...]

Inspectors wroteBased on observation, interview, review of the medical record and other facility documentation, it was determined that the facility failed to ensure the consistent coordination/communication was provided between facility staff and hospice staff to meet the resident's needs (Resident #4). This deficient practice was identified for one (1) of one (1) resident reviewed for hospice and end of life care. This deficient practice was evidenced by the following: On 5/29/25 at 10:12 AM, during the initial tour, a surveyor observed Resident #4 seated in a geriatric chair (Geri chair; large, padded chair designed to assist individuals with limited mobility). At 11:30 AM, during an interview with a surveyor the Licensed Practical Nurse (LPN) on the unit stated Resident #4 was on hospice care. The surveyor reviewed the medical record for Resident #4. According to the admission Record (AR; [...]

Inspectors wroteBased on observation, record review, and staff interview the facility failed to ensure food stored in the unit refrigerators on one of four units was stored in a sanitary manner. This failure had the potential to affect the 15 residents on the 1south unit with a census of 82.

Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure each Medicare resident whose Medicare therapy services were terminated received a notice including the reason the services were ending or what the options were prior to the discontinuation of therapy services. This had the potential to affect one of three residents (Resident (R)259) who were reviewed for Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to protect the private health information for eleven of eleven (R49, R312, R65, R41, R311, R28, R309, R310, R35, R68 and R308) residents reviewed for resident rights out of 22 sampled residents by leaving the resident's personal and medical information exposed on an open and unattended computer screen in an area accessible to the public.

Inspectors wroteBased on observations, interview, record review and policy review, the facility failed to clean the filter of the Oxygen concentrator for the use of delivering supplemental oxygen for one of four residents (Resident (R) 9) reviewed for Oxygen of the twenty-six sampled residents

Inspectors wroteBased on observation, staff interview, record review, and policy review, the facility failed to store medication in a locked compartment when left unattended (first floor medication cart #1), failed to have a medication label that could be read (second floor medication cart #2) as well as fail to ensure the medication cart was secure when out of the site of the nursing staff.