Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
April 24, 2026Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, medical record review, and review of other pertinent facility documentation on 4/23/26 and 4/24/26, it was determined that the facility failed to provide a safe environment for its residents. The facility failed to ensure that a resident (Resident #2) who was an elopement risk upon admission, remained in the facility. The facility failed to provide adequate supervision to prevent residents from eloping from the facility. This deficient practice was identified for 1 of 4 residents reviewed for elopement (Resident #2). A review of the Facility Reportable Event (FRE) submitted to the New Jersey Department of Health (NJDOH) was dated 4/17/26 and contained information regarding Resident #2's elopement. Resident #2 eloped from the facility which led the facility initiate a Code grey for a missing resident. [...]
September 25, 2025Standard inspection · 3 citations
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, document review, interviews, and policy review, the facility failed to ensure that temperatures were obtained for all altered food prior to serving. This had the potential to negatively impact seven residents (Residents (R)16, R22, R8, R48, R52, R102, R86) who received Pureed food, seven residents (R18, R28, R46, R58, R104, R74, R90) who received Soft & Bite sized prepared foods, and two residents (R31, R1) who received Minced & Moist prepared food out of 85 residents reviewed for diet texture.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure one resident (Resident (R) 66) of 24 residents reviewed was invited to their scheduled care plan conference. Specifically, the facility failed to invite R66 to her care conference to discuss discharge plans. This had to potential to cause R66 uncertainty about her plan of care.
- D
Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review, interview, review of the McGeer's Infection Symptom Tracking criteria, and policy review, the facility failed to ensure one of two residents (Resident (R)71) reviewed for antibiotic use out of a sample of 24 residents received an antibiotic with justification for its use. This had the potential for R71 to receive an antibiotic unnecessarily and could potentially contribute to the development of antibiotic-resistant bacteria.
June 10, 2024Standard inspection · 3 citations
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, in accordance with federal guidelines for 1 of 21 residents, Resident #69 reviewed for accuracy for MDS coding. This deficient practice was evidenced by the following: Reference: According to the latest version of the Center for Medicare/Medicaid Services - Resident Assessment Instrument 3.0 Manual (updated October 2023) on Chapter 2-page 39 . According to the latest version of the Center for Medicare/Medicaid Services - Resident Assessment Instrument 3.0 Manual (updated October 2023). This item documents the location to which the resident is being discharged at the time of discharge. Knowing the setting to which the individual was discharged helps to inform discharge planning. [...]
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and review of pertinent medical records, it was determined that the facility failed to follow physician orders related to the use of continuous oxygen (O2) for 1 of 1 resident, Resident #3. This deficient practice was evidenced by the following: On 6/4/24 at 10:45 AM, the surveyor observed Resident #3, who was laying in bed in their room. Resident #3 was receiving O2 delivered through a nasal cannula (NC-plastic prongs attached to a tube, inserted into the nostrils that oxygen flows through) utilizing a concentrator (an oxygen delivery system) at 3.5 Liters per minute (LPM). Resident #3 stated their O2 should be running at 4 LPM. The surveyor reviewed the resident's medical chart which included a review of a paper as well as computerized medical chart. [...]
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to properly store a controlled and noncontrolled medications in a secure manner. This deficient practice was identified for one (1) of 3 units inspected and involved two Residents, Resident #123 and #122. Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: [...]
August 17, 2022Standard inspection · 1 citation
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to 1.) appropriately put on personal protective equipment (PPE) while in the rooms of residents on transmission-based precautions (TBP). This was observed for1 of 1 housekeepers on the unit, and 2.) failed to appropriately handle potentially contaminated items coming from TBP rooms for 2 of 2 Certified Nursing Assistants (CNA) observed and evidenced by the following: 1. On 8/4/22 at 10:45 AM, the surveyor observed a sign on the door to resident room [ROOM NUMBER]-46 which indicated that the residents were on Isolation Droplet/ Contact Precautions and that PPE including a gown, N-95 respirator, eye protection, and gloves should be worn while in the room. At the same time the surveyor observed the housekeeper inside room [ROOM NUMBER]-46 mopping the floor. [...]
Fire safety inspections
14 fire safety citations on file: 2 on September 25, 2025, 2 on June 10, 2024, 10 on August 17, 2022.
Every fire safety citation14 citations
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 25, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · September 25, 2025 · Corrected (the home has a date of correction)
- F
Install emergency lighting that can last at least 1 1/2 hours.
K 291 · June 10, 2024 · Corrected (the home has a date of correction)
- F
Provide properly protected cooking facilities.
K 324 · June 10, 2024 · Corrected (the home has a date of correction)
- F
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
K 111 · August 17, 2022 · Waiver
- F
Have exits that are accessible at all times.
K 271 · August 17, 2022 · Waiver
- F
Install a fire alarm system that can be heard throughout the facility.
K 341 · August 17, 2022 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · August 17, 2022 · Corrected (the home has a date of correction)
- E
Install proper backup exit lighting.
K 281 · August 17, 2022 · Corrected (the home has a date of correction)
- E
Have properly located and lighted "Exit" signs.
K 293 · August 17, 2022 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · August 17, 2022 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · August 17, 2022 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · August 17, 2022 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · August 17, 2022 · Corrected (the home has a date of correction)