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
8D
0E
0F
Potential for minimal harm
0A
0B
0C
December 23, 2025Standard inspection · 4 citations
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow a physician's order for 1 of 5 residents (Resident #125) observed during medication administration, according to the standards of clinical practice and the facility's policy. 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: [...]
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow a physician's order for the application of a resting hand splint to the left hand of one resident. The deficient practice was identified for 1 of 3 residents (Resident #11) reviewed for positioning and mobility. This deficient practice was evidenced by the following: On 12/16/2025 at 11:00 AM, the surveyor observed that Resident #11's left hand did not have any resting splint. The resident stated they did not know where it was, and the staff must have forgotten to put it on. The resident acknowledged the importance of using the splint. When asked if they refused to use it, the resident denied refusing the splint. On 12/17/2025 at 10:15 AM, the surveyor observed Resident #11 again, not wearing the splint. [...]
- D
Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review it was determined the registered dietitian failed to provide a timely initial comprehensive nutritional evaluation for 1 resident (#94) of 3 residents reviewed for nutrition. The deficient practice was evidenced by the following: The surveyor observed the resident asleep in bed on 12/17/2025 at 9:40 AM. One container of a nutritional supplement and 2 bottles of water were observed on the over bed table. The surveyor interviewed the unit licensed practical nurse (LPN) on 12/17/2025 at 12:13 PM. The LPN stated the resident eats poorly at times and has lost weight since admission. She further stated the resident's spouse brings in food from home daily and the resident is on appetite stimulating medication. [...]
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review of medical records, and pertinent facility documentation, it was determined that the facility failed to ensure that the physician's orders were followed according to the standard of clinical practice. This deficient practice was identified for 2 of 3 of the residents (Resident #18 and #29) who were reviewed for respiratory care. This deficient practice was evidenced by the following: 1. On 12/16/2025 at 11:21 AM, the surveyor observed Resident #18, who was sitting in bed, with oxygen (O2) at 2.5 lpm (liters per minute) via nasal cannula (NC, a plastic prong attached to a tube, inserted into the nostrils through which oxygen flows) attached to the oxygen concentrator (a device that supplies oxygen). Resident #18 stated that they have been using the O2 continuously. [...]
October 29, 2025Complaint inspection · 1 citation
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteComplaint #400262 Based on observation, interview, record review of medical records, and pertinent facility documentation, it was determined that the facility failed to ensure that the physician's orders were followed according to the standard of clinical practice. This deficient practice was identified for one of the residents (Resident #3), who was reviewed for respiratory care. This deficient practice was evidenced by the following: On 10/29/25 at 9:46 AM, the surveyor observed Resident #3 in bed awake, alert, wearing a nasal cannula (NC) connected to the oxygen (O2) from a wall outlet (a device that supplies oxygen) at 3 (three) lpm (liters per minute). On 10/29/25 at 11:02 AM, the surveyor observed the resident in bed awake on O2 via NC at 3 lpm connected to the wall outlet. On the same day, the surveyor showed up at the Licensed Practical Nurse (LPN) Resident #2 O2 at 3 lpm. [...]
August 29, 2024Standard inspection · 3 citations
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to consistently follow standards of clinical practice with regards to ensuring a medication was administered to a resident and not left at the bedside for 1 of 8 residents, Resident # 338, observed during medication administration. 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: [...]
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and review of other facility provided documents, it was determined that the facility failed to maintain the necessary respiratory care and services for residents who were receiving nebulizer (neb) treatments according to standards of practice. This deficient practice was identified for one (1) of three (3) residents (Resident #35) reviewed for respiratory care. This deficient practice was evidenced by: On 08/25/24 at 09:27 AM, the surveyor observed Resident #35 lying in bed with the oxygen Nebulizer treatment mask (NTM) was not dated. The surveyor asked Resident #35 if the NTM had been changed weekly. Resident #35 did not know if the NTM was being changed weekly. The surveyor reviewed the medical records of Resident #35 The resident's admission Record (AR; [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to: a.) follow appropriate infection control practices for personal protective equipment (PPE) use when exiting an enhanced barrier precaution (EBP) room to decrease the possibility of spreading infection for 1 of 4 nurses observed during medication administration and, b.) follow appropriate infection control practices and perform appropriate hand hygiene as indicated during meal service observation in 1 of 4 units (South Unit) for 1 of 2 staff observed during meal service. This deficient practice was evidenced by the following: A review of the U.S. [...]
June 23, 2023Standard inspection · 0 citations
Fire safety inspections
11 fire safety citations on file: 3 on December 23, 2025, 6 on August 29, 2024, 2 on June 23, 2023.
Every fire safety citation11 citations
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · December 23, 2025 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · December 23, 2025 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · December 23, 2025 · Corrected (the home has a date of correction)
- F
Provide properly protected cooking facilities.
K 324 · August 29, 2024 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · August 29, 2024 · Corrected (the home has a date of correction)
- F
Install an approved automatic sprinkler system.
K 351 · August 29, 2024 · Corrected (the home has a date of correction)
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
K 362 · August 29, 2024 · Corrected (the home has a date of correction)
- F
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
K 908 · August 29, 2024 · Corrected (the home has a date of correction)
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · August 29, 2024 · Corrected (the home has a date of correction)
- F
Have an enclosure around a vertical opening shaft.
K 311 · June 23, 2023 · Waiver
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 23, 2023 · Corrected (the home has a date of correction)