Hampton Ridge Healthcare and Rehabilitation

Inspectors wroteBased on observation, interview, and review of facility documentation, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to a.) properly dispose of garbage and refuse in one of two (1 of 2) garbage disposal areas (Garbage Disposal Area #2), and b.) keep 2 of 2 garbage containers/dumpsters covered, creating the potential for odors and pest infestation. This deficient practice was evidenced by the following: On 3/9/26 at 9:38 AM, the surveyor accompanied by the Executive Chef/Food Service Director (EC/FSD), toured the trash disposal areas and observed that Garbage Disposal Area #2 had trash dumped in the ground and 2 dumpsters filled with trash and uncovered. [...]

Inspectors wroteBased on observations, interviews, record review and other pertinent facility documents, it was determined that the facility failed to use appropriate infection control practices to prevent the spread or reduce the risk of infection in accordance with the Center for Disease Control & Prevention (CDC) guidelines and standards of clinical practice by ensuring, a.) respiratory device tubing, masks, and mouthpiece were stored in protective coverings between uses identified for 6 of 7 residents (Resident #118, #68, #116, #5, #216, and #31) reviewed for respiratory care, b.) proper use of personal protective equipment (PPE) for 2 of 2 residents reviewed under enhanced barrier precautions (EBP) (Resident #144, #164), and c.) a urinary drainage bag attached to a urinary catheter device did not make contact with the floor to prevent possible contamination identified in 1 of 3 residents reviewed [...]

Inspectors wroteBased on record review and staff interview, the facility failed to ensure that pre-employment screening procedures were completed for employees prior to hire, including obtaining reference checks and/or background screenings, in accordance with the facility's abuse prevention policies. This deficient practice was found for 23 out 108 employee files reviewed. This deficient practice was evidenced by the following:On 03/08/2026 during entrance conference, the surveyor requested that the Licensed Nursing Home Administrator (LNHA) provide personnel files for all employees hired since the last annual recertification survey in 10/2024, regardless of current employment status. [...]

Inspectors wroteComplaint # 2723157Based on interview, record review, and review of pertinent facility documents, it was determined that the facility failed to report an allegation of sexual abuse to the New Jersey Department of Health (NJDOH) as mandated for 1 of 1 resident (Resident #21) reviewed for abuse and was evidenced by the following:On [DATE] at 9:33 AM, the surveyor observed Resident #21, awake in bed. When the surveyor began speaking to the resident, the resident indicated to the surveyor that they were hard of hearing. On [DATE] at 11:22 AM, the surveyor together with another surveyor observed Resident #21, awake and alert in bed. The resident was calm with no sign of distress. The resident was asked by the surveyors through written questions that the resident was able to read and understand, whether they prefer a male or female aide (CNA) (Certified Nursing Assistant) to give them care. [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to ensure a resident receiving enteral feeding received appropriate care and services to prevent complications of enteral feeding by failing to complete the formula label for a resident currently receiving a feeding. This deficient practice was identified for 1 of 3 (Resident # 8) reviewed for Tube Feeding. The deficient practice was evidenced by the following:A review of Resident # 8's 12/20/2025 Minimum Data Set (MDS; and assessment tool) revealed under section K that Resident # 8 was receiving a tube feeding while a resident in the facility. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to ensure that a midline dressing was changed and maintained in accordance with professional standards of practice and facility policy for 1 of 1 residents (Resident # 101) reviewed for parenteral fluids. The deficient practice was evidenced by the following: A review of the physician's orders located in Resident # 101's electronic medical record (EMR) revealed an order to change a midline/PICC (Peripherally Inserted Central Catheter) intravenous (IV) dressing, extension set & cap twenty-four hours post insertion then every week and PRN (as needed). The order was started on 03/11/2026 at 09:38 AM.A review of the physician's orders also revealed an order in the EMR to insert midline for IV fluids for acute kidney injury. The order was revised on 02/28/2026. [...]

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) since 03/04/2026 (4 days) in a place within the facility readily accessible to the residents and the visitors. This deficient practice was evidenced by the following:On 03/08/2026 at 9:02 AM, the surveyor observed the NHRCSR dated 03/04/2025 for the day, evening, and night shift. Each shift indicated a census of 195. The NHRCSR was observed posted on a ledge to the left of the reception desk in the front lobby. During an interview on 03/10/2026 at 12:59 PM with the surveyor, the staffing coordinator (SC) said that she sends the NHRCSR to the receptionist daily to post, and on Fridays the SC said she sends the whole weekend. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to establish a system of records for controlled drugs in sufficient detail to enable an accurate reconciliation for the dispensing of controlled medications for 1of 5 medication carts inspected under the Medication Storage Task. This deficient practice was evidenced by the following:On 03/11/2026 at 10:40 AM in the presence of Licensed Practical Nurse (LPN) # 1, the surveyor inspected medication cart 1 on the North Wing unit. While observing the controlled medications, the surveyor observed 6 Oxycodone 5 milligrams tablets (mg) (a narcotic medication used to treat pain) in the blister pack within narcotic box for Resident #13. At that time, the surveyor reviewed the Oxycodone inventory sheet. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure the medication error rates are not 5 percent or greater. This deficient practice was identified for 1 of 7 residents (Resident #18), and 1of 2 nurses on the second-floor nursing unit during the Medication Administration task. The deficient practice was evidenced by the following:On 3/10/2026 at 9:24 AM on the North Wing, the surveyor observed Licensed Practical Nurse (LPN) #1 prepare Resident #18's medication for administration. At that time, LPN #1, removed one Metoprolol tablet (used to treat high blood pressure) and place it in the medication cup. At that time, the surveyor observed the Electronic Medical Administration Record (EMAR) on the medication cart computer with LPN #1. The EMAR revealed that the Metoprolol was scheduled to be given at 8:00 AM. [...]

Inspectors wroteBased on interview and record review, it was determined that the facility failed to develop and implement a care plan that meets the medical needs identified on the comprehensive assessment care for 1 on 35 residents reviewed for comprehensive care plans, Resident #5. This deficient practice was evidenced by the following: A review of Resident #5's admissions record revealed that, Resident #5 was admitted with but not limited to Benign Prostatic Hyperplasia (enlarged prostate), and Obstructive and Reflux Uropathy (a blockage in one or both tubes that carry urine from the kidneys to the bladder.) A review of the Resident #5's comprehensive Minimum Data Set (MDS), dated [DATE], revealed under section H that the resident had an indwelling catheter. [...]

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), an assessment tool for 3 of 34 residents reviewed (Resident #74, #101, and #69). This deficient practice was evidenced by the following: On 07/17/23 at 10:53 AM, the surveyor observed Resident #74 sitting on the side of the bed in the room. There was an oxygen concentrator with oxygen tubing on the floor. Review of Resident #74 admission Record, the resident was admitted to the facility on [DATE]. Medical diagnoses included, but not limited to congestive heart failure, covid-19, dementia, and depressive disorder. Review of the quarterly MDS, dated [DATE], revealed Resident #74 had a Brief Interview of Mental Status of 15, meaning the resident was cognitively intact. [...]

Inspectors wroteComplaint #NJ153752 Based on interviews and review of the closed medical record, it was determined that the facility failed to develop and implement a comprehensive, person-centered care plan which included interventions to ensure that a resident's preference not be cared for by male aides was honored. This deficient practice was identified for 1 of 37 residents (Resident #211) reviewed for care plan development. This deficient practice was evidenced by: Review of Resident #211's admission Record (an admission summary) revealed that the resident was admitted to the facility in March of 2022 with diagnosis which included but were not limited to: dementia, cognitive communication deficit, unilateral (one sided) primary osteoarthritis (degeneration of joint cartilage and the underlying bone), presence of right artificial knee joint, difficulty walking and retention of urine. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide a device to address the contracture (a condition in which there is shortening and hardening of muscles, tendons, or other tissue, often leading to deformity and rigidity of joints) for 1 of 2 residents (Resident #103) that were reviewed for Range of Motion (ROM). This deficient practice was evidenced by the following: The surveyor observed Resident #103 with a closed, left hand and without a palm grip on 7/18/23 at 12:40 PM, on 07/19/23 at 9:50 AM, on 07/20/23 at 10:32 AM, on 07/20/23 at 12:38 PM, and on 07/21/23 at 11:49 AM. When interviewed by the surveyor on 7/21/23 at 11:55 AM, the South Unit Manager stated that Resident # 103 should have been wearing a left palm grip but did not have one in his/her left hand as ordered. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to a.) store respiratory equipment in a way to prevent contamination, and b.) assess a resident's pulse oximetry (a non-invasive way to monitor a persons oxygen level) as ordered by the physician. This deficient practice was for 1 of 2 residents reviewed for respiratory care (Resident #74) and was evidenced by the following: a.) On 07/17/23 at 10:52 AM, during the initial tour of the facility, the surveyor observed Resident #74 was in bed with eyes open. The surveyor observed an oxygen concentrator on the floor next to the resident's bed. At the time of the observation, the resident was not wearing the oxygen. The surveyor observed that the oxygen tubing was wrapped up around the handle of the concentrator and not in a bag. [...]

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 3 of 4 medication carts and was evidenced by the following: On [DATE] at 12:25 PM, in the presence of Licensed Practical Nurse 1 (LPN1), the surveyor observed the SMART nursing unit's medication cart #1. The surveyor and LPN1 observed a total of three (3) loose pills of varying colors and sizes in the bottom of the cart drawer, not in the pharmacy packaging (bingo cards). The LPN confirmed that pills should not be loose in the drawer. On [DATE] at 12:45 PM, in the presence of Licensed Practical Nurse 2 (LPN2), the surveyor observed the North Wing nursing unit's medication cart #1. [...]