Jewish Home at Rockleigh

Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain kitchen sanitation practices as well as store, and label in a manner intended to prevent the spread of food borne illness. This deficient practice was evidenced by the following: On 6/26/25 at 9:46 AM, the surveyor in the presence of the Dietary Supervisor (DS), who was covering for the Food Service Director (FSD), observed the following during the initial kitchen tour: 1. Large mixing machine with mashed potato residue. The DS confirmed the surveyor's observation and stated that it should have been cleaned yesterday as scheduled and after each use. The Dietary Aide Staff (DAS) confirmed that it was not used that morning and was used yesterday. 2. [...]

Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to assure accurate dispensing and administration of Resident #132's insulin. This deficient practice was identified for 1 of 5 residents, that was administered by 1 of 5 nurses. Reference: According to the manufacturer's specifications for Humalog [NAME] KwikPen, instructions for use included: Each turn of the dose knob dials (0.5) ½ unit of unit. Administration of 0.5 to 30 units in a single injection. A dose more than 30 units required more than one injection. The evidence was as follows: On 7/2/25 at 7:57 AM, the surveyor observed the Licensed Practical Nurse (LPN) prepare medications (meds) for Elder #132 (also known as Resident #132) that included: [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined the facility failed to treat a resident with respect and dignity during podiatry care. This deficient practice was identified for 1 of 1 resident (Resident #243) reviewed. This deficient practice was evidenced by the following: On 6/26/25 at 10:52 AM, the surveyor observed Elder #243 (also known as Resident #243) was attending an activity with other six residents when the resident was pulled over to the side in the activity area by the Medical Assistant (MA) and the Podiatrist (physician). The surveyor observed the Podiatrist seated on a regular chair with gloves, Resident #243 seated on their wheelchair, and the MA with gloves. [...]

Inspectors wrote2. On 6/26/25 at 10:52 AM, Surveyor #2 (S#2) observed Elder #243 (also known as Resident #243) was attending an activity with other six residents when the resident was pulled over to the side in the activity area by the Medical Assistant (MA) and the Podiatrist. S#1 observed that podiatry care was stopped after the resident declined to continue with podiatry care and became agitated. S#2 reviewed the medical records of Resident #243, and revealed: A review of the AR reflected that the resident was admitted to the facility with diagnoses that included but were not limited to; Alzheimer's disease unspecified, unspecified dementia, unspecified severity, with other behavioral disturbance, major depressive disorder, recurrent, moderate, and anxiety disorder unspecified. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure 1 of 35 residents (Resident #99) call bell was within reach and able to use to accommodate the residents' needs. This deficient practice was evidenced by the following: On 6/26/25 at 1:22 PM, while conducting the initial tour of the facility, the surveyor observed Elder #99 (also known as Resident #99) in their room, sleeping in a wheelchair (w/c), which was positioned next to the resident's bathroom. The surveyor observed the call bell cord on the resident's bed with the call bell device hanging between the mattress and footboard of the bed, and not within the reach of the resident if needed to use. The surveyor reviewed the electronic medical record (eMR) of Resident #99, and revealed the following: [...]

Inspectors wroteBased on interview, record review, and review of other pertinent facility documentation, it was determined the facility failed to ensure accurate documentation of a Resident's advance directives (AD) for 1 of 5 residents, (Resident #99) reviewed. This deficient practice was evidenced by the following: The surveyor reviewed the hybrid (electronic and paper) medical records of Elder #99 (also known as Resident #99), which revealed: A review of the admission Record (an admission summary) reflected that the resident had diagnoses of but not limited to; fracture of right femur (a break in the thigh bone), type 2 diabetes (high blood sugar), and difficulty in walking. [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that a physician's order for as needed (PRN) psychotropic drug was limited to 14 days for 1 of 5 residents (Resident #66) reviewed for unnecessary medications. This deficient practice was evidenced by the following: On 6/26/25 at 11:16 AM, the surveyor observed Elder #66 (also known as Resident #66) sitting up in bed. [...]

Inspectors wroteComplaint NJ #183210 Based on interview and record review, it was determined the facility failed to; a.) ensure that the transfer or discharge was documented in the resident's medical record and appropriate information was communicated to the receiving health care institution or provider, b.) provide and document an update to the resident and resident's representative (RR) about discharge planning to ensure sufficient preparation for a safe and orderly discharge from the facility, and c.) ensure completion of a physician's discharge summary and the physician was involved in the resident's discharge. This deficient practice was identified for 1 of 2 residents, (Resident #343), reviewed for discharge process. The deficient practice was evidenced by the following: [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to update and revise a comprehensive care plan, specifically discontinue a care plan when a medication was discontinued, in a timely to manner for 1 of 38 residents (Resident #66) reviewed. This deficient practice was evidenced by the following: On 6/26/25 at 11:16 AM, the surveyor observed Elder #66 (also known as Resident #66) sitting up in bed. A review of Resident #66's admission Record face sheet (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to; [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that a resident received care consistent with professional standards of practice, by failing to identify a duplicate physician order and following the provider's recommendations, for 1 of 5 residents, (Resident #70), reviewed for pressure injury. The evidence was as follows: 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 pertinent facility provided documentation, it was determined that the facility failed to ensure a.) the physician's orders (PO) were clarified with regard to duplicate orders for fluids (Resident #132) and b.) the PO to obtain and monitor weight was followed (Resident #168). This deficient practice was identified for 2 of 38 residents reviewed. This deficient practice was evidenced by the following: 1. On 6/26/25 at 10:58 AM, Surveyor #1 (S#1) observed Elder #132 (also known as Resident #132) seated in a wheelchair (w/c) with other residents in the activity area while watching tv with music. S#1 reviewed the medical records of Resident #132, and revealed: A review of the resident's face sheet or admission Record (AR; [...]

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that the facility staff documented the oxygen treatment provided according to the physician's order for 1 of 2 residents, (Resident #70), reviewed for respiratory care, according to standards of clinical practice and facility's practice and 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: [...]

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the primary physician, responsible for supervising the care of a resident, wrote, signed and dated physician progress notes monthly or at least every 60 days with alternating Nurse Practitioner visits to indicate a review of the resident's total program of care, including medications and treatments. This deficient practice was identified for 1 of 38 residents (Resident #5) reviewed. The deficient practice was evidenced by the following: On 7/2/25 at 9:05 AM, the surveyor reviewed the electronic medical record (eMR) of Resident #5. The admission Record (an admission summary) documented that Resident #5 had diagnoses that included but were not limited to; [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that all medications were administered without error of 5% or more. During the medication observation conducted on 7/2/25, the surveyor observed 5 nurses administer medications to 5 residents. There were 27 opportunities, and two errors were observed which resulted in a medication error rate of 7.41%. This deficient practice was identified for 1 of 5 residents, that was administered by 1 of 5 nurses and was evidenced by the following: Reference: According to the manufacturer's specifications for Humalog (insulin Lispo) instructions for use included: Step 6. To prime, turn the know to select 2 units. Step 7. Hold the needle pointing up. Tap the cartridge holder gently to collect air bubbles at the top. Reference: [...]

Inspectors wrote2. On 6/26/25 at 10:52 AM, Surveyor #2 (S#2) observed Resident #243 was attending an activity with other six residents when the resident was pulled over to the side in the activity area by the Medical Assistant (MA) and the Podiatrist. The surveyor observed the resident declined and became agitated during the podiatry care consult. S#2 reviewed the medical records of Resident #243, and revealed: A review of the AR reflected that the resident was admitted to the facility with diagnoses that included but were not limited to; Alzheimer's disease unspecified, unspecified dementia, unspecified severity, with other behavioral disturbance, major depressive disorder, recurrent, moderate, and anxiety disorder unspecified. A review of the most recent comprehensive Minimum Data Set (MDS), with an ARD of 6/23/25, Section C: [...]

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 and failed to have a closed cover over the opening of 2 of 2 garbage containers. This deficient practice was evidenced by: On 6/27/25 at 12:30 PM, the surveyor toured with the Assistant Director of Dining Services (ADDS), who was covering for the Food Service Director (FSD), the garbage/refuse areas and observed the following: 1. #1 regular garbage dumpster, open with no cover, garbage overflowing, not bagged, ice cream container on top. 2. #2 cardboard boxes dumpster, overflowing with cardboard boxes, and not covered. 3. [...]

Inspectors wroteBased on observation, interview, review of medical records, and other pertinent facility documentation, it was determined that the facility failed to follow appropriate hand hygiene and use of personal protective equipment (PPE) practices for 4 of 10 staff (1 Certified Nursing Aide, 1 Registered Nurse, 1 Provider, and 1 Medical Assistant) and follow appropriate infection control practices to prevent the potential spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines, standards of clinical practice, and the facility's policy. This deficient practice was evidenced by the following: According to the CDC Clinical Safety: Hand Hygiene for Healthcare Workers dated 2/27/24 revealed .Healthcare personnel should use an alcohol-based hand rub (ABHR) or wash with soap and water for the following clinical indications: [...]

Inspectors wroteBased on interview, record review, and review of other facility documentation, it was determined that the facility failed to a.) obtain written consent and b.) ensure documentation in the resident's medical record of the information/education provided regarding the benefits and risks of immunization and the administration of an influenza (flu) vaccine for 1 of 5 residents, (Resident #132), reviewed for immunizations. This deficient practice was evidenced by the following: On 6/26/25 at 10:58 AM, the surveyor observed Elder #132 (also known as Resident #132) seated in a wheelchair with other residents in the activity area while watching tv with music. The surveyor reviewed the medical records of Resident #132, and revealed: [...]

Inspectors wrote2. On 6/26/25 at 10:58 AM, Surveyor #2 (S#2) observed Resident #132 seated in a wheelchair with other residents in the activity area while watching tv with music. S#2 reviewed the medical records of Resident #132, and revealed: A review of the resident's AR reflected that the resident was admitted to the facility with a diagnosis that included but was not limited to; other Alzheimer's disease, dementia in other diseases classified elsewhere, unspecified severity, with agitation, type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy (eye condition caused by diabetes that can lead to vision loss and blindness if not managed properly) without macular edema bilateral, and chronic kidney disease stage 3 (characterized by a moderate decrease in kidney function) unspecified. A review of the most recent quarterly MDS, with an ARD of 4/14/25, revealed in Section C: [...]

Inspectors wroteBased on observation, interview, review of the medical record, and other facility documents, it was determined that the facility failed to ensure a resident received a restorative nursing program in accordance with his/her preference. This deficient practice was identified for 1 of 1 resident reviewed for restorative nursing (Resident #41), and was evidenced by the following: On 07/28/21 at 10:59 AM, the surveyor interviewed Resident # 41 who stated that he/she enjoyed therapy, however it was discontinued after the resident's maximum potential was reached. The resident stated that he/she received restorative care, which was stopped at least two weeks ago without explanation. The resident stated that participation in the Restorative Nursing Program (RNP) was his/her preference. A review of the resident's medical record reflected the following: [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow an Incident/Accident Report (I/A Report) Final Disposition Interventions for Rehabilitation (Rehab) alert with regards to fall incidents for 1 of 4 elders (residents) (Resident #267), according to the standards of clinical practice. 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 wroteBased on observation, interview, and other review of other facility documents, it was determined that the facility failed to maintain kitchen sanitation in a manner to prevent the spread of food borne illness. This deficient practice was evidenced by the following: On 7/28/2021 at 10:43 AM, the surveyor toured the kitchen with the Food Service Director (FSD), in the presence of another surveyor. The following was observed: 1. The dairy walk-in refrigerator was noted with a buildup of a white substance, which was able to be rubbed off, on four shelves of the green epoxy racks. The FSD stated that the white substance was most likely spillage. 2. The produce walk-in refrigerator was noted with a buildup of a brown/blackish fuzzy substance on two fan covers. One shelf of the green epoxy wire rack had a buildup of a blackish sticky substance, that was able to be rubbed off. [...]