Livia Health and Senior Living

Inspectors wroteBased on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner to prevent food borne illness. This deficient practice was observed and evidenced by the following: On 2/17/26 at 7:42 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following:1. One dietary aide (DA#1) with facial hair not wearing a beard guard, two dietary aides (DA#2 and DA#3) wearing dangling earrings and DA#2 also wearing a dangling necklace. Per the FSD, all facial hair needs to be covered with a beard guard and any jewelry worn should not dangle.2. In the walk-in freezer, the surveyor observed two bags of French fries, two bags of hash browns and one package of lemon bars all opened without open or use-by labels. [...]

Inspectors wroteBased on observation, interview, record review, and review of facility documents, it was determined that the facility failed to ensure that a low-air-loss mattress was accurately set and monitored based on the resident's weight. This deficient practice was identified for 2 of 4 residents reviewed (Resident #9 and #12). This deficient practice was evidenced by the following: 1. On 2/18/26 at 11:00 AM, the surveyor observed resident #12 in bed with a specialty mattress in place. The resident's air mattress pump was set to a weight of 325 pounds. On 2/19/26 at 10:32 AM, the surveyor observed resident #12 in bed with a specialty mattress in place. The resident's air mattress pump was set to a weight of 325 pounds. The surveyor reviewed the medical record for Resident #12. [...]

Inspectors wroteBased on the interview and record review, it was determined that the facility failed to complete and transmit a Minimum Data Set (MDS, an assessment tool used to facilitate the management of care) in accordance with federal guidelines. This deficient practice was identified for 3 of 18 residents (Resident #27, #50, and #91) during the review of resident assessment. This deficient practice was evidenced by the following: The MDS is a comprehensive tool, a federally mandated process for clinical assessment of all residents that must be completed and transmitted to the Quality Measure System. The facility must electronically transmit the MDS within 14 days of completing the assessment. After the MDS is transmitted, a quality measure will be transmitted to enable a facility to monitor the residents' decline or progress. [...]

Inspectors wroteComplaint # 2656895 Based on interview, record review and review of other pertinent facility documents on 11/6/25, it was determined that the facility failed to ensure that the nursing services were provided and documented consistently on the Medication Administration Record (MAR) and the Treatment Administration Record (TAR) in accordance with professional standards of practice. This deficient practice was identified for 1 of 4 residents reviewed for standards of practice (Resident #1). The evidenced was as follows: Reference: [...]

Inspectors wroteComplaint # 2656895 Based on interviews, medical record review, and review of pertinent facility documentation on 11/6/25 it was determined that the facility failed to consistently document Activities of Daily Living (ADL) as being provided to residents. This deficient practice was identified for 1 of 4 residents reviewed for ADLs (Resident #1).

Inspectors wroteComplaint #: NJ00183458 Based on observations, interviews, and review of pertinent facility documents on 02/25/2025 and 02/26/2025, it was determined that the facility failed to ensure that a resident (Resident #1) was free from neglect when it failed to provide the required care and services to meet the need of the Resident and follow its policies titled Abuse Prevention Program, Elopements and Wandering Residents, and Tracker for Residents Leaving the Building. On 02/10/2025, Resident #1 was picked up from Dialysis by the facility's van driver and was never brought back inside the building after the driver parked the vehicle in the parking lot at 5:00 pm and left Resident #1 sitting inside in her/his wheelchair unattended for 5 hours. The nursing staff knew Resident #1 should return from Dialysis at 5:00 pm but did not inquire about the Resident's whereabouts. [...]

Inspectors wroteComplaint #: NJ00183458 Based on observations, interviews, and review of pertinent facility documents on 02/25/2025 and 02/26/2025, it was determined that the facility failed to ensure that a resident (Resident #1) was safe when it failed to follow its policies titled Elopements Wandering Residents, Resident Transportation, and Tracker for Residents Leaving the Building. On 02/10/2025, Resident #1 was picked up from Dialysis by the facility's van driver; the driver did not take Resident #1 into the building upon return to the facility; instead, the driver parked the vehicle in the parking lot at 1700 [5:00 pm], exited the vehicle and left the Resident in the van until she/he was found approximately 5 hours later. Resident #1 was found lying on the floor of the van with the wheelchair behind her/him by the Nursing Supervisor [NS]. When assessed, the Resident stated, I am cold. [...]

Inspectors wroteComplaint #: NJ00182762 Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 02/25/2025 and 02/26/2025, it was determined that the facility failed to develop comprehensive person-centered care plans (CP) for a resident (Resident #4) who wore incontinence underwear while in the facility, and failed to include a complete focus area for a resident (Resident #6) with breathing difficulty. The facility also failed to follow its policy titled Care Plans, Comprehensive Person-Centered. This deficient practice was identified for 2 of 2 residents and was evidenced by the following: During a incontinence tour on 02/25/2025 at 10:35 A.M. accompanied by the facility's Assistant Director of Nursing (ADON), the surveyor observed Resident #4 awake and dressed, sitting in a wheel chair in their room. [...]

Inspectors wroteComplaint #: NJ00182762 Based on interviews, medical record review, and review of other pertinent facility documentation on 02/25/2025 and 02/26/2025, it was determined that the facility failed to a). obtain a Physician's Order (POs) after a wound consult recommendation for treatments b). follow a POs for treatment of a pressure ulcer, and c). follow its wound care policy for a resident with pressure ulcers to the sacrum. This deficient practice was identified for 1 of 2 residents (Resident #5) reviewed for pressure ulcers and was evidenced by the following: According to the admission Record, Resident #5 was admitted to the facility with diagnoses which included but were not limited to Pneumonitis due to inhalation of food and vomit; coagulation deficit, unspecified; type 2 Diabetes Mellitus without complications; metabolic encephalopathy; [...]

Inspectors wroteComplaint #: NJ00182762 Based on interviews, medical record review, and review of other pertinent facility documents on 02/25/2025 and 02/26/2025, it was determined that the facility staff failed to consistently document in the Documentation Survey Report (DSR) the Activities of Daily Living (ADL) status and care provided to the residents. This deficient practice was identified for 1 of 3 residents (Resident #6) reviewed for ADL documentation. This deficient practice was evidenced by the following: According to the admission Record (AR), Resident #6 was admitted to the facility with diagnoses that included but were not limited to: diverticulitis of large intestine without perforation or abscess without bleeding; gastrointestinal hemorrhage, unspecified; unsteadiness on feet; weakness; need for assistance with personal care; other reduced mobility; [...]

Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure appropriate care of a gastrostomy tube (g-tube) during enteral feeding and medication administration for one resident (Resident (R) 178) of one resident reviewed during medication administration with g-tube. Specifically, Licensed Practical Nurse (LPN) 1 administered g-tube medications via push method rather than by gravity administration and failed to check for proper g-tube placement. This failure increases the risk for nausea, vomiting, or aspiration.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure proper cleaning and disinfecting of multi-use glucometer prior to blood glucose testing for one resident (Resident (R) 3) of two residents reviewed for blood glucose monitoring. This failure increased the risk for infection and transmission of blood borne pathogens.

Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to administer medication with an error rate of less than 5%. The surveyor observed two nurses administer medications to three residents with 26 opportunities for error. There were five errors involving 3 of 3 residents observed, which resulted in an error rate of 19.2% as evidenced by the following: 1. On 10/14/22 at 8:06 AM, the surveyor observed a Licensed Practical Nurse (LPN) administer medication to a resident. One of the medications that the resident received was Levocarnitine oral solution (a medication used to treat those who have a lack of carnitine,which is an amino acid, in their body. It is used for people who have kidney disease). 2. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain a urinary catheter in a manner that would decrease the possibility of the resident developing an infection. This was found with Resident # 111, who was 1 of 1 residents reviewed for urinary catheter care. The deficient practice was evidenced by the following: On 10/14/22 at 9:24 AM, the surveyor observed the resident in bed while wearing a urinary drainage bag attached to their leg. The Registered Nurse (RN) who was assigned to the resident confirmed that the resident was wearing a urinary drainage bag attached to their leg and that the resident always wore the urinary drainage bag while in bed and she did not know why. The RN lifted the resident's blanket and showed the surveyor the leg bag on the resident's left leg above the knee. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain a record for the use of oxygen. This was found with 1 of 3 residents, Resident # 111 reviewed for oxygen use. The deficient practice was evidenced by the following: On 10/5/22 at 11:32 AM, the surveyor observed Resident # 111 in bed awake, the resident appeared thin, and frail. The resident was receiving oxygen at 2 liters per minute (lpm) via a nasal cannula (a tube with prongs sitting in the nostrils that delivers oxygen to the resident) through an oxygen concentrator. On 10/6/22 at 10:29 AM, the surveyor observed the resident in bed receiving oxygen at 2 lpm via a nasal cannula through an oxygen concentrator. The resident was in bed awake. The resident did not answer appropriately when spoken to. The resident looked away and avoided conversation. [...]

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to: (a) properly label, store, and date medications in 1 of 5 medication carts and 1 of 2 medication refrigerators inspected; (b) properly discard an expired medication in 1 of 2 medication refrigerators inspected. The deficient practice was evidenced by the following: 1. On [DATE] at 10:22 AM, the surveyor inspected the medication cart on the 3 South unit in the presence of the Licensed Practical Nurse (LPN) assigned to the cart. There was a Latanoprost 0.005% eye drops for a resident open and undated. The LPN # 1 stated she was unsure of when the eye drops were opened or if it was used. The pharmacy label read refrigerate before opening. There was a Novolin R flexpen for a resident observed with a written open date of 9/1 on the plastic bag it was stored in and written on the flexpen itself. [...]