Preferred Care at Absecon

Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure adequate procedures for maintaining accurate records, tracking, and timely investigation of discrepancies related to controlled substances leading to potential drug loss or diversion. This deficient practice was identified for 1 of 4 medication carts (First floor - Team 3 cart) reviewed for pharmaceutical services during medication storage and labeling tasks. This deficient practice was evidenced by the following: [...]

Inspectors wroteBased on observations, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure that the facility was maintained to provide the residents with a safe, clean, comfortable and homelike environment. This deficient practice was identified for 2 restrooms attached to 2 shower rooms on 2 of 2 nursing units (First-Floor and Second-Floor). This deficient practice was evidenced by the following:1.) On 5/28/2026 at 9:34 AM, Surveyor #1 observed a restroom that they were directed to use during a tour of the second-floor nursing unit. There was no toilet paper dispenser or toilet paper available for use inside the restroom. The walls of the restroom did not have any marks to indicate that a repair was in progress. The surveyor also noted two soiled white and green colored incontinence briefs inside the trash bin. [...]

Inspectors wroteBased on observation, interview, review of medical records, and review of other facility documentation, it was determined that the facility failed to follow appropriate hand hygiene practices for: a.) 1 of 3 staff observed during the medication pass and b.) 2 of 2 staff observed for hand hygiene, to prevent the potential spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines and standards of clinical practice. This deficient practice was evidenced by the following: Reference: CDC (2024, February 27). Clinical Safety: Hand Hygiene for Healthcare Workers. Know when to wear (and change) gloves. Gloves are not a substitute for hand hygiene. If your task requires gloves, perform hand hygiene before donning gloves and touching the patient or the patient's surroundings. Always clean your hands after removing gloves. [...]

Inspectors wroteBased on observations and interviews, it was determined that the facility failed to ensure that each resident was provided with a clean and comfortable mattress. This deficient practice was identified for 1 of 30 residents reviewed (Resident #13) on 1 of 3 units ([NAME] Hall) and was evidenced by the following: On 5/29/2026 at 9:06 AM, Resident #13 was observed seated in a wheelchair in the common area. As per Certified Nursing Assistant (CNA #3), Resident #13 gave permission to enter their room. The surveyor and CNA #1 entered Resident #13's room to observe their bed alarm. The surveyor observed a small yellow stain on the resident's top sheet. CNA #3 stated that she was in the process of changing their linen. She stated that the residents' bed linens were stripped daily and proceeded to remove the bed linens with her bare hands. She then placed the soiled linens in a clear plastic bag. [...]

Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain a clean, safe, and sanitary environment for 2 of 3 units (2nd floor and [NAME] Hall). This deficient practice was evidenced by the following: On 12/17/2024 at 12:17 PM, Surveyor #1 observed the following on [NAME] Hall: Medication Cart #2 had hair tangled in the wheels, and a mechanical lift also had hair wrapped around its wheels. A clean linen cart on the low hall showed a blue stain on the top shelf, along with tan and brown stains on the left side of the vertical support. Additionally, the covers for the clean linen carts on both the low and high halls were in poor condition with rips. On 12/17/2024 at 10:30 AM, Surveyor #2 observed the following on the 2nd floor: [...]

Inspectors wroteBased on observation and interview, it was determined that the facility failed to make survey results readily accessible to residents and visitors. This deficient practice was evidenced by the following: 1. On 12/18/0224 from 10:07 to 10:49 AM the surveyor conducted the resident council task with five (5) facility long-term resident's, with 4 of 5 residents that regularly attend resident council meetings. When asked if the residents were made aware of the location of the most recent state survey results, 5 out 5 residents (Resident #33, #35, #51, #113, and #127) responded that they were not aware of where the most recent survey results were located. 2. On 12/18/2024 at 10:57 AM, the surveyor interviewed the Licensed Nursing Home Administrator (LNHA) and the Regional Nurse (RN) at the receptionist desk in the LNHA survey results. [...]

Inspectors wroteBased on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 12/17/2024 at 11:09 AM, the surveyor, accompanied by the Licensed Practical Nurse/Unit Manager (LPN/UM #1), observed the following on the 2nd Floor resident pantry: Upon entry to the pantry the surveyor reviewed the temperature log for the resident refrigerator and freezer. A review of the resident refrigerator and freezer temperature log revealed that temperatures had not been recorded for the refrigerator or freezer for 12/17/2024 at the time of observation. A review of freezer temperatures for 12/1/through 12/16/2024 revealed a temperature range of -1 to 5 degrees Fahrenheit (F). [...]

Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to implement timely pressure reducing measures before and after the identification of a pressure ulcer and failed to consistently implement an air mattress at the proper setting, offload heels, and reposition for pressure ulcer prevention for one (Resident (R30) of four residents reviewed for pressure ulcers out of a total sample of 33 residents. This failure resulted in harm when R30 developed a pressure ulcer on the sacrum that worsened to unstageable before pressure relieving measures were put in place.

Inspectors wroteBased on observation, interview, and policy review, the facility failed to serve food that was palatable, at the appropriate temperature, and nonrepetitive for five (Resident (R)93, R116, R51, R111, and R187) of seven residents reviewed for food palatability out of a total sample of 33 residents.

Inspectors wroteComplaint#: NJ164242 Based on observation, interview, and policy review, the facility failed to provide a clean and sanitary environment for one of six residents (Resident (R)14) reviewed room disrepair out of a total sample of 33 residents. On 09/25/23 at 3:33 PM, an interview was attempted with R14. She did not respond to questions asked about her room. During an interview on 09/26/23 at 10:15 AM, family Member (FM)25 was asked about R14's room. FM25 stated, The room is not sanitary. The window screen is bent up in the window. There are white patches on the wall near the bathroom and above the toilet paper holder in the bathroom. The floor is dirty. Plaster is missing around the air conditioner, and it looks like mold. The rooms are disgusting. [...]

Inspectors wroteCOMPLAINT# NJ167015 Based on observation, interview, record review, and policy review, the facility failed to protect a resident's right to be free of physical abuse for one of (Resident (R)72) of seven residents reviewed for abuse out of a total sample of 33 residents.

Inspectors wroteBased on interview, medical record review, and policy review, the facility failed to ensure the staff assessed the resident, notified the nursing supervisor, and/or complete an incident report to determine the cause of a fall for one of three (Resident (R)46) residents reviewed for falls out of a total sample of 33 residents. This deficient practice increased the potential for additional falls to not be reported and/or investigated thoroughly.

Inspectors wroteBased on observation, interviews, record review, and review of facility policy, the facility failed to properly secure indwelling catheter drainage tubing to prevent harm to the bladder for two of two residents (Residents (R)1 and R18) reviewed for urinary catheters out of a total sample of 33 residents. This failure had the potential to cause reoccurring urinary tract infections (UTI) and/or harm to the bladder if the catheter becomes dislodged.

Inspectors wroteBased on observations, interview, record review, and policy review, the facility failed to provide prescribed nutrition interventions to address significant weight loss for one (Resident (R)72) of six residents reviewed for nutritional status out of a total sample of 33 residents.