Skilled Nursing at Fellowship Village

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to: a) maintain kitchen equipment in a clean, safe and sanitary manner, b) maintain proper food storage in a clean, safe and sanitary manner and c) maintain kitchen garbage in a clean, safe and sanitary manner, and free from pests as evidenced by the following:On 3/30/26 at 9:37 AM, in the presence of the Food Service Director (FSD), the surveyors observed the following in the kitchen:The can-opener blade had areas missing and a congealed orange residue in the top left corner. The FSD acknowledged the blade had not been changed and it could cause potential harm to the residents. She further stated that the can opener blade and shaft are washed daily through the high temperature wash machine. [...]

Inspectors wroteBased on observations, interviews, record review, and review of facility provided documents, it was determined that the facility failed to provide medically related social services for a resident who transitioned in care from rehabilitation to long term care (Resident #16). This deficient practice was identified for 1 of 1 long term care (LTC) residents reviewed for social work services and was evidenced by the following:On 3/30/26 at 10:38 AM, during the initial facility tour, the surveyor observed Resident #16 in their room with the door open. Resident #16 stated they fell and got injured, needed rehabilitation, and then added, I've been here forever. Resident #16 stated they used to live in an apartment and wished they could return. On 3/31/26 at 10:26 AM the surveyor observed Resident #16 sitting in their room, waving for the surveyor to come in. [...]

Inspectors wroteBased on observations, interviews, record review, and review of pertinent documentation, it was determined that the facility failed to obtain consent to ensure that the residents did not receive an unnecessary medication for 2 of 5 residents reviewed for unnecessary medications, (Resident #10 and #61). This deficient practice was evidenced by the following:1.) On 3/30/2026 at 10:10 AM, the surveyor observed Resident #10 in bed with the TV on. The resident greeted the surveyor but was unable to hold a conversation. On 3/31/2026 at 11:50 AM, the surveyor observed Resident #10 lying in bed. An empty juice cup with a straw was observed on the overbed table. The resident greeted the surveyor and asked when lunch was coming. The surveyor had observed staff in the hallway delivering lunch trays and made Resident #10 aware. [...]

Inspectors wroteBased on interviews, review of the facility's policy, and other pertinent facility documents, it was determined that the facility failed to implement their abuse policy to a.) complete a background check for 1 out of 65 employees (Employee #4) and b.) complete refence checks for 1 out of 65 employees (Employee #5). This deficient practice was identified for newly hired employees reviewed since last survey of 11/4/2024. This deficient practice was evidenced by the following:On 3/30/26 at approximately 9:40 AM, during the entrance conference, the surveyor requested from the Licensed Nursing Home Administrator (LNHA), all newly hired employee files for active and inactive employees from 11/4/24 to the current date. [...]

Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure a written copy of the baseline care plan was completed and provided to the resident and/or resident representative (RR) within 48 hours of admission for 1 of 20 sampled residents (Resident #61) reviewed for baseline care plan. This deficient practice was evidenced by the following:On 3/30/2026 at 9:36 AM, during the initial tour, the surveyor observed an oxygen in use sign on the door frame of Resident #61's door. The resident was in a reclining chair wearing oxygen (O2) via a nasal canula (NC) at 2l (liters) per minute (min). The resident stated, so far the care is good. [...]

Inspectors wroteBased on observations, interviews, record review and review of facility provided documents, it was determined that the facility failed to update the Individualized Comprehensive Care Plan (care plan) for 2 of 20 sampled residents (Resident #7 and #16) reviewed for care planning. This deficient practice was evidenced by the following: 1. On 3/30/26 at 9:59 AM, during an initial tour, the surveyor observed Resident #7 sitting in their room with the door open. Resident #7 stated they can't swallow right so they had surgery. The surveyor observed a capped feeding tube (a medical tubing inserted directly into the stomach delivering nutrition, fluids and medications) on the resident's abdomen which extended from under their shirt. Resident #7 stated they received meals (liquid nutrition), water, and medication through the feeding tube. [...]

Inspectors wroteBased on observations, interviews, review of the medical record and other facility documents, it was determined that the facility failed to obtain a physician's order for a wrist splint and/or brace. This deficient practice was identified for 1 of 1 resident reviewed for Activities of Daily Living (Resident #70), and was evidenced by the following:On 3/30/26 at approximately 9:36 AM, the surveyor observed Resident #70 in bed with a resident representative (RR) in the room. The resident was wearing a left wrist brace. The RR stated to the surveyor that they took the brace off to wash the resident's left hand. The RR also stated that the left wrist had no function and needed support to keep it straight. The surveyor observed a blue brace on the windowsill of the room. The RR stated that the blue brace went on the left arm at night to keep it straight. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain infection control standards and procedures to ensure that a resident's urinary catheter drainage bag was stored properly for 1 of 1 resident reviewed for urinary catheter (Resident #35) and was evidenced by the following: On 3/30/2026 at 9:56 AM, during the initial tour, the surveyor observed Resident #35's urinary catheter drainage bag attached to the handrail in the bathroom with the end of the uncapped tube tip on the floor. [...]

Inspectors wroteBased on observations, interviews, record review, and review of other pertinent facility documents, it was determined that the facility failed to implement their policy to a.) ensure all eligible residents were educated on the benefits and potential side effects of the influenza and pneumococcal immunizations and b.) document in the medical record the residents' education and refusal of the influenza and pneumococcal immunizations. The deficient practice was identified for 3 of 5 residents reviewed for immunizations (Resident #61, #70 and #73.)This deficient practice was evidenced by the following:1. On 3/30/2026 at 9:36 AM, during the initial tour, the surveyor observed an oxygen in use sign on the door frame of Resident #61's door. The resident was in a reclining chair wearing oxygen (O2) via a nasal canula (NC) at 2l (liters) per minute (min). [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that a medication was administered according to physician orders and acceptable standards of practice in accordance with the New Jersey Board of Nursing. This deficient practice was identified in 1 (one) of 7 (seven) residents during the medication observation pass (Resident #46). 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: [...]