Accela Rehab and Care Center at Manalapan

In the surveyor’s words

From the most serious findings on record at Accela Rehab and Care Center at Manalapan, in the surveyor’s own words.

• Immediate jeopardy, isolatedF806Mar 6, 2024

  Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to provide food that accommodated a resident's known food allergy to eggs and egg-derived products. This deficient practice was identified for 1 of 18 residents (Resident #32) reviewed for meal observations. On 02/27/24 at 8:32 AM, Resident #32 was observed eating a hard-boiled egg. The meal ticket on their breakfast tray had documented allergies to eggs and egg-derived products. This posed the likelihood of serious harm to the health and wellbeing of Resident #32. This resulted in an Immediate Jeopardy (IJ). The IJ was identified and began on 02/27/24 and the IJ template was given to the Licensed Nursing Home Administrator (LNHA) on 02/27/24 at 12:48pm. […]

• Actual harm, patternF689Mar 6, 2024

  Based on observation, interview, record review and review of other pertinent documents, it was determined that the facility failed to a) ensure adequate supervision to prevent falls, b) ensure current documented fall prevention interventions were consistently implemented, and c) ensure the Falls Policy was consistently followed to complete an assessment of the causal factor and identify and implement pertinent fall prevention interventions to prevent further falls, . This deficient practice was identified for 1 of 5 residents (Resident #5), reviewed for accidents. Resident #5 was identified as a fall risk for falls. […]

• Actual harm, patternF690Mar 6, 2024

  Complaint #159956 Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to develop and implement interventions to prevent urinary tract infections (UTIs) for a resident with a history of chronic UTI's (from 06/17/2022 through 01/03/2024) which required oral and intravenous (IV) antibiotic therapy, and required hospitalization . This deficient practice was identified for 1 of 2 Residents (Resident #51) reviewed for Urinary Tract Infections and was evidenced by the following: On 02/23/24 at 6:15 AM, Surveyor #5 completed an incontinence care tour on the 200 Unit, a strong urine odor permeated in the hallway of the low side of the 200 Unit. […]

• Actual harm, patternF742Mar 6, 2024

  Complaint NJ #s 154702, #154763 Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure a) antipsychotic medications were administered daily per physician orders for two residents, Resident #19 who missed 8 daily doses, and Resident #45 who missed 9 daily doses. This resulted in increased combative and hallucinatory behaviors that necessitated transfer to Crisis via 911 (emergency) for both residents, and b) behaviors were monitored and documented and appropriate interventions were developed and implemented for Resident #76 who required antipsychotic medication. […]

• No harm, potential for more than minimal, widespreadF565Mar 6, 2024

  Complaint #s NJ 152910, 152911, 159956 Based on observation, interview and document review, it was determined that the facility failed to ensure that all residents were treated with respect and dignity by ensuring the facility acted promptly to respond to ongoing residents grievances affecting quality of life by failing to consistently and uniformly address grievances regarding: a) ensuring residents had consistent access to their personal needs account funds (PNA), b) food complaints identified on 02/28/2022 when the resident council was alerted to the menu being changed to kosher style, and c) the menu not being posted, not having access to menus to select meal choices and the repetitiveness of the menu. […]