Acclaim Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Acclaim Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 4, 2025

  Based 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 3/31/25 at 9:14 AM, the surveyor in the presence of the Food Service Director (FSD) observed the following during the kitchen tour. 1. In walk-in refrigerator #1, the surveyor observed a blackish dust like substance in the gasket. 2. The surveyor observed on the 3-spout coffee machine a hard water build up on top of machine and on the first coffee spout had a brownish sticky substance on the spout. 3. The surveyor observed puddle of water below the hand washing, the water was coming from a leaking pipe. 4. […]

• No harm, potential for more than minimal, patternF755Apr 4, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to ensure (a). that a medication was administered according to the physician orders (PO) and acceptable standards of practice in accordance with the New Jersey Board of Nursing. This deficient practice was identified in 1 (one) of 8 (eight) residents (Resident #34) observed during the medication observation pass and (b), to follow acceptable standards of clinical practices for accurately administering medications according to PO. This deficient practice was identified in 1 (one) and 7 (seven) residents (Resident #10 ) reviewed for medication administration. The deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, patternF926Apr 4, 2025

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to develop and implement smoking policies in accordance with state law and regulations to provide smoke-free air which prohibits indoor smoking in healthcare facilities. This deficient practice was observed for 1 of 1 designated smoking areas and was evidenced by the following: Reference: N.J.A.C. 8:6 Smoke-Free Air prohibits smoking in most workplaces as well as in indoor public areas. It included a list of all of the indoor public places and workplaces where smoking was banned, which included healthcare facilities. […]

• No harm, potential for more than minimal, patternF600Aug 24, 2023

  Based on interview, record review, and facility policy review, the facility failed to protect the residents' right to be free from physical abuse by another resident for four of four residents (Resident (R)19, R83, R26, and R74) reviewed for abuse in a total sample of 34 residents. Findings include: Review of a Reportable Event Record/Report, provided to the survey team by the facility, dated 06/19/23, revealed the facility reported to the State Agency (SA) the following: Around 2:30 PM [R83] came to speak to [R19] As per [R19], [R83] came too close to his face; they started arguing, and the staff immediately separated them; while the nurse went inside the nurse station to sign the out on pass for [R83], [R19] came close to [R83] and hit him with a cane that he was carrying back to his… […]

• No harm, potential for more than minimal, patternF880May 12, 2022

  C #: Covid-19 Infection Control Based on observation, interviews and review of pertinent facility documentation on 5/12/22, it was determined that the facility failed to ensure that all staff and visitors entering the building were screened for Covid-19 signs and symptoms in accordance with the facility policy COVID-19 [CORONA VIRUS] and Centers for Disease Control and Prevention (CDC) guidelines for 7 of 15 employees (nursing and dietary staff) and 7 of 20 visitors, reviewed for Covid-19 screening. This deficient practice was evidenced by the following: Reference: Centers for Disease Control and Prevention (CDC) COVID-19, Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, updated 2/2/22, showed .1. […]