Advanced Subacute Rehabilitation Center at Sewell

In the surveyor’s words

From the most serious findings on record at Advanced Subacute Rehabilitation Center at Sewell, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 7, 2025

  Complaint #: NJ 172818 Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to ensure a.) hot water temperatures were maintained at safe levels to protect residents from third degree burns and/or serious injury. This deficient practice was identified on 1 of 3 nursing units (the Long-Term Care (LTC) unit). Hot water temperatures obtained on 3/4/25, in resident's rooms on the LTC unit registered between 138 degrees Fahrenheit (F) and 140 degrees F. Interviews with the Director of Maintenance (DM) confirmed that the water temperatures should be below 120 degrees F to be at a safe level. […]

• No harm, potential for more than minimal, widespreadF835Mar 7, 2025

  Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to ensure policies, procedures, and effective systems were implemented to maintain each resident's highest practicable wellbeing. The deficient practice had the potential to affect all residents who resided on 3 of 3 units and was evidenced by the following: Refer to F689 and F812 A review of the Administrator's job description provided by the facility revealed the following: The Administrator's primary purpose is to direct the day-to-day functions of the center in accordance with current federal, state, and local standards, guideline, and regulations that govern nursing centers to assure that the highest degree of quality… […]

• No harm, potential for more than minimal, widespreadF812Oct 23, 2021

  Based on observations, interviews, New Jersey Administrative Code (NJAC) 8:24, and Centers for Disease Control and Prevention (CDC) guidelines, it was determined that the facility failed to prepare, distribute, and serve food under sanitary conditions, Specifically, the facility failed to ensure that dietary staff performed hand hygiene in between tasks; and failed to ensure the high-temperature dishwashing machine in the facility's kitchen, which contained no backup disinfecting chemical, was at the manufacturer's recommended rinse temperature. This deficient practice had the potential to affect all residents of the facility and occurred during the COVID-19 pandemic. […]

• No harm, potential for more than minimal, widespreadF880Oct 23, 2021

  Based on observations, interviews, record review, Centers for Disease Control and Prevention (CDC) guidelines, and New Jersey Department of Health (NJDOH) Executive Directive 20-026-1, last revised 10/20/2020, it was determined that the facility failed to implement an infection prevention and control program (IPCP) designed to provide a safe and sanitary environment to help prevent the possible development and transmission of Coronavirus (COVID-19) as well as other communicable diseases and infections. Specifically, the facility failed to: 1. Ensure staff wore masks over their nostrils when they provided direct care and when they were less than six feet from residents; 2. […]

• No harm, potential for more than minimal, patternF812Mar 7, 2025

  Based on observations, interview, and record review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 3/3/25 from 8:09 AM to 9:02 AM, the surveyor observed the following in the presence of the Dietary Assistant Supervisor (DAS): In the Reach-in Refrigerator: 1. A five (5) pound container of hummus which was previously opened, was not labeled or dated with an opened or use-by date. The DAS discarded the container of hummus. The DAS stated that the hummus should have had an opened date and a used by date. 2. […]