Alaris Health at West Orange

In the surveyor’s words

From the most serious findings on record at Alaris Health at West Orange, in the surveyor’s own words.

• Immediate jeopardy, patternF803Aug 12, 2022

  Based upon observation, interview, record review, document review, and review of facility policies, the facility failed to ensure that menus/food provided to residents met the individual needs for four (Resident (R) 312, R19, R104 and R15) of 28 sampled residents, and an additional five (R89, R62, R63, R91, and R6) supplemental residents. Although food allergies and textures were noted in physician orders and/or dietary records, two sampled residents (R 312 and R89) were provided foods to which they had documented allergies and/or which was in a texture could be unsafe to consume. […]

• Actual harm, isolatedF684Dec 22, 2025

  Complaint #: 2688530Based on interviews, review of medical records, and review of other pertinent facility documents on 12/22/2025, it was determined that the facility failed to ensure that residents received care and services necessary to attain or maintain the highest practicable physical well-being, in accordance with professional standards of practice, by failing to timely assess, monitor and implement appropriate interventions for identified skin integrity concerns.This deficient practice was identified for 2 of 3 residents reviewed (Resident #1 and Resident #2), as evidenced by the following:Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. […]

• Actual harm, isolatedF689Dec 19, 2024

  Based on interview and record review, the facility failed to keep Resident #103 safe from accidents/injury. Resident #103 sustained lacerations to two fingers which resulted in both fingers being amputated after a side rail fell on Resident #103's right hand while staff were providing care for the resident. This deficient practice was identified for one (1) of three (3) residents (Resident (R) #103) reviewed for accident hazards. This failure caused serious harm to R #103 and had the potential to place all residents with side rails at risk. Findings include: Review of R #103's Face Sheet located in resident's electronic medical record (EMR) under the Profile tab, revealed the resident was admitted to the facility with diagnoses which included Alzheimer's. […]

• No harm, potential for more than minimal, patternF759May 21, 2026

  Based on observation, interview and record review, it was determined that the facility failed to administer medication with an error rate of less than 5%. The surveyors observed 3 nurses administer medications for 5 residents with 25 opportunities for error. There were 6 errors resulting in an error rate of 24% as evidenced by the following: During the medication pass observation on 5/4/26 from 10:42 AM until 11:00 AM, the surveyor observed the following: At 10:42 AM, the surveyor observed Registered Nurse #1 (RN #1) prepare six medications for Resident #100, they were as follows: Aspirin chewable 81 mg (milligram) tablet, give one tablet by mouth one time a day; scheduled for 8:00 AM.Janumet 50/1000 mg tablet, give one tablet by mouth one time a day; scheduled for 9:00AM.Lisinopril 20 mg… […]

• No harm, potential for more than minimal, patternF695Aug 12, 2022

  Based on observation, interview, record review, and review of the facility policy, the facility failed to ensure three (Residents (R)18, R205, R311) of three sampled residents, out of a total of nine residents who required respiratory care, received care consistent with professional standards of practice. The facility failed to maintain the cleanliness of the oxygen concentrator filter for R18 and failed to place a filter on the back of the oxygen concentrator for R205. In addition, the facility failed to ensure tubing was changed and/or dated as needed for R205 and R311. Findings include: Review of the CMS-672 form completed by the facility on 08/03/22, revealed that nine residents out of the current census of 103 required respiratory treatment. 1. […]