Asbury Park Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF710Jun 1, 2023

  Based on interview and record review, the facility failed to provide medication orders to meet the needs of one of five sampled residents (Resident 1), when Resident 1's anticoagulant (blood thinner to prevent clots) medication was not reordered after his external fixator (device to stabilize a broken bone) surgery was canceled. This failure resulted in Resident 1 being diagnosed with a deep vein thrombosis (DVT, blood clot in a deep vein) of his left leg that required hospitalization and an unnecessary invasive procedure (placement of an IVC [inferior vena cava]) filter (a device implanted in a major vein to prevent blood clot in leg from traveling to lungs). […]

• No harm, potential for more than minimal, widespreadF803Jan 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure the planned menu or spreadsheet (a menu excel sheet that indicated what items and portions to be served for each prescribed diet) was followed for the therapeutic diets during the lunch meal distribution on 1/8/25 when: 1. 20 residents (Resident 16, 17,18, 26, 28, 41, 44, 47, 60, 62, 64, 71, 80, 82, 92, 98, 100, 101, 110, and 386) with CCHO (control carbohydrate) diets (diet uses for person with diabetes and maintain a stable sugar level throughout the day) with regular portion received margarine instead they should not receive margarine, 2. […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2025

  Based on observation, interview and record review, the facility failed to ensure food safety when: 1. The ice machine was not clean, 2. Various sizes kitchenware in the clean and ready-to-use storage areas: a. Were stacked and stored wet b. Had food particles 3. An air gap was not found on the food production sink, 4. Dietary Aide (DA) 1 did not verbalize the process of manual dishwashing correctly, 5. [NAME] (CK) 1 and CK 2 had beard and did not have beard restraint. These failures had the potential to result in food contamination which could cause illness in 128 out of 128 medically vulnerable residents who received and consumed food from the facility kitchen. Findings: 1. A concurrent observation and interview on 1/7/25 at 10:03 a.m. […]

• No harm, potential for more than minimal, widespreadF814Jan 10, 2025

  Based on observation, interview and record review, the facility failed to provide a clean environment for the residents and visitors when one of two garbage dumpsters, located outside the facility, was not closed securely with the dumpster lids. This failure had the potential for an unsafe environment for the residents and visitors due to possible pest infestation and spread diseases in the facility. Findings: During an observation and concurrent interview on 1/7/25 at 8:58 a.m. with Dietary Assistant Manager (DAM), observed one out of two outside garbage bins was covered with lids but not securely completely covered. The lids lacked integrity to securely cover the bin and left gaps on both sides. DAM confirmed and agreed the lids could not securely cover the bin. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2021

  Based on observation, interview and record review the facility failed to ensure food safety when: 1) an air gap was not found on the food production sink, 2) freezer door would not close correctly, creating condensation and ice buildup, 3) drinking glasses were found stored wet, 4) food cool down logs not found in use, and 5) standing food mixer had visible food particles on the base. These failures had the potential to allow for microorganism growth that could result in food borne illness in facility residents. Findings: 1) During an observation of the kitchen on 5/5/21 at 8:42 AM, an air gap was not found on the fruit and vegetable prep sink. […]