Aster Creek Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jul 19, 2021

  C#: NJ 5 Based on observations, interviews, medical records review, and review of other pertinent facility documentation on 7/8/2021, 7/14/2021, and 7/19/2021, it was determined that the facility failed to provide a safe environment and assess a resident (Resident #4) who has a diagnosis of Dependence on Supplemental Oxygen and with a Physician's Order for continuous use of supplemental Oxygen when the resident's roommate (Resident #1) was smoking in their room with Resident #2 on 6/13/2021, while Resident #4's Oxygen was in use. […]

• Immediate jeopardy, isolatedF760May 13, 2026

  Complaint 2962681Based on interviews, review of the medical records, and review of other pertinent facility documentation, it was determined that the facility failed to ensure that a resident (Resident #2) was free from significant medication errors on 03/21/26. On 3/21/26 at approximately 11:55 AM the LPN administered the wrong medications; Amlodipine 10 mg (milligrams) (a prescription medication to treat high blood pressure), Aspirin 81 mg, Divalproex Na 125 mg (a prescription medication used to treat certain types of seizures/epilepsy), Zoloft 50 mg (a prescription medication used to treat Major Depressive Disorder (MDD), Obsessive-Compulsive Disorder (OCD), Panic Disorder, Posttraumatic Stress Disorder (PTSD), Premenstrual Dysphoric Disorder (PMDD), and Social Anxiety Disorder), and… […]

• Actual harm, isolatedF610Mar 10, 2026

  Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to initiate a complete and thorough investigation after a cognitively intact resident made an allegation of staff-to-resident verbal abuse. This deficient practice was identified for 1 of 2 residents (Resident #11) reviewed for abuse. The evidence is as follows:A review of the facility's Abuse Prevention and Management policy, revised 4/2025, included; the facility prohibits the mistreatment, neglect, and abuse of residents/patients. by anyone including staff, family, friends, etc. […]

• Actual harm, isolatedF657Jul 19, 2021

  COMPLAINT#: NJ 5 Based on observations, interviews, medical record reviews, and review of other pertinent facility documentation on 7/8/2021, 7/14/2021, and 7/19/2021, it was determined that the facility failed to update, revise and implement care plan interventions for residents who had multiple smoking infractions and violated the facility's smoking contract and smoking policy by smoking in their rooms. The facility also failed to follow its policy titled Residents/Patients Care Plans. This deficient practice was evident in 3 of 4 care plans reviewed (Resident #1 and Resident #2) and was evidenced by the following: Review of the Medical Records (MRs) were as follows: 1. […]

• No harm, potential for more than minimal, widespreadF835Mar 10, 2026

  Based on observation, interviews, review of medical records and other pertinent facility documentation, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to ensure staff, as well as himself, implemented the facility's abuse policies and procedures to ensure resident safety and well-being for allegations of staff-to-resident verbal abuse that occurred on [DATE], and [DATE], by failing to a.) protect all residents from an alleged perpetrator pending a thorough investigation for an allegation of staff-to-resident verbal abuse. […]