Autumn Lake Healthcare at Memorial Bridge

In the surveyor’s words

From the most serious findings on record at Autumn Lake Healthcare at Memorial Bridge, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 2, 2025

  Complaint: NJ184164 Based on observation, interview, review of medical records and other facility documentation, it was determined that the facility failed to provide appropriate safety interventions to a cognitively impaired resident (Resident #124) with a history of refusal of care. On 3/4/25, Resident #124 fell when a Certified Nursing Assistant (CNA #4) refused to allow the resident to close his/her door causing the resident to fall and hit the back of their head causing a laceration. Resident #124 was sent to the hospital for evaluation. This deficient practice was identified for 1 of 2 Residents, (Resident # 124), reviewed for falls and evidenced by the following: On 5/28/25 at 11:19 AM, the surveyor observed Resident #124 in the C-wing dining room sitting in a chair. […]

• No harm, potential for more than minimal, widespreadF584Jun 2, 2025

  On 05/27/2025 at 11:02 AM, Surveyor #2 observed the following on A Unit: the wall to left of Resident room [ROOM NUMBER]'s door had peeling paint. The wall to the left of Resident room [ROOM NUMBER] had paint peeling under the chair rail. There was missing floor tile to the right of the nurse's station. The shower room had multiple missing tiles on the wall. On 05/27/2025 at 01:43 PM, Surveyor #2 observed the following on A Unit: the paint under the heater in Resident room [ROOM NUMBER] was chipped. […]

• No harm, potential for more than minimal, widespreadF812Sep 29, 2023

  Based on observation, staff interview, and facility policy review, the facility failed to keep the kitchen's convection oven, stove spill pan, large manual can opener and base attachment, large electric mixer, and ice machine clean. Additionally, the date opened on bread products was not labeled with an use by date. This failure had the potential to affect 107 residents who consumed food prepared in the facility's kitchen. Findings include: Review of the facility's policy titled, Sanitation, dated January 2023, indicated, All kitchens, kitchen areas and dining areas shall be kept clean. […]

• No harm, potential for more than minimal, patternF711Nov 25, 2025

  COMPLAINT #2659218 Based on interview, medical record review and review of other pertinent facility documentation on 11/6/25 and 11/7/25, it was determined that the facility failed to ensure that the physician responsible for supervising the care of residents documented physician visit progress notes at the time of each visit. This deficient practice was identified for 3 of 4 residents reviewed (Resident #1, #2, and #3), and was evidenced by the following:1.) Resident #1 was not at the facility at the time of the survey. A closed record review was conducted. […]

• No harm, potential for more than minimal, patternF656Jun 2, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan that identified furnished services to attain or maintain the resident's highest practical physical, mental, and psychosocial well-being for 4 of 33 (Resident # 13, 80, 44, 47) residents reviewed for care plans, specifically a resident that required a hand orthotic (Resident 13), a resident with a Positive Pres-admission Screening and Resident Review (PASARR) Level 2, and a resident that required oxygen (Resident #80). […]