Autumn Lake Healthcare at Oceanview

In the surveyor’s words

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

• Immediate jeopardy, widespreadF610Apr 27, 2026

  Complaint # NJ 2979687Based on observation, 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 and their resident representative (RR) made an allegation of staff-to-resident physical abuse. This deficient practice was identified for 1 of 3 residents (Resident #30) reviewed for abuse.On 3/31/2026 on the 3PM-11PM shift, Resident #30 alleged that a Certified Nursing Assistant (CNA #1) threw a call device and oxygen tubing /nasal cannula (a device that delivers oxygen through a tube and through the nose) at them and reported the allegation to their Resident Representative (RR). […]

• No harm, potential for more than minimal, widespreadF600Apr 27, 2026

  Complaint #: 2979687 Based on interviews, review of the medical record, and review of other pertinent facility documents, it was determined that the facility failed to implement their abuse policy to ensure all other residents were protected after a cognitively intact resident and their resident representative (RR) made an allegation of staff-to-resident physical abuse. This deficient practice was identified for 1 of 3 residents (Resident #30) reviewed for abuse and was evidenced by the following: Refer to F610 On 4/21/2026 at 11:30 AM, during the initial tour of the facility, the surveyor was approached by Resident #30s RR, who told the surveyor that she would like to discuss several issues with the surveyor concerning the care of their mother/father. […]

• No harm, potential for more than minimal, widespreadF607Apr 27, 2026

  Complaint #: 2979687Based on interviews and review of other pertinent facility documents, it was determined that the facility failed to protect residents by failing to develop and implement their Abuse, Neglect and Exploitation policy and procedure after an allegation of staff-to-resident physical abuse was reported by a cognitively intact resident and resident representative (RR). This deficient practice was observed for 1 of 3 residents (Resident #30) reviewed for abuse and affected 3 of 3 nursing units in the facility. […]

• No harm, potential for more than minimal, widespreadF812Apr 27, 2026

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to a.) handle potentially hazardous foods and maintain sanitation in a safe and consistent manner designed to prevent food borne illness b.) to prevent potential contamination by leaving used resident meal trays in a resident unit pantry in close proximity to clean items and food service supplies and c.) maintain the resident unit pantry in a safe and sanitary manner. This deficient practice was identified for 1 of 3 unit pantries (B-Unit) reviewed and was evidenced by the following:1.) On 04/21/2026 at 9:22 AM the surveyors entered the facility kitchen. The surveyors were told by the cook that there was not a director in the kitchen and that they were on the way. […]

• No harm, potential for more than minimal, widespreadF835Apr 27, 2026

  Complaint #: 2979687 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)/Abuse Coordinator, failed to a.) ensure staff, as well as himself, implemented the facility's abuse policies and procedures to ensure resident safety and well-being for an allegation of staff-to-resident physical abuse that occurred on 3/31/2026, and b). failed to protect all residents from an alleged perpetrator pending a thorough investigation for an allegation of staff-to-resident physical abuse. […]