Autumn Lake Healthcare at Old Bridge

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 6, 2026

  Based on observations, interviews and review of facility documents, it was determined that the facility failed to properly store, label, and date foods to prevent the development of food-borne illness. This deficient practice was identified in the main kitchen and one of two pantries (A-wing), and was evidenced by the following: 1. On 1/29/26 at 9:13 AM, the surveyor toured the kitchen with the Regional Food Service Director (RFSD) and observed the following:Near the dry storage room, two cardboard boxes of bananas were stacked one on top of the other. The top box was partially open with several dark discolored bananas in a clear plastic bag inside. In the presence of the surveyor, the RFSD lifted a plastic bag out of the box. […]

• No harm, potential for more than minimal, patternF695Feb 6, 2026

  Based on observation, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to a.) maintain the necessary care and services for residents who were receiving oxygen (O2) treatment according to professional standards of practice and b.) ensure a physician's order was obtained for a resident receiving O2. The deficient practice was identified for three of three residents (Resident #9, #14 and #51) reviewed for Respiratory Care. […]

• No harm, potential for more than minimal, patternF755Feb 6, 2026

  Based on observation, interview, record review and review of pertinent facility documents, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards by a.) ensuring routine medications were acquired in a timely manner and administered as per prescribed physician's orders for one (1) of seven (7) residents, (Resident #110), reviewed for medication management and b.) ensuring proper procedures to acquire routine medications be available for administration for one (1) of four (4) residents, (Resident #13 ), observed during medication administration. The deficient practices were evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF584Feb 6, 2026

  Based on observation, interview and review of facility documents, it was determined that the facility failed to maintain a clean/homelike and sanitary environment for 1 of 2 nursing units (B Wing).This deficient practice was evidenced by the following:On 1/30/2026 at 9:47 AM, during an environmental tour on B wing, the surveyor interviewed unsampled Resident #30. During the interview, the surveyor observed a large white patched area with a hole in the wall below the patch on the left wall of the room, just beyond the bathroom door. Further review of the room revealed a white patched area around the soap dispenser near the sink, and a large white patch area on the right side wall, near the resident's bed. The surveyor asked Resident # 30 what happened to the walls. […]

• No harm, potential for more than minimal, isolatedF602Feb 6, 2026

  Complaint #2684176 Based on interviews, record review and review of facility provided documents, it was determined that the facility failed to ensure that a resident was free from exploitation and misappropriation of resident income. This deficient practice was identified for one of one resident (Resident #115) reviewed for misappropriation of personal property and was evidenced by the following: On 1/29/26 at 10:19 AM, during an initial tour of the facility, the surveyor observed Resident #115 in their room. Resident #115 was not interviewable. The surveyor reviewed the Electronic Medical Record (EMR) for Resident #115. A review of the admission Record, an admission summary, reflected diagnoses which included but were not limited to; major depressive disorder, and altered mental status. […]