Barnegat Rehabilitation and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jul 25, 2025

  Complaint #: NJ182922Based on interviews, medical record review, and review of other pertinent facility documents on 7/21/25, it was determined that the facility failed to implement their abuse policy by protecting Resident #4, as well as all residents from abuse, when on 1/25/25 at 8:40 PM, the Certified Nursing Aide (CNA #3) observed CNA #1 and CNA #2 physically abuse Resident #4 and CNA #3 did not report the incident until the next day, 1/26/25 at approximately 12:37 PM. This deficient practice was identified for 1 of 4 residents reviewed (Resident #4).On 1/25/25 at 8:40 PM, during the 3:00 PM to 11:00 PM shift (3-11), CNA #3 reported hearing screaming coming from Resident #4's room, and when she walked into the room, CNA #3 stated that she observed the resident sitting on their bed… […]

• Actual harm, isolatedF689Aug 8, 2023

  NJ # 164925 Based on interview, record review, and review of pertinent facility documentation it was determined that the facility failed to ensure a resident (Resident #299) received adequate supervision to prevent an accident, specifically by a staff member operating a mechanical lift to transfer the resident from a bed to a wheelchair without another staff member as required resulting in the resident falling from the mechanical lift concluding in a fractured femur (thigh bone), head laceration, and a shoulder injury. The deficient practice was evident for 1 of 4 residents reviewed for Accidents. […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2026

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation during food preparation in a safe and consistent manner designed to prevent food borne illness by cross contamination.This deficient practice was evidenced by the following:On 3/27/2026 at 10:18 AM, during a follow-up visit to the kitchen, the surveyor observed [NAME] #1 on the preparation (prep) table wearing disposable latex gloves with a hair cover. The surveyor observed the cook pull a plastic tape from a blue box on the table, go to the large grey trash bin, lifted the lid of the bin with their gloved right hand, threw the plastic tape in the trash bin, and returned the lid of the bin. […]

• No harm, potential for more than minimal, patternF880Apr 1, 2026

  Based on observation, interview, record review and review of other facility documents, it was determined that the facility failed to appropriate infection control practices specifically by failing to use personal protective equipment upon entering rooms that required it when performing patient care for 2 of 8 residents reviewed under enhanced barrier precautions (EBP) (Resident #10, #101). The deficient practice was evidenced by the following: On 03/26/2026 at 9:31 AM while touring the first floor, while outside of Resident # 10's room, the surveyor observed an orange sign outside the room door that revealed a stop sign symbol and the words, Enhanced Barrier Precautions Everyone Must: Clean their hands, including before entering and when leaving the room. […]

• No harm, potential for more than minimal, patternF690Aug 8, 2023

  Based on observation, interview, medical record review, and review of other facility documentation, it was determined that the facility failed to maintain an indwelling urinary catheter in a manner that would limit the potential to cause a Urinary Tract Infection (UTI) for 3 of 3 residents reviewed for indwelling urinary catheters (Resident #199, #79, and #20). This deficient practice was evidenced by the following: On 07/25/2023 at 10:23 AM, during the initial tour of the facility, the Surveyor #1 observed Resident #199 lying in bed. Surveyor #1 observed Resident #199's catheter bag suspended from bed frame and no privacy bag/cover was in place. […]