Bishop Mccarthy Center for Rehab & Healthcare

In the surveyor’s words

From the most serious findings on record at Bishop Mccarthy Center for Rehab & Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 6, 2025

  COMPLAINT #2572162 Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 7/31/25 and 8/1/25, it was determined that the facility failed to provide adequate supervision for a resident with cognitive impairment who required assistance with all activities of daily living and accompaniment to outside doctor's appointments and was sent to an out-of-state doctor's appointment and eloped. This deficient practice was identified for 1 of 3 residents reviewed for accidents (Resident #1). On 7/23/25 at 10:15 A.M., Resident #1 was sent to an out-of-state (OOS) doctor's appointment unaccompanied via medical transport. At 4:00 P.M., the facility received a telephone call from the OOS provider's office that Resident #1 could not be located. […]

• No harm, potential for more than minimal, widespreadF812Jan 4, 2022

  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 in a safe and consistent manner to prevent foodborne illness. This deficient practice was evidenced by the following: On [DATE] at 9:53 AM, the surveyors, accompanied by the Head Cook (HC) observed the following in the kitchen: 1. In the Dry Storage area on a lower shelf, (1) open bag of shell pasta and (2) open bags of rotini pasta did not have an open or use by dates. On the shelf above, (1) open bag of spaghetti wrapped in plastic wrap had no open or use by date. When interviewed the HC stated, We usually have an open and use by date on anything that is opened and not completely used. 2. […]

• No harm, potential for more than minimal, patternF812Jun 17, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 06/06/2025 from 09:54 to 10:27 AM the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. Upon entry to the kitchen the surveyor went to observe the high temperature dish machine that was actively washing dishes at the time. The surveyor requested to see the dish machine temperature log. […]

• No harm, potential for more than minimal, patternF658Sep 26, 2024

  Complaint #: NJ00175475 Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 09/26/2024, it was determined that the facility failed to follow standards of clinical practice for documenting the administration of medication in the electronic Medication Administration Record (MAR). The facility also failed to follow its policy titled Administering Medications. This deficient practice was identified for 26 of 29 residents reviewed on MAR and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, patternF695Mar 28, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to provide the necessary respiratory care and services for 1 (one) of 2 (two) residents (Resident # 100) reviewed for respiratory services. This deficient practice was evidenced by the following: According to the Admission Record (AR) Resident #100 was admitted to the facility with diagnoses that included, but were not limited to, cerebral infarction (stroke) and chronic respiratory failure. The quarterly Minimum Data Set (MDS), an assessment tool, dated 02/23/24, indicated that the resident was cognitively intact and required extensive to total care with all aspect of activities of daily living (ADLs). […]