Breezy Hills Rehab and Care Center

In the surveyor’s words

From the most serious findings on record at Breezy Hills Rehab and Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 8, 2025

  Based on observations and interviews, the facility did not follow professional standards for food service safety related to sanitary practices in one of one facility kitchens. Findings included: On 5/5/25 at 9:35 a.m., an initial tour of the kitchen was conducted with the Dietary Manager. An observation of the low temperature dish machine was in use by Staff A, Dietary Aide. An observation of Staff A, Dietary Aide revealed she was wearing gloves and putting soiled items with food debris in the machine. She conducted the testing of the sanitizing solution using the same gloves she had on while putting soiled items to be washed. She used two testing strips and one of them fell in the water of the dish machine, while the other was placed on a clean insulated lid. […]

• No harm, potential for more than minimal, widespreadF812Feb 8, 2023

  Based on observation, interview, and photogenic evidence, the facility failed to store food in accordance with professional standards for food service safety. The facility failed to label and date food items and did not ensure the dishwasher temperature log was up to date. The failed practice had the potential to effect more than a limited number of Residents. Findings included: 1. An observation on 02/05/23 at 9:15 a.m., during the initial tour of the kitchen, showed the walk in refrigerator contained food items that were not labeled or dated. The following items were noted with photogenic evidence obtained: A bag of lettuce was not labeled or dated A container of white substance was not labeled or dated A container of chopped meat was not labeled or dated. […]

• No harm, potential for more than minimal, widespreadF847Feb 8, 2023

  Based on record review and interview, the facility failed to ensure the arbitration agreement explicitly granted the resident or his or her representative the right to rescind the agreement within 30 calendar days of signing it and the agreement did not explicitly state that neither the resident nor his or her representative was required to sign an agreement for binding arbitration as a condition of admission to, or as a requirement to continue to receive care at the facility for three (Resident #205, Resident #55, and Resident #293) of the sampled three residents. Findings included: Section G of the Admission Agreement included the arbitration agreement and it read the following: G. Disputes. […]

• No harm, potential for more than minimal, widespreadF848Feb 8, 2023

  Based on record review and interviews, the facility failed to ensure the arbitration agreement provided for the selection of a venue that was convenient to both parties for three (Resident #205, Resident #55, and Resident #293) of three sampled residents. Findings included: Section G of the Admission Agreement included the arbitration agreement and it read the following: G. Disputes. Any controversy, dispute or disagreement arising out of or in connection with this Agreement, the breach thereof, or the subject matter thereof, including Facility's obligation thereof, shall be settled by binding arbitration, which shall be conducted in Jersey City, New Jersey in accordance with the American Health Lawyers Association Alternative Dispute Resolution Service Rules of Procedure for… […]

• No harm, potential for more than minimal, patternF645May 8, 2025

  2. Review of Resident #68's Level I PASARR dated 3/19/25, showed the resident had diagnoses of anxiety disorder, bipolar disorder, depressive disorder, and mood disorder. The level I PASARR showed the resident did not have validating documentation to support dementia or a related neurocognitive disorder. The review showed Resident #68 had no diagnosis or suspicion of Serious Mental Illness or Intellectual Disability and a Level II PASARR evaluation was not submitted for consideration. Review of Resident #68s admission Record revealed the resident was admitted on [DATE] and 9/2/24. […]