Broadway House for Continuing Care

In the surveyor’s words

From the most serious findings on record at Broadway House for Continuing Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 26, 2025

  Based on observation, interview, and record review, the facility's failed to have an adequate water management program. The facility's water management program was incomplete and was not consistent with current ASHRAE (American Society of Heating, Refrigerating and Air-Conditioning Engineers) Guideline, which specifically called for design and maintenance procedures for the potential exposure of Legionnaire's disease (a serious pneumonia infection) within a healthcare facility. This failure created the potential for the 65 facility residents, who were either over the age of 65 and/or were autoimmune compromised, to be infected by Legionella. Findings include: Review of website for ASHRAE titled Successfully Managing the Risk of Legionellosis dated 04/07/21 indicated . […]

• No harm, potential for more than minimal, patternF689May 18, 2023

  Complaint #NJ00164204 Based on interviews and a review of the medical records (MRs) and other facility documentation on 5/18/23, it was determined that the facility staff failed to implement interventions to prevent an elopement and follow the facility's policy for 1 of 3 sampled residents (Resident #1) reviewed for elopement. This deficient practice is evidenced by the following: Review of the facility policy titled Facility Passes & Pass Violation revised 5/16/22, included but was not limited to: Passes are given after 14 days admission .All escorts must be an adult .4 different types of passes are given out at the discretion of the medical director, primary physician, or nurse practitioner. Residents are granted 1 independent pass a day .Each pass is color coded. […]

• No harm, potential for more than minimal, patternF689Dec 22, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to: a.) follow interventions in the resident's care plan for smoking, b.) thoroughly complete two out of last three facility required safe smoking evaluations for a resident and c.) accurately code the resident's annual Minimum Data Set (MDS), an assessment tool used to facilitate the management of care as a smoker. This deficient practice was identified for one of one resident's, (Resident #19) reviewed for smoking and was evidenced by the following: On 12/15/22 at 10:24 AM, the surveyor observed Resident #19 seated in a wheelchair in front of the nurse's station. The resident stated that he/she lived at the facility before the Pandemic and that he/she liked to go outside and smoke cigarettes. […]

• No harm, potential for more than minimal, isolatedF609Mar 26, 2026

  Complaint # 2961489Based on interviews, medical record reviews, and review of pertinent facility documents on 3/26/26, it was determined that the facility failed to report to the New Jersey Department of Health an injury of unknown origin that was identified on 3/18/26, following the resident's transfer to the emergency room (ER), where they were diagnosed with left femur (leg) fracture. This deficient practice was identified for 1 of 4 residents reviewed (Resident #1).The evidence was as follows: According to the Resident Face Sheet, Resident #1 was admitted to the facility with diagnose that included but were not limited to Dementia, with behavioral disturbances, psychotic disorder with hallucinations, seizures, and chronic candidiasis of vulva and vagina. […]

• No harm, potential for more than minimal, isolatedF600Feb 26, 2025

  Based on interview, record review, and facility policy review, r the facility failed to ensure residents were free of abuse for one of one resident reviewed for abuse (Resident (R) 3) out of 21 sampled residents. R3 was physically abused by R119. This failure placed the resident at risk for physical injury and psychosocial harm. Findings include: Review of a facility policy titled Abuse, dated 01/01/25 indicated .Physical Abuse.Any inappropriate physical contact with a resident, such as hitting, slapping, striking with an open or closed hand, pinching, biting, kicking, rough handling, pulling of hair, twisting of limbs, or punching. Review of a document provided by the facility titled Resident Face Sheet indicated R3 was admitted to the facility on [DATE]. […]