Cambridge Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 19, 2023

  Complaint #: NJ165363, NJ165497, NJ168316 Based on interviews, medical record review, and review of other pertinent facility documentation on 10/17/2023 and 10/19/2023, it was determined that the facility failed to provide a safe environment and supervision of a ambulatory cognitively impaired resident on a secured unit. The facility failed to identify that a staff member didn't follow the policy for storage of personal items. It was determined on 9/7/2023 that an Activity Assistant (AA) left her Cambridge fanny pack (a facility issued fanny pack with zipper provided to staff during orientation to carry around items securely.) unsupervised on the second shelve of a three-tier activity cart and the resident ( Resident #2) took it. […]

• Immediate jeopardy, isolatedF689Dec 5, 2022

  C#: NJ159688 Based on observation, interviews, medical record review, and other pertinent facility documentation on 11/28/2022 and 11/29/2022, it was determined that the facility failed to provide adequate supervision and maintain a safe environment for a resident (Resident #1) who was an elopement risk. On 11/22/2022, the Long-Term Care Complaint (LTCC) program received an anonymous phone call regarding a resident who escaped from the facility, and the police department was notified. During the on-site investigation conducted on 11/28/22 and 11/29/2022, it was noted that on 11/10/2022, the Maintenance staff removed the Air Conditioning (AC) unit from the room of Resident #1 that was located in the Dementia /locked Unit on the ground level. […]

• Immediate jeopardy, isolatedF835Dec 5, 2022

  C#: NJ159688 Based on observation, interviews, medical record review, and review of other pertinent facility documentation during the on-site investigation on 11/28/2022 and 11/29/2022, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to follow the facility's Administrator job description and failed to ensure that the policies and procedures under the Accidents and Incidents-Investigation and reporting were implemented when Resident #1 eloped from the facility on 11/11/2022. The Administrator failed to report this incident along with an investigation to the New Jersey Department of Health. […]

• Actual harm, isolatedF689Nov 6, 2025

  Based on interview, record review and review of pertinent facility documentation, it was determined that the facility failed to ensure a resident's plan of care was followed and communicated to all facility staff to prevent falls. Resident #2 fell and sustained head trauma with a laceration to the head with active bleeding which required transferring Resident #2 to the hospital. This deficient practice was identified for one of three residents (Resident #2) reviewed for accidents and incidents. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2021

  Based on observation, interview, and record review, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 9/8/2021 from 9:14 AM to 10:12 AM the surveyors, accompanied by the Director of Dining Services (DODS) observed the following in the kitchen: 1. During observation of the high temperature dish machine the surveyor observed unidentified debris on the top of the dish machine, on the temperature gauge panel and below the power and motor switches. Unidentified white, dried, splash type stains were observed on the door of the machine. When interviewed the DODS stated, It gets cleaned weekly but should be wiped down daily. […]