Careone at Evesham

In the surveyor’s words

From the most serious findings on record at Careone at Evesham, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 17, 2022

  Based on observation, interviews, review of medical records, and other facility documentation, it was determined that the facility failed to prevent the potential spread of infection and cross-contamination in accordance with current infection prevention standards and failed to: a) ensure that staff utilized proper serving utensils to scoop ice in a safe and hygienic manner during the meal pass b) follow appropriate infection control protocol for hand hygiene, ensure that medications were handled in a sanitary manner and that medical equipment was properly cleaned and disinfected between residents during the medication pass c) maintain the infection prevention protocol for a resident on transmission-based precautions and d) failed to ensure that dedicated medical supplies were stored in a… […]

• No harm, potential for more than minimal, patternF584Apr 18, 2024

  Based upon observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain an orderly physical environment for 2 of 2 facility units (100 & 200) reviewed under the Environmental Task. The deficient practice is evidenced by the following: On 04/11/2024 at 10:20 AM during a tour of the 100 Unit communal shower room, the surveyor observed a shelf on the wall adjacent to the shower stall. On the shelf was an unpackaged incontinence brief, a hairbrush with hair entangled in the bristles, and various hygienic bottled toiletries. The room also emanated a foul odor. […]

• No harm, potential for more than minimal, patternF658Apr 18, 2024

  NJ Complaint # NJ00169132, NJ00171624 Based on observations, interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a.) obtain a physician's order for residents to be discharged from the facility prior to discharge, b). change a central line catheter dressing as ordered by the physician (Resident #84), c.) follow physician orders to offload a residents heels while in bed (Resident #467), d.) follow physician order to check for helmet placement every two hours (Resident #468), and e.) maintain medication records that were complete with staff signatures according to professional standards of clinical practice for Resident #35, 1 of 29 residents reviewed for professional standards. […]

• No harm, potential for more than minimal, patternF812Feb 17, 2022

  Based on observations, interviews and review of documentation provided by the facility, it was determined that the facility failed to maintain proper kitchen sanitation practices and store, label, and date potentially hazardous foods to prevent the development of food borne illness. This deficient practice was evidenced by the following: On [DATE] at 09:21 am, during the initial tour of the kitchen in the presence of the Assistant Dietary Director (ADD), the surveyor observed the following: 1. The ADD was in the kitchen wearing a hair net. The hair net did not cover her hair to the hairline on the forehead and there were multiple long strands of hair that were not contained in the hair net. The ADD stated that she did not realize that all her hair was not contained in the hair net. […]

• No harm, potential for more than minimal, isolatedF689May 1, 2026

  COMPLAINT #2083729, 2805511 Based on interviews, review of medical records and pertinent facility documentation on 5/1/26, it was determined that the facility failed to thoroughly investigate a fall after the resident reported to staff that their injury, which the facility labeled as injury of unknown origin was sustained from a fall. This deficient practice was identified for 1 of 3 residents (Resident #2) reviewed for falls and was evidenced by the following:Resident #2 was no longer at the facility at the time of the survey. A closed record review was conducted. […]