Careone at Livingston

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF640Mar 14, 2024

  Based on the interview and record review, it was determined that the facility failed to a.) electronically transmit the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care of all residents, within 14 days of completing the resident's assessment and in accordance with the Center's for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Manual. This deficient practice was identified for 3 of 24 residents (Resident #25, 26, and #39), and b.) complete the discharge assessment for 1 of 24 residents (Resident #48) reviewed for resident assessment. The deficient practice was evidenced by the following: 1. On 3/4/24 at 10:30 AM, the surveyor observed Resident #25 out of bed in a wheelchair, alert and oriented, sitting in the activity room. […]

• No harm, potential for more than minimal, patternF755Mar 14, 2024

  Based on observation, interview and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards by not ensuring administration of a medication, (Procrit)(an injectable medication used to stimulate bone marrow to produce more red blood cells), according to a physician's order. This occurred for one (1) of five (5) residents, (Resident #21), reviewed for medication management. Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF684Oct 23, 2025

  Complaint NJ # 2599517 Based on interview and review of medical records, it was determined that the facility failed to ensure there was no delay in implementing a physician recommendation for a burn treatment, and failed to ensure the treatment was ordered for the physician recommended frequency. This deficient practice was identified for 1 of 2 residents reviewed for treatment orders (Resident #1) and was evidenced by the following:On 10/23/2025 at 10:00 AM, the surveyor reviewed the closed Electronic Medical Record (EMR) for Resident #1 which revealed the following: The admission Record (an admission summary) Resident #1 was admitted with diagnoses which included, but were not limited to; alcohol abuse with intoxication, anxiety disorder, bariatric surgery, burns, skin grafts on 79%… […]

• No harm, potential for more than minimal, isolatedF686Oct 23, 2025

  Based on interview, record review and review of pertinent facility documents, it was determined that the facility failed to ensure a) a resident who was identified as being at Low Risk for developing pressure ulcers did not develop a pressure ulcer, and b) upon the identification of a facility acquired pressure ulcer, a documented wound assessment was completed and new interventions were implemented to prevent further skin breakdown. The deficient practice was identified for 1 of 2 residents reviewed for wounds/skin treatments (Resident #3) and was evidenced by the following:On 10/23/25 at 10:00 AM, the surveyor reviewed the Electronic Medical Record for Resident #3 which revealed the following: A Nursing Progress note dated 7/28/25 at 15:02 (3:02 PM), documented Resident #3 had blanchable… […]

• No harm, potential for more than minimal, isolatedF640Aug 21, 2025

  Based on record review, interview, and review of the Resident Assessment Instrument (RAI manual), the facility failed to ensure that three residents out of three resident (Resident (R) 28, R50 and R67) out of 22 sampled residents' Minimum Data Set (MDS) assessments were transmitted in a timely manner.Findings include:Review of Center for Medicare and Medicaid Services (CMS) Long-term Care Facility Assessment Instrument 3.0 User's Manual, dated 10/23 revealed, Chapter 2: Assessments for the Resident Assessment Instrument, 2.6: Required OBRA Assessments for the MDS.RAI OBRA-required assessment summary for.discharge return not anticipated assessment.MDS completion date (Z0500B) no later than discharge date + 14 calendar days.Transmission date no later than MDS completion date + 14 calendar… […]