CareOne At Madison Avenue

In the surveyor’s words

From the most serious findings on record at CareOne At Madison Avenue, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 11, 2025

  Based on observation, interview, record review and policy review, it was determined that the facility failed to a.) failed to ensure that the dish machine logs were completed and failed to ensure the dish machine was properly functioning and, b.) failed to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination from foreign substances and potential for the development a food borne illness. This deficient practice was evidenced by the following: On 4/3/25 at 11:14 AM, in the presence of the Food Services Director (FSD) and the Culinary Director (CD), the surveyor observed the following: 1. The surveyor observed the low temperature dish machine and the FSD used a test strip to measure the Parts Per Million (PPM) for the sanitizer portion of the machine. […]

• No harm, potential for more than minimal, widespreadF880Apr 11, 2025

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to a.) follow Center for Disease Control recommendations and guidelines for Hand Hygiene for 2 of 2 Certified Nursing Assistants (CNA), b.) failed to dispose of waste appropriately in 1 of 3 residents rooms reviewed for Transmission Based Precautions (TBP) (Resident # 95) and, c.) failed to have signage for 1 of 3 residents reviewed for TBP (Resident # 95). Reference: According to the U.S. CDC guidelines for Transmission-Based Precautions dated 4/13/24, included the following recommendation details: -Contact Precaution; Use personal protective equipment (PPE) appropriately, including gloves and gown. […]

• No harm, potential for more than minimal, patternF558Apr 11, 2025

  Complaint #NJ 00174418 Based on interview and record review it was determined that the facility failed to respond to residents' requests for assistance in a timely manner for 5 of 5 residents in attendance at the resident group meeting (Resident #8, 37, 51,60, 97) and 1 of 20 Residents (Resident #254) observed during a tour of the first floor Nursing Unit. This deficient practice was evidenced by the following: The surveyor conducted the resident group meeting on 4/7/25 at 10:30 AM. All 5 of 5 residents stated that the call bell response was slow on all shifts. The residents stated they wait between 30 minutes to an hour. The surveyor interviewed resident # 254 on 4/7/25 at 12:50 PM. […]

• No harm, potential for more than minimal, patternF677Apr 11, 2025

  Complaint #NJ 00174418 Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that incontinence care was provided to dependent residents in a timely manner for a.) 1 of 20 residents reviewed for Activities of Daily Living (ADL) care (Resident #254) and b.) 4 of 4 residents (Resident #17, 90, 255 and 256) observed for incontinence care on 1 of 3 Units (1st-floor Nursing Unit). This deficient practice was evidenced by the following: 1. On 4/7/25 at 12:50 PM, during a tour of the 1st floor Nursing Unit, Resident #254 stated that on 4/6/25 at 9:00 PM, the resident was incontinent of his/her bowels and used the call bell to summon staff for assistance. […]

• No harm, potential for more than minimal, patternF697Apr 11, 2025

  2. The surveyor interviewed Resident #13 on 4/3/25 at 11:07 AM and on 4/7/25 at 10:25 AM in their room. The resident discussed their long term pain management for 3 herniated discs. The resident stated there was a time in October 2024 when a newly prescribed physician's order of oxycodone was not administered to the resident for 2 days. A review of the resident's medical record revealed the following information. The resident's admission Record included diagnoses of cervical disc degeneration, polyneuropathy, peripheral vascular disease, chronic pain, and Parkinson's disease. […]