CareOne at New Milford

In the surveyor’s words

From the most serious findings on record at CareOne at New Milford, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 6, 2025

  Complaint # NJ: #166361; #173486 Based on interview, record review, and review of other facility documentation, it was determined that the facility failed to adequately assess a cognitively impaired resident, with a history of elopement as an elopement risk, and implement interventions to prevent the resident from exiting a secured unit, subsequently the facility, which resulted in the resident eloping on 7/29/23. This deficient practice was identified for 1 of 1 resident reviewed for elopement (Resident #123). On 7/29/23, Resident #123 who was cognitively impaired and ambulated independently with a history of elopement, eloped from the facility and was last seen by staff at 5:30 PM, in the television (TV) room. […]

• No harm, potential for more than minimal, patternF658Jan 18, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to: a) follow a physician's order with regards to the use of an assistive device for one of three residents, Resident #5 reviewed for the limited range of motion (ROM); b) utilized the Braden Scale for Predicting Pressure Sore Risk (a standardized, evidence-based assessment tool commonly used in health care to assess and document a patient's risk for developing pressure ) for two of four residents, Residents #15 and #83 reviewed for pressure ulcers; c) follow a physician's recommendation and discontinuing a wound treatment for a healed wound in a timely manner for one of four residents (Resident#136) reviewed for wounds. […]

• No harm, potential for more than minimal, patternF730Jan 18, 2023

  Based on observation, interview and review of facility documentation, it was determined that the facility failed to ensure that the Certified Nursing Aide (CNA) received performance review for four of five CNA files reviewed. The deficient practice was evidenced by the following: On 01/12/23 at 12:50 PM, the surveyor requested from the Licensed Nursing Home Administrator (LNHA) the education, competencies and performance reviews for five CNA's. On 01/13/23, the facility provided the education and competencies for four of the five CNA's. The facility indicated that one of the five CNAs had resigned. […]

• No harm, potential for more than minimal, patternF755Jan 18, 2023

  Based on observation, interview, and review of the facility provided documents, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure a) expired narcotic medications were removed from active inventory b) dispensed and received medication from the pharmacy were reconciled for accuracy which resulted in the wrong dosage stocked in the active inventory c) expired biological from 6/22 were removed from active inventory This deficient practice was identified for one of one of the electronic emergency (backup) machine [name redacted] observed and was evidenced as follows: 1. […]

• No harm, potential for more than minimal, isolatedF725Jul 1, 2026

  Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to provide sufficient nursing staff to ensure staff signed the resident's medical records as medications and treatments provided for 1 of 35 residents (Resident #47). This deficient practice was evidenced by the following: On 6/24/26 at 9:50 AM, the surveyor observed Resident #47 lying in bed with enteral feeding in place. On 6/25/26 at 9:15 AM, the surveyor reviewed the medical record for Resident #47. […]