Careone at Oradell

In the surveyor’s words

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

• Actual harm, isolatedF686Dec 13, 2024

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that a resident received care consistent with professional standards of practice, to prevent pressure ulcers, and promote healing. This deficient practice was identified for 1 of 2 residents, (Resident #197) who was identified as having a pressure right hip injury on 11/13/24, with no description of a wound, which progressed to an unstageable wound to the right hip with 30% slough (necrotic tissue that needs to be removed from the wound for healing to take place) with serosanguinous drainage. The wound measured 3 centimeters (cm) x 4 cm x 0.1 cm and was identified during routine wound rounds by a consultant on 11/20/24. […]

• No harm, potential for more than minimal, widespreadF908May 15, 2026

  Based on observation, interview, and review of facility documents, it was determined that the facility failed to maintain the kitchen exhaust hood system in good repair and free of structural defects that could compromise fire safety. This deficient practice had the potential to affect all 122 residents in the facility by increasing the risk of fire and smoke spreading behind the kitchen exhaust hood and was evidenced by the following:On 5/6/26 at 10:00 AM, the surveyor conducted a tour of the facility kitchen with the Food Services Director (FSD). During the kitchen tour, the surveyor observed the stainless steel exhaust hood located above the cooktop. Two sections of the hood had gaps measuring greater than approximately one-half inch where the panels joined. […]

• No harm, potential for more than minimal, widespreadF838Dec 13, 2024

  Based on observation, interviews, and a review of facility documentation, it was determined that the facility failed to ensure that a facility wide assessment was reviewed and updated to identify the required services and procedures necessary to protect the health, safety, and welfare of all residents to ensure adequate facility resources to provide resident care and services. These failures had the potential to affect all 109 residents who currently live in the facility during the time of the survey. […]

• No harm, potential for more than minimal, widespreadF725Sep 8, 2023

  Complaints #: NJ00163185, NJ00166154, NJ00157351, NJ00155283 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 resident's highest practical wellbeing by failing to: a.) maintain the required minimum direct care staff-to-shift ratios as mandated by the state of New Jersey (NJ) and b.) ensure that 7 AM-3 PM, 3-11 PM, and 11-7 shifts were staffed to provide the ADLs (activities of daily living) for nine (9) of 17 residents, (Residents#4, #13, #22, #23, #32, #233, #235, #312, and #263) according to facility practice, required minimum direct care staff-to-shift ratios as mandated by the state of NJ, and facility assessment. […]

• No harm, potential for more than minimal, patternF550May 15, 2026

  NJ #298824 Based on observation, interview, and record review it was determined that the facility failed to maintain the privacy for 4 of 4 residents (Resident #12, Resident #66, and 2 unsampled residents) during resident council meeting by 2 of 2 Recreation Aides and dignity of 1 of 4 residents (1 unsampled resident) during incontinence round and 1 of 4 residents (Resident #12) with regard to their personal care.The deficient practice was evidenced by the following. 1.On 5/6/26 at 10:10 AM, Surveyor #1 (S #1) and Surveyor #2 (S #2) met with the Licensed Nursing Home Administrator (LNHA) and the Director of Nursing (DON) during an entrance conference meeting. The LNHA and DON agreed to set up the resident council meeting on 5/11/26 at 10:30 AM. […]