Careone at Wayne

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF658Dec 23, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to follow a physician's order for 1 of 5 residents (Resident #125) observed during medication administration, according to the standards of clinical practice and the facility's policy.This deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as casefinding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and… […]

• No harm, potential for more than minimal, isolatedF688Dec 23, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to follow a physician's order for the application of a resting hand splint to the left hand of one resident. The deficient practice was identified for 1 of 3 residents (Resident #11) reviewed for positioning and mobility.This deficient practice was evidenced by the following: On 12/16/2025 at 11:00 AM, the surveyor observed that Resident #11's left hand did not have any resting splint. The resident stated they did not know where it was, and the staff must have forgotten to put it on. The resident acknowledged the importance of using the splint. When asked if they refused to use it, the resident denied refusing the splint. […]

• No harm, potential for more than minimal, isolatedF692Dec 23, 2025

  Based on observation, interview, and record review it was determined the registered dietitian failed to provide a timely initial comprehensive nutritional evaluation for 1 resident (#94) of 3 residents reviewed for nutrition. The deficient practice was evidenced by the following: The surveyor observed the resident asleep in bed on 12/17/2025 at 9:40 AM. One container of a nutritional supplement and 2 bottles of water were observed on the over bed table. The surveyor interviewed the unit licensed practical nurse (LPN) on 12/17/2025 at 12:13 PM. The LPN stated the resident eats poorly at times and has lost weight since admission. She further stated the resident's spouse brings in food from home daily and the resident is on appetite stimulating medication. […]

• No harm, potential for more than minimal, isolatedF695Dec 23, 2025

  Based on observation, interview, record review of medical records, and pertinent facility documentation, it was determined that the facility failed to ensure that the physician's orders were followed according to the standard of clinical practice. This deficient practice was identified for 2 of 3 of the residents (Resident #18 and #29) who were reviewed for respiratory care.This deficient practice was evidenced by the following: 1. On 12/16/2025 at 11:21 AM, the surveyor observed Resident #18, who was sitting in bed, with oxygen (O2) at 2.5 lpm (liters per minute) via nasal cannula (NC, a plastic prong attached to a tube, inserted into the nostrils through which oxygen flows) attached to the oxygen concentrator (a device that supplies oxygen). […]

• No harm, potential for more than minimal, isolatedF695Oct 29, 2025

  Complaint #400262 Based on observation, interview, record review of medical records, and pertinent facility documentation, it was determined that the facility failed to ensure that the physician's orders were followed according to the standard of clinical practice. This deficient practice was identified for one of the residents (Resident #3), who was reviewed for respiratory care.This deficient practice was evidenced by the following: On 10/29/25 at 9:46 AM, the surveyor observed Resident #3 in bed awake, alert, wearing a nasal cannula (NC) connected to the oxygen (O2) from a wall outlet (a device that supplies oxygen) at 3 (three) lpm (liters per minute). On 10/29/25 at 11:02 AM, the surveyor observed the resident in bed awake on O2 via NC at 3 lpm connected to the wall outlet. […]