Childrens Specialized Hospital Toms River

In the surveyor’s words

From the most serious findings on record at Childrens Specialized Hospital Toms River, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 13, 2024

  Based on observation, interview, and review of other facility documents, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 09/10/2024 at 07:50 AM, the surveyors observed the Director of Maintenance (DOM) in the kitchen area. The DOM had a mustache and beard. The DOM was not wearing a beard restraint. When interviewed at that time by the surveyor the DOM said while in the kitchen he should have on a beard restraint. […]

• No harm, potential for more than minimal, patternF692Mar 24, 2026

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure professional standards of practice for nutrition were implemented for a resident who required nutrition support via a gastrostomy (g-tube; surgical opening where a tube is placed in the stomach to provide nutrition bypassing chewing and swallowing) to ensure a.) an enteral feeding tube order included a rate per hour in which the formula was infused via a feeding pump for consistency to decrease potential complications and b.) a nutrition assessment was completed for a resident upon re-admission to the facility. […]

• No harm, potential for more than minimal, patternF686Jun 15, 2023

  Based on observation, interview, review of medical records and other pertinent facility documentation it was determined that the facility failed to: a.) assure that a pressure relieving device was in place to prevent the development of a pressure ulcer b.) timely notify the physician regarding the resident change in skin condition consistent with professional standards of practice and c.) accurately document a skin assessment. This deficient practice was identified for 1 of 1 resident, (Resident #9) reviewed for pressure ulcer care and was evidenced by the following: A review of Resident #9's Admission Record indicated that the resident was admitted to the facility with diagnoses which included but was not limited to encephalopathy (a broad term for any brain disease that alters brain… […]

• No harm, potential for more than minimal, isolatedF584Sep 13, 2024

  Based on observation, interview, and review of pertinent facility documents it was determined that the facility failed to provide a clean environment for 2 of 7 occupied resident rooms. The deficient practice was evidenced by the following: On 09/10/2024 at 09:41 AM during the initial tour, the surveyor entered room [ROOM NUMBER] which was occupied by residents. At that time, the surveyor observed an unpackaged, oral syringe on the floor, an unpackaged nutritional formula bag left on a bed occupied by a resident, and residue stains on the floor. On 09/11/2024 at 08:59 AM, the surveyor entered room [ROOM NUMBER]. At that time, the surveyor observed the closed-top trash bin partially open with disposable gowns visible over the brim of the bin. […]

• No harm, potential for more than minimal, isolatedF695Jun 15, 2023

  Based on observation, interview, and review of medical record it was determined that the facility failed to assure that 1 of 3 residents, (Resident #17) reviewed for respiratory care was administered a nebulizer (a medication delivery system for aerosolized inhaled medication) treatment appropriately. This deficient practice is evidenced by the following: A review of the Admission record reflected that Resident #17 was admitted in April of 2023 with diagnoses that included but were not limited to failure to thrive, tracheostomy (a surgical opening in the neck which allows air to fill the lungs) status, stridor (high pitched sound during breathing usually caused by an obstruction in the airway), paralysis of vocal cords and larynx, personal history of other diseases of the respiratory… […]