Clover Meadows Healthcare and Rehabilitation Cente

In the surveyor’s words

From the most serious findings on record at Clover Meadows Healthcare and Rehabilitation Cente, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jun 25, 2021

  Based on observations, staff interviews, New Jersey Department of Health (NJDOH) Executive Directive, No. 20-026-1, last revised 10/20/2020, and Centers for Disease Control (CDC) guidelines, it was determined that the facility failed to ensure staff always wore masks while in the facility. The facility also failed to ensure that all staff were screened for COVID-19 when entering the facility. This had the potential to affect all 51 residents. The deficient practice occurred during the COVID-19 pandemic. Findings include: Reference: NJDOH issued Executive Directive No. 20-026-1, dated 10/20/2020, indicates the following: 3. Cohorting, PPE and Training Requirements in Every Phase: i. […]

• No harm, potential for more than minimal, patternF812Jun 26, 2026

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain kitchen sanitation in a safe consistent manner in order to prevent food borne illness. The deficient practice was evidenced by the following: On 6/23/26 at 8:28 AM, the surveyor entered the kitchen and observed the FSD preparing and handling food at the kitchen counter without a hairnet on.At that time, the surveyor interviewed the FSD and he acknowledged that he was not wearing a hairnet. […]

• No harm, potential for more than minimal, patternF695Jan 16, 2025

  Based on observations, interviews, record review, and review of pertinent facility documents, it was determined the facility failed to ensure a.) a physician's order (PO) was in place for a resident who used a machine that helps you breathe for sleep apnea (a sleep disorder in which breathing repeatedly stops and starts), which the resident brought from home, b.) a PO was in place for the proper settings, c.) a PO was in place to maintain the cleanliness of the machine and it's parts in accordance to the manufacturer's instructions. This deficient practice was identified for 1 of 3 residents (Resident #9) reviewed for respiratory care; and d.) respiratory masks were stored properly after use to prevent contamination. […]

• No harm, potential for more than minimal, patternF755Oct 31, 2023

  Based on observation, interview, and pertinent record review, it was determined that the facility failed to ensure the accountability of the Narcotic Shift Count logs were completed in accordance with facility policy. This deficient practice was identified on 2 of 2 medication carts reviewed for medication storage and labeling and was evidenced by the following: On 10/26/23 at 10:27 AM, the surveyor, in the presence of the Licensed Practical Nurse #3 (LPN #3), reviewed the narcotic logbook for the North Wing Back Hall medication cart. The Controlled Drugs Accountability/Count Sheet for August, September, and October 2023 shift logs revealed the following incomplete or blank sections: 8/5/23 - 11 PM -7 AM total incoming count section containing counts for Bingo, Boxes, Bottle, and Sheet. […]

• No harm, potential for more than minimal, patternF761Oct 31, 2023

  Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to properly store medications and properly label opened multidose medications. This deficient practice was observed in 1 of 1 medication storage rooms and 2 of 2 medication carts reviewed for medication storage and labeling and was evidenced by the following: On [DATE] at 10:27 AM, the surveyor, in the presence of the Licensed Practical Nurse #3 (LPN #3), reviewed the North Wing Back Hall medication cart. […]