Community Extended Care Hospital Of Montclair

In the surveyor’s words

From the most serious findings on record at Community Extended Care Hospital Of Montclair, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 16, 2022

  Based on staff interviews, and record reviews, the facility failed to ensure that one of three sampled residents (Resident 1), received treatment and care in accordance with professional standards of practice when: The facility did not follow up on a stat (without delay) x-ray results and did not notify results of the stat x-ray to the physician timely, after Resident 1 fell off the bed while care was being provided and complained of pain on her left side. This failure resulted in Resident 1 sustaining a displaced humeral neck fracture (a break in the bone where the upper arm connects the shoulder) and a delay in treatment due to not following up on a stat x-ray, which could have resulted in damaged joints, bones, prolonged pain, and other complications. […]

• No harm, potential for more than minimal, widespreadF802Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to ensure the Food and Nutrition Services staff had appropriate competencies to prepare puree diets (food prepared with a smooth and moist consistency for residents who have difficulty chewing and/or swallowing) when a Cook (Cook 1) used an immersion mixer (a hand-held blender usually used to mix or blend single serving food portions in the container they are being prepared) to puree meat, rice, and soup from the Korean Diet menu which resulted in puree that was not smooth and did not hold its shape for four residents receiving a physician-ordered puree Korean Diet. […]

• No harm, potential for more than minimal, widespreadF812Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to maintain professional standards for food service safety when: 1. The ice machine cooling compartment (where the ice is made) had a black colored residue that could be wiped away with a paper towel, which had the potential to contaminate the ice and cause foodborne illness (illness caused by ingestion of contaminated food or beverages). 2. The food preparation sink did not have an air gap (a separation in the drain pipe that ensures prevention of contaminated drain and wastewater from contaminating the sink) which had the potential to cause foodborne illness. 3. […]

• No harm, potential for more than minimal, widespreadF885Feb 4, 2021

  Based on interview and record review, the facility failed to ensure: 1) The mechanism used by the facility to inform all residents' families and representatives included the mitigating actions taken by the facility to prevent or reduce the risk of COVID-19 transmission; 2) Three out of three sampled residents (Residents 1, 2, & 3) were informed of new cases of COVID-19 in the facility by 5 PM of the next calendar day; These failures had the potential for resident psychosocial harm for all 128 of 128 residents in the facility, as the lack of communication from the facility regarding how the residents are being protected from COVID-19 disregarded the dignity and vulnerability of the residents, and that of their families and representatives. […]

• No harm, potential for more than minimal, patternF880Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to implement its infection prevention and control program to prevent the transmission of infectious organisms when staff failed to properly maintain urinary catheter drainage systems and ensure resident care equipment was stored in a manner that prevented contamination.1. Urinary catheter drainage bags for four residents were observed resting on the floor, creating risk for contamination of the closed urinary drainage system.2. […]