Complete Care at Barn Hill

In the surveyor’s words

From the most serious findings on record at Complete Care at Barn Hill, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 13, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen equipment in a clean and sanitary manner as evidenced by the following: On 08/01/24 at 10:29 AM in the presence of the Food Service Director (FSD) and the Regional FSD (RFSD) the surveyor observed the following: 1. Inspection of the Microwave unit revealed the interior to have multi-colored splattered food debris stuck to the interior upper wall. 2. During inspection of the oven the surveyor observed 3 cast iron grill plates that were visibly used, dirty with solidified grease in the oven. The FSD stated they had been used the night before. On 08/05/24 at 10:15 AM, the surveyor interviewed the FSD. […]

• No harm, potential for more than minimal, widespreadF711Mar 10, 2022

  Based on interview and record review, it was determined that the facility failed to ensure that the residents' primary physician signed and dated monthly physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficient practice was observed for 16 of 24 residents (Resident #81, #15, #74, #18, #70, #167, #68, #12 #57, #106, #366, #98, #7, #115, #83, and #19) reviewed and occurred over several months. This deficient practice was evidenced by the following: The surveyors reviewed the hybrid medical records (paper and electronic) for the residents listed above that revealed the resident's primary physician had not hand signed the Order Summary Reports (monthly physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] 1. […]

• No harm, potential for more than minimal, patternF755Jan 5, 2026

  Based on observation, interview, record review, and a review of the facility policies, it was determined that the facility failed to ensure that a medication was administered according to the physician orders (PO) and acceptable standards of practice in accordance with the New Jersey Board of Nursing. This deficient practice was identified in 2 of 27 residents (Resident #9 and Resident #29) observed during the medication review.The deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, patternF756Jan 5, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to respond to the Consultant Pharmacist's (CP) monthly recommendations in a timely manner for 1 of 27 residents (Resident #29) reviewed.The deficient practice was evidenced by the following:On 12/29/25 at 10:45 AM, the surveyor observed Resident #29 who was seated on their bed and was watching television. The resident was alert and oriented and told the surveyor in an interview that he/she received their medications every day.A review of the admission Record (an admission summary) reflected that Resident #29 was admitted to the facility with diagnoses that included peripheral vascular disease(a circulation disorder where narrowed blood vessels (usually in the legs/arms) reduce blood flow, causing… […]

• No harm, potential for more than minimal, patternF880Mar 10, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to implement infection control procedures in a manner that would decrease the possibility of spreading infection. This was found with: 1 of 2 certified nursing assistants (CNA) during urinary drainage bag changes, 1 of 5 nurses during medication administration and 1 of 3 nurses during wound care observation. The deficient practice was evidenced by the following: 1. On 3/1/22 at 10:12 AM, the surveyor observed the CNA who was assigned to Resident #83 change their large urinary drainage bag to a urinary leg bag. The resident had a urinary catheter (A flexible tube used to empty the bladder and collect urine in a drainage bag). […]