Complete Care at Bey Lea, LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Bey Lea, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF760Nov 17, 2025

  Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to a.) follow a physician's order for medications with a parameter and acceptable professional standards of practice; and b.) follow physician's order to not take blood pressure on right arm due to limb restrictions for 1 of 38 residents (Resident #36) reviewed for medication administration.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, patternF812Apr 30, 2021

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner designed to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] from 9:42 AM to 10:47 AM the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. In the Dry Storage room a on top of a wheeled cart, a cleaned and sanitized stand up mixer was uncovered and exposed. On interview the FSD stated, On our previous survey the surveyor told us to not cover the equipment when not in use. The surveyor referred the FSD to the Sanitation Code. 2. […]

• No harm, potential for more than minimal, isolatedF657Nov 17, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to review and revise comprehensive person-centered care plan that identified furnished services to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for a resident with a right arm blood pressure restriction. This deficient practice was identified for 1 of 38 residents (Resident #36) reviewed for care planning.This deficient practice was evidenced by the following: On 9/22/2025 at 10:04 AM, the surveyor reviewed the electronic medical record (EMR) for Resident 26. […]

• No harm, potential for more than minimal, isolatedF677Nov 17, 2025

  Number of residents sampled: 8Number of residents cited: 1Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to provide appropriate incontinence care for a resident who was dependent on staff for Activities of Daily Living. This deficient practice was identified for 1 unsampled resident (Resident #32) out of 8 residents observed during incontinence rounds on 2 of 2 nursing units and was evidenced by the following:On 9/23/2025 at 8:56 AM, the surveyor performed incontinence rounds with Licensed Practical Nurse/ Unit Manager (LPN/UM) and observed Resident #32 in bed. LPN/UM exposed the resident's green incontinence brief from the front and stated that the resident was dry. […]

• No harm, potential for more than minimal, isolatedF690Nov 17, 2025

  Based on observation, interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to a.) maintain proper care for a resident with a nephrostomy tube (NT) (a tube inserted through the skin into the kidney to divert urine to an external drainage bag); b.) ensure a resident's urinary collection bag remained in a privacy bag; and c.) document a resident's urinary catheter output as ordered by the physician. This deficient practice was identified for 2 of 3 residents (Resident # 25 and Resident # 115) reviewed for catheter care. […]