Complete Care at Court House, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 2, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 1/25/2023 from 9:47 to 10:43 AM, the surveyors, accompanied by the Director of Dining (DOD) observed the following in the kitchen: 1. Upon entry to the kitchen the surveyors observed a dietary aide (DA) in the cook's area. The female DA had a hair net that only partially covered their hair and the forehead to the middle of the head area was uncovered and exposed. On interview the DOD stated, The hair should be fully enclosed in the hair net. 2. […]

• No harm, potential for more than minimal, patternF584Mar 13, 2025

  Based on observation and interview it was determined that the facility failed to maintain the facility in a clean and sanitary environment. This deficient practice was identified for 2 of 2 units, (2nd and 3rd floor) and was evidenced by the following: On 03/06/2025 at 11:06 AM, in the 3rd floor shower/bathroom the surveyor observed the toilet paper holder was rusted and the toilet paper roll was on the floor. There was no roller observed on the toilet paper holder. On 03/11/2025 at 08:45 AM, the surveyor completed environmental rounds on the 3rd floor as follows: *Door trim on all rooms of the 3rd floor noted with chipped paint and black colored marks. *cove base board between rooms [ROOM NUMBERS] has areas bubbled out. […]

• No harm, potential for more than minimal, patternF812Feb 10, 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 and consistent manner designed to prevent food borne illness. This deficient practice was evidenced by the following: On 2/4/2021 from 8:58 AM to 9:45 AM the surveyor, accompanied by the Director of Dining Services (DODS), observed the following in the kitchen: 1. In the dry storage area on a middle rack of a multi-tiered rack, a sleeve of plastic cups for resident use were opened and exposed. The DODS on interview stated, They are exposed, I usually just throw them away. The DOD threw the plastic cups in the trash. 2. […]

• No harm, potential for more than minimal, isolatedF689Dec 29, 2025

  Complaint #: 2695513 Based on interviews, medical record review, and review of pertinent facility documents on 12/19/25 and 12/23/25, it was determined that the facility failed to adequately assess and implement measures to protect a resident (Resident #3) who was identified as a high risk for elopement on their initial admission nursing assessment. This deficient practice was identified for 1 of 3 residents (Resident #3) reviewed for elopement risk.This was evidenced as follows:Resident #3 was not at the facility at the time of the survey and a closed record review was conducted. […]

• No harm, potential for more than minimal, isolatedF658Mar 13, 2025

  NJ 173198 Based on observation, interview and record review, and review of other facility documentation, it was determined that the facility failed to; a) ensure proper administration of medication during medication pass observation for 1 of 5 residents observed (Resident #43); b) document the administration of a medication in the Electronic Medication Administration Record (EMAR) for 1 of 2 residents sampled for pain (Resident #196); c) clarify physician's admitting medication orders for 1 of 1 post orthopedic surgery residents admitted for rehabilitation services sampled for anticoagulation therapy (Resident #196), in accordance with professional standards of practice. This deficient practice was evidenced as follows: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. […]