Complete Care at Hamilton, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 15, 2024

  Complaint #: NJ00178362, NJ00178481 Based on observations, interviews, record reviews and review of pertinent facility documents on [DATE], it was determined that the facility failed to ensure a safe environment for a resident (Resident #1) who had a Physician's Order for a prescribed diet of dysphagia puree, Consistent Carbohydrate Diet (CCD), Thickened Liquid Nectar consistency. On [DATE], Resident #1 who was sitting in a wheelchair, was attending an outdoor activity program with other residents. The Director of Recreation (DOR) had donuts cut into thirds for an afternoon lunch snack. The DOR gave Resident #1 a bite sized soft donut, when the resident reached out for it. The DOR left the resident with 3 other Activity Staff (AS). Resident #1 started coughing and observed choking. […]

• Actual harm, isolatedF689Jan 30, 2024

  C#: NJ00170690 Based on interviews and record review, as well as review of pertinent facility documents on 1/30/24, the facility failed to use a two-person assistance interventions for 1 of 4 residents (Resident #2), as determined necessary by the Resident's comprehensive Care Plan (CP). The failure to follow this intervention during morning care on 01/20/24 for Resident#2,.who was combative towards the one staff member present at that time, resulted in the resident groaning in pain and his/her right upper arm swollen and requiring immediate transfer to an acute care hospital emergency room for further evaluation. […]

• No harm, potential for more than minimal, widespreadF812Sep 9, 2025

  Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner to prevent food borne illness. This deficient practice was observed and evidenced by the following:On 09/02/2025 at 10:30 AM, the surveyor in the presence of the Food Service Director (FSD) toured the kitchen and observed the following: 1. In the reach in refrigerator the surveyor observed 3 blocks of pre-sliced cheese wrapped in plastic film with no open date or use by date and a foil covered plate of breakfast foods with no label, opened or use by date. The FSD stated all opened or left over foods should have a prepared or opened on date and a use by date to prevent residents from receiving spoiled or expired foods. […]

• No harm, potential for more than minimal, widespreadF880May 26, 2023

  Based on observation, interview, record review, and facility policy review, the facility failed to establish and maintain an infection prevention and control program (IPCP) for recording incidents of infections identified under the facility's IPCP, surveillance, tracking and trending, and the corrective actions taken by the facility. As part of this failure, the facility did not have an effective antibiotic stewardship program, which had the potential to affect all residents of the facility. (Cross Reference F881) Findings include: Review of a document titled, Centers for Disease Control (CDC) . National Healthcare Safety Network (NHSN) . […]

• No harm, potential for more than minimal, widespreadF881May 26, 2023

  Based on interview, document review, review of Centers for Disease Control and Prevention (CDC) guidance, and review of facility policy, the facility failed to maintain an infection prevention and control program (IPCP) that included a functional antibiotic stewardship program. The failure to have a system in place that monitors antibiotic use in accordance with established protocols had the potential to affect all 106 residents of the facility. Findings include: Review of a CDC document undated titled, The Core Elements of Antibiotic Stewardship for Nursing Homes indicated .Improving the use of antibiotics in healthcare to protect patients and reduce the threat of antibiotic resistance is a national priority.Antibiotic stewardship refers to a set of commitments and actions designed to… […]