Complete Care at Harborage LLC

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 8, 2024

  Based on interview, record review, and review of pertinent documentation on 01/03/24, 01/05/24, and 01/08/24, it was determined that the facility was in an active COVID-19 outbreak status on 10/2/23, failed to prevent the spread of COVID-19, a highly contagious virus for the following: a.) failing to perform contact trace (CT) of the employees and residents who were exposed to COVID-19 virus, b.) failing to consistently test exposed residents and employees. c.) failing to ensure that the Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) guidance were implemented to limit the spread of the infectious disease, and to put into effect the facility's policy titled Emergent Infectious Disease (COVID-19) Outbreak Plan V11 to prevent the spread… […]

• Immediate jeopardy, isolatedF600May 18, 2026

  Based on observations, interviews, review of medical records, and review of pertinent facility documents on 5/18/26, it was determined that the facility failed to ensure that a cognitively impaired resident who had a tracheostomy and was ventilator dependent was free from physical abuse. On 5/10/26, the police notified the facility of an allegation of abuse by a Respiratory Therapist (RT). The Licensed Nursing Home Administrator (LNHA) was shown a video by the police that was taken by a hidden video camera that was placed in the resident's room by their family member. The RT was suspended immediately and did not return to the facility. […]

• No harm, potential for more than minimal, patternF609May 18, 2026

  Based on interviews, record review, and review of pertinent facility documentations on 5/18/26, it was determined that the facility failed to report to the New Jersey Department of Health (NJDOH) potential abuse related to multiple incidents of resident injuries of unknown origin dated 3/21/26 and 4/16/26 for Resident #1 and dated 4/15/26 for Resident #3. This deficient practice was identified for 2 of 4 residents reviewed for abuse and neglect, Resident #1 and Resident #3.The deficient practice was evidenced by the following: The surveyor reviewed the medical record of Resident #1.A review of Resident #1's admission Record (AR), an admission record summary, revealed that the resident was admitted to the facility with the following diagnoses which included but are not limited to chronic… […]

• No harm, potential for more than minimal, patternF610May 18, 2026

  Based on interviews, record review, and review of pertinent facility documentations on 5/18/26, it was determined that the facility failed to ensure complete and thorough investigations to rule out abuse were done for multiple incidents of resident injury dated 3/21/26 and 4/16/26 for Resident #1 and an incident dated 4/15/26 for Resident #3. This deficient practice was identified for 2 of 4 residents reviewed for abuse and neglect, Resident #1 and Resident #3.The deficient practice was evidenced by the following: The surveyor reviewed the medical record of Resident #1.A review of Resident #1's admission Record (AR), an admission record summary, revealed that the resident was admitted to the facility with the following diagnoses, which included but are not limited to chronic respiratory… […]

• No harm, potential for more than minimal, patternF607May 1, 2026

  Based on interview and review of pertinent documentation provided by the facility, it was determined that the facility failed to ensure licensed staff credentials were verified upon hire; a.) by not completing a prior to hiring employees for 37 of 112 employees, b.) not documenting verification of the licenses of 5 of 52 nurses hired since 12/6/24, and c.) not documenting verification of the certification of 3 of 45 Certified Nursing Assistants (CNAs), in accordance with facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program Policy.The deficient practice was evidenced by the following: On 4/28/26, 4/29/26, and 4/30/26, Surveyor #1 reviewed the Human Resource Records (HRR) including the Criminal Background Investigations (CBI) for 87 employees hired since last… […]