Complete Care at Marcella

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 12, 2026

  Complaint #3001244 Based on interviews, review of medical records, and review of other pertinent facility documents on 5/6/26, 5/7/26 and 5/12/2026, it was determined that the facility failed to maintain a safe environment and to provide adequate supervision for a resident (Resident #2) who was assessed to have poor safety awareness, impaired cognition, and was identified as an elopement and fall risk. Resident #2 was also identified having a history of fall and required supervision with ambulation (walking).The deficient practice was identified for 1 of 4 residents (Resident #2) reviewed and was evidenced by the following: The facility policy titled: Fall Prevention Program, with a revised date of 10/7/25, revealed that residents would receive individualized care that would minimize their… […]

• No harm, potential for more than minimal, widespreadF812Nov 21, 2023

  Based on observation, interview, and document review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner. This deficient practice was evidenced by the following: On 11/13/23 from 09:25 AM until 10:35 AM the surveyor, who were accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1.A Food Service Worker (FSW) was observed with a hairnet on with the hair near her ears exposed. Another FSW was observed with a surgical mask on his face. His facial hair was exposed. The FSD stated that hairnets should cover all hair. He also stated that the FSW should be wearing a beard guard. 2. […]

• No harm, potential for more than minimal, patternF842Jan 21, 2025

  Complaint #: NJ00180123 Based on interviews, medical record review, and review of other pertinent facility documents on 1/21/2025 it was determined that the facility staff failed to consistently document in the Documentation Survey Report (DSR) the Activities of Daily Living (ADL) status and care provided to the residents and to follow the Certified Nursing Assistant (CNA) job description and follow its policy titled Activities of Daily Living (ADLs). This deficient practice was identified for 4 of 4 residents (Resident #1, Resident #2, Resident #3, and Resident #4) reviewed for ADL documentation. This deficient practice was evidenced by the following: 1. […]

• No harm, potential for more than minimal, patternF880Nov 21, 2023

  Based on observation, interview, and review of pertinent facility records, it was determined that the facility failed to a.) ensure infection control practices were adhered to in a manner that would decrease the possibility of the spread of infection during wound care, and b.) medication administration. This deficient practice was observed with 1 of 2 residents (Resident# 5) reviewed for pressure ulcers, and for 1 of 2 nurses observed during the medication observation pass on 1 of 3 nursing units, (Second Floor). This deficient practice was evidenced by the following: a.) On 11/13/23 at 10:32 AM, during initial tour of the facility, the surveyor observed Resident #5 resting in bed in their room. […]

• No harm, potential for more than minimal, isolatedF760Jul 24, 2025

  Complaint # 185832, 186185 Based on observation, interview, record review, and review of pertinent facility documents it was determined that the facility failed to administer medications within the scheduled medication administration times. The deficient practice was identified for 2 of 2 residents (Resident # 12, # 159) reviewed for significant medication errors. The deficient practice was evidenced by the following: 1.) On 07/16/2025 at 10:16 AM, the surveyor observed Resident # 12 in bed in their room. At that time, he/she declined to be interviewed due to experiencing pain. The resident displayed facial grimacing as he/she spoke. […]