Complete Care at Ocean Grove LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 24, 2025

  Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to a.) label, date, and store potentially hazardous foods appropriately to prevent food borne illness and b.) maintain kitchen equipment in a clean and sanitary manner to prevent microbial growth. This deficient practice was evidenced by the following:On 7/16/25 at 9:50 AM, the surveyor toured the kitchen with the Food Service Director (FSD) and the Regional Food Service Director (RFSD). The following was observed:1. Condensation on the outside of the ice machine on the top of lid and when opened an unidentified yellow substance was observed on the inside cover.2. […]

• No harm, potential for more than minimal, patternF759Jul 24, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that all medications were administered without error of 5% or more. During the medication administration observation performed on 7/18/25, the surveyor observed three (3) nurses administer medications to five (5) residents. There were 30 opportunities, and three (3) errors were observed which calculated to a medication administration error rate of 10 %. This deficient practice was identified for one (2) of five (5) residents, (Resident #16 and Resident #56), that were administered medications by one (1) of three (3) nurses. The deficient practice was evidenced as follows:1. […]

• No harm, potential for more than minimal, patternF760Jul 24, 2025

  Based on interview, record review, and review of pertinent facility documents, it was determined that the facility failed to a. ) follow the prescriber's orders and accepted professional standards and principles by administering the incorrect medication and dosage for 1 of 4 (Resident #24 ) residents reviewed for Medication Administration; b.) follow the prescriber's orders and accepted professional standards and principles by administering medications past the required time frame for 2 of 4 (Resident #7 & #24) residents reviewed for Medication Administration, and c.) follow the prescriber's orders and accepted professional standards and principles by administering an unprescribed medication to a resident for 1 of 4 (Resident #59) residents reviewed for Medication Administration and… […]

• No harm, potential for more than minimal, patternF761Jul 24, 2025

  Based on observations, interview, and review of facility policy, it was determined that the facility failed to a) appropriately dispose of medication in accordance with currently accepted professional standards and b) ensure medications were stored securely at all times. This deficient practice was identified for 3 of 3 nurses observed during the Medication Administration task. The deficient practice was evidenced by the following: 1. On 7/18/25 at 8:50 AM, during medication pass observation on first floor West, Licensed Practical Nurse #1 (LPN #1) poured one tablet of aspirin 81 mg and one tablet of multi-vitamin tablet for Resident #56. After review of the resident's Medication Administration Record (MAR) it was determined the nurse had poured the incorrect medication. […]

• No harm, potential for more than minimal, patternF755Jun 28, 2024

  Complaint #: NJ00173104 Based on interviews and record review, as well as a review of pertinent facility documents on 06/27/24 and 06/28/24, it was determined that the facility failed to administer the medications in accordance with the acceptable standard of nursing practice and follow the facility policy on Administering Medications for 2 of 4 sampled residents (Residents#1 and #2), reviewed for medication administrations. This deficient practice was evidenced by the following: 1. According to the ADMISSION RECORD (AR), Resident #1 was admitted with diagnoses including but not limited to Hypertension and Pain. […]