Complete Care at Plainfield LLC

In the surveyor’s words

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

• Actual harm, isolatedF692Feb 17, 2023

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to a.) identify and address multiple severe weight losses and consistently obtain reweights, b.) implement and monitor weekly weights, c.) evaluate and adjust nutritional interventions, e.) comprehensively assess the resident after a significant weight change and f.) revise the nutritional care plan. This was identified for 1 of 5 residents (Resident #47) reviewed for nutrition. The evidence was as follows: 1. On 2/8/23 at 11:45 AM, the surveyor observed Resident #47 lying in bed awake. The resident appeared thin, was not verbally responsive and was unable to maintain eye contact with the surveyor. […]

• No harm, potential for more than minimal, patternF584Jul 24, 2026

  Based on observations, interviews, and review of facility documents, it was determined that the facility failed to maintain a clean/homelike and sanitary environment for the residents.This deficient practice was identified on 1 of 2 nursing units (South Wing) and was evidenced by the following:On 7/20/26 at 7:47 AM, during the initial tour of the South Wing, the surveyor observed the following:-Entering the South Wing, the tile was noted to be a cream color tile, which was different than the brown colored flooring in the main lobby-Outside of the Utility room door, the floor had areas of buildup of a black substance and yellow substance-All along the outside of the nurse's station, there were areas of yellow and black buildup and multiple areas of cracked tiles-Outside room [ROOM NUMBER],… […]

• No harm, potential for more than minimal, patternF880Mar 20, 2025

  Based on observations, interviews, record review and other pertinent facility documentation it was determined that the facility failed to use appropriate infection control practices to prevent the spread or reduce the risk of infection for a.) provision of wound care for 1 of 2 residents (Resident # 90) reviewed for pressure ulcers b.) proper use of personal protective equipment (PPE) for a resident on enhanced barrier precautions (EBP) for 1 of 1 residents reviewed for EBP, (Resident #8) and c.) properly storing oxygen administration tubing in a protective bag when not in use by the resident for 1 of 2 residents (Resident #70) reviewed for respiratory care. […]

• No harm, potential for more than minimal, patternF658Feb 17, 2023

  Based on observation, interview, record review, and review of pertinent facility documents it was determined that the facility failed to follow a physician's order for Keppra (anti-epileptic medications used to control seizures) levels in the blood every three months for Resident #47. This deficient practice was identified for 1 of 21 residents reviewed. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, patternF710Feb 17, 2023

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure the physician a.) addressed multiple severe weight losses, b.) implemented and monitored weekly weights, and c.) evaluated and adjusted nutritional interventions for 1 of 5 residents (Resident #47) reviewed for nutrition. The deficient practice was evidenced by the following: 1. On 2/8/23 at 11:45 AM, the surveyor observed Resident #47 lying in bed awake. The resident appeared thin, was not verbally responsive and was not able to maintain eye contact with the surveyor. […]