Complete Care at Prospect Heights LLC

In the surveyor’s words

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

• Immediate jeopardy, patternF880Sep 27, 2024

  Based on observation, interview, record review, and policy review, the facility failed to 1.) disinfect a multi-use glucometer with an EPA (Environmental Protection Agency) registered disinfectant for one (1) of four (4) residents (Resident #14) reviewed for blood glucose monitoring. This deficient practice had the potential to affect four (4) of four (4) residents (R #5, R #14, R #20, and R #297), who had physician's orders for blood glucose monitoring. On 09/24/24, one (1) of two (2) Licensed Practical Nurses on two (2) of the four (4) units was observed using an alcohol wipe to clean the glucometer after use on a resident. The failure to disinfect multi-use glucometer's with an appropriate disinfectant increased the likelihood of transmission of blood-borne pathogens. […]

• Immediate jeopardy, isolatedF689Feb 15, 2024

  C#:NJ00171288 Based on observation, interviews, review of medical records and other facility documentation on [DATE], it was determined that the facility failed to ensure a resident's specific Physician Order to receive nothing by mouth (NPO) on [DATE] was implemented. Resident #3 who was NPO, received a dinner meal tray from a Certified Nursing Assistant (CNA #1). The CNA served Resident #3 the tray of another resident who was not in the facility at that time. The CNA failed to ask nursing staff why the resident was provided with a tray of food. Resident #3 was able to feed self, but had cognitive issues tounderstand and to be understood. A visitor in the room, informed the staff that the resident appeared to be choking. […]

• Actual harm, isolatedF657Apr 16, 2024

  COMPLAINT#: NJ00171849 Based on observations, interviews, medical record reviews, and review of other pertinent facility documentation on 4/15/24 and 4/16/24, it was determined that the facility failed to implement and revise care plan (CP) interventions for a resident who was experiencing pain resulted to a decline in condition, and failed to follow the facility policy for Pain and Comprehensive Care Plan for 1 of 3 residents (Resident #1) reviewed for implementation and revision of CP. This deficient practice was evidenced by the following: According to the admission record, Resident #1 was admitted with diagnoses that included but not limited to: Fall, Difficulty in Walking, and Adult Failure to Thrive. […]

• Actual harm, isolatedF697Apr 16, 2024

  COMPLAINT: # NJ00171849 Based on interviews, review of the medical records, and review of other pertinent facility documents, on 4/15/24 and 4/16/24, it was determined that the facility failed to consistently follow residents' care plan (CP), evaluate pain, and ensure that pain medications were administered according to the physician's orders (PO's) for residents who was experiencing pain. The facility also failed to follow its policy titled Pain for 1 of 3 residents (Resident #1) reviewed for pain management. This deficient practice was evidenced by the following: According to the admission record, Resident #1 was admitted with diagnoses that included but not limited to: Fall, Difficulty in Walking, and Adult Failure to Thrive. […]

• No harm, potential for more than minimal, widespreadF812Jan 29, 2026

  Based on observation, interview, record review, and policy review, it was determined that the facility failed to; a.) store potentially hazardous foods in a manner to prevent food borne illness, b.) failed to properly label and date food items to ensure safety and prevent contamination, c.) failed to discard expired and unsafe food in accordance with facility policy, d.) failed to maintain kitchen equipment and utensils in a sanitary manner to prevent contamination from foreign substances and the potential for development of food borne illness, and e.) failed to maintain essential kitchen equipment in safe operating condition. […]