Complete Care at Shorrock

In the surveyor’s words

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

• Immediate jeopardy, widespreadF886May 10, 2022

  Based on interviews and document review, it was determined that the facility failed to ensure: 1.) a symptomatic unvaccinated Certified Nurse Aide (CNA #1) notified the supervisor, prior to the start of her shift on 04/08/22 that she was ill, 2.) immediate action was taken to initiate COVID-19 testing upon the identification of a staff member (CNA #1) who provided resident care to 9 of 27 residents who resided on a Dementia unit, and tested COVID-19 positive at the end of shift on 04/08/22 and resident testing for COVID-19 was initiated on 04/11/22 (three days later), 3.) the facility followed the relevant Centers for Disease Control and Prevention (CDC), Federal, State guidance for infection control, and 4.) the facility's Outbreak Plan was followed to prevent exposure and mitigate the… […]

• No harm, potential for more than minimal, widespreadF880May 10, 2022

  Based on interview, and review of facility documentation, it was determined that the facility failed to: 1.) immediately conduct contact tracing to identify residents and staff who had close contact with a COVID-19 positive staff member, 2.) conduct contact tracing to identify residents and staff who had close contact with a symptomatic COVID-19 positive resident, 3.) ensure an unvaccinated symptomatic Certified Nurses Aide (CNA) #1 notified a supervisor of symptoms prior to her shift on 04/08/22, when she proceeded to deliver direct care for nine of 27 residents on the Dementia unit, and assisted with care for other residents, 4.) ensure that unvaccinated staff, CNA #1 was tested prior to the start of their shift per facility policy, and 5.) follow the Centers for Disease Control and… […]

• No harm, potential for more than minimal, widespreadF812Oct 26, 2021

  Based on observations, interviews, New Jersey Administrative Code (NJAC) 8:24, and Centers for Disease Control and Prevention (CDC) guidelines, it was determined that the facility failed to prepare, distribute, and serve food under sanitary conditions, Specifically, the facility failed to ensure that dietary staff performed hand hygiene in between tasks for four (Dietary Aide #1, Dietary Aide #2, Dietary Aide #3, and Chef #1) of four staff observed in the kitchen. This deficient practice had the potential to affect all residents of the facility and occurred during the COVID-19 pandemic. […]

• No harm, potential for more than minimal, widespreadF880Oct 26, 2021

  Based on observations, interviews, record review, and Centers for Disease Control and Prevention (CDC) guidelines, it was determined that the facility failed to implement an infection prevention and control program (IPCP) designed to provide a safe and sanitary environment to help prevent the possible development and transmission of Coronavirus (COVID-19) as well as other communicable diseases and infections. Specifically, the facility failed to ensure housekeeping staff observed the manufacturer's recommended contact time for a chemical disinfectant and performed hand hygiene in between cleaning tasks for two (Housekeeper #1 and Housekeeper #2) of two housekeepers observed. […]

• No harm, potential for more than minimal, patternF677May 29, 2024

  Complaint NJ#: 160630; 169902; 170619; 172027 Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) ensure that incontinence care was provided to dependent residents for 5 of 8 residents observed during incontinence rounds (Residents #94, #16, #8, #109 and #137) on 1 of 2 nursing units (Applewood), and b.) provide activities of daily living (ADL) care for 4 of 7 residents reviewed for ADL care (# 95, #94, #109 and #16). This deficient practice was evidenced by the following: 1. On 5/20/24 at 11:41 AM, the surveyor observed Resident #94 in bed. […]