Complete Care at Westfield, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Feb 13, 2023

  Complaint # NJ00160796, # NJ00160907 Based on observation, interview, review of facility records, and other pertinent facility documents on [DATE], it was determined that the facility failed to address a new aggressive behavior displayed on [DATE] and [DATE] by a resident who, within weeks of the new aggressive behavior, assaulted their roommate on [DATE] at 5:07 AM as the roommate slept in their bed. As a result of the assault, the roommate sustained the following injuries, according to the hospital records: lacerations and hematoma to the facial area, facial trauma, a large laceration to the right forehead above the right eyelid between the right and left eye extending to the bridge of the resident's nose, a sizeable superficial laceration to the bridge of the nose, swelling around the… […]

• No harm, potential for more than minimal, widespreadF812May 6, 2021

  Based on observation, interview, and review of facility documentation, it was determined that the facility failed to: a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of foodborne illnesses; and, b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross-contamination. This deficient practice was observed and evidenced by the following: On [DATE] at 09:14 AM, the surveyors toured the kitchen in the presence of the Account Manager (AM) and observed the following: 1. The surveyor washed their hands at a handwashing station and observed the foot pedal did not open the lid to the trash can. The AM lifted the lid manually and stated he would get maintenance to look at it. 2. […]

• No harm, potential for more than minimal, patternF695Jan 24, 2025

  Complaint #'s: NJ00167278, NJ0161406 Based on observation, interview, and review of the facility policy, the facility failed to provide proper tracheostomy care that included cleaning the skin around the stoma and cleaning the outer cannula and flange [neck plate] in accordance with professional standards for three of seven residents (Resident (R) 23, R33, and R34) reviewed for care. This failure could lead to stoma and lungs infections. Findings include: 1. Review of R23's Admission Record in the Profile tab of the electronic medical record (EMR) revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, patternF755Feb 13, 2023

  Based on observation, interview, and record review it was determined that nursing staff failed to ensure a) each prescription medication had a pharmacy label affixed with the resident's name and prescribing information; b) medication containers were labeled with the open date; c) an expired biological was removed from active inventory for an unsampled resident (Resident #141); d) expired medications were removed from active inventory. The deficient practice was observed in 4 of 4 nursing units and evidenced by the following. 1. On 02/03/23 at 1:35 PM the surveyor inspected the [NAME] Unit Medication Cart #2 in the presence of the unit Registered Nurse (RN #1). The surveyor observed 2 unopened 2 ml. vials of Ondansetron (Zofran) 4 mg/2 ml. […]

• No harm, potential for more than minimal, patternF880Feb 13, 2023

  Complaint NJ# 00160615, 00160518 Based on observation, interview, and record review, it was determined that the facility failed to follow appropriate measures to prevent and control the spread of infection for failure to properly wear personal protective equipment. The deficient practices were evidenced by the following: On 1/30/23 at 11:00 AM, the surveyor observed the facility's Social Worker (SW) in the foyer near the receptionist with her N95 mask not covering her nose or mouth and there were three resident's present in the foyer at this time. At 11:05 AM, the surveyor interviewed the SW, who stated that she should have been wearing the N95 mask over her nose and mouth in the foyer and in all resident areas. […]