Cranford Park Care

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Jun 16, 2022

  Based on observation, interview, record review, and review of other pertinent facility documents on 6/7/2022, it was determined that the facility failed to maintain water temperatures at a safe level to prevent potential [CONDITION(S)] or injury. This deficient practice was identified in 3 of 3 units (A unit (includes A floor, Upper Annex and Lower Annex), B unit and C unit) reviewed for water temperatures. The facility's failure to monitor and follow up on water temperatures after adjusting the boiler setting, placed Resident # 23, as well as all other residents, at risk for unsafe water temperatures to prevent potential [CONDITION(S)] or injury, which resulted in an Immediate Jeopardy (IJ) situation that began on 6/5/22. […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on observations, interviews, and policy review, the facility failed to ensure the kitchen ceiling was clean above ready-to-eat foods and staff performed adequate hand hygiene when serving meals. The failures had the potential to increase the prevalence and spread of foodborne illness and infection for all 67 of 69 facility residents who received food prepared in the kitchen. Findings include: Review of the Diet Assigned listing, dated 08/20/25, revealed two residents out of the total 69 facility residents received nutrition by tube and did not eat food prepared in the kitchen. 1. […]

• No harm, potential for more than minimal, widespreadF814Aug 21, 2025

  Based on observation and interview, the facility failed to ensure garbage was covered in area near the entrance to building A next to the stairs down to the kitchen entrance. This failure had potential to cause avoidable pest infestation that could affect all 69 facility residents. Findings include: During observation outside the stairs to the kitchen entrance on 08/18/25 at 9:40 AM, there were three open bins containing garbage bags and a pervasive trash/bowel movement/rotten food odor. None of the three bins had lids. During observation outside the stairs to the kitchen entrance on 08/20/25 at 11:28 AM, there were three open bins containing trash bags and a pervasive trash/bowel movement/rotten food odor. None of the three bins had lids. […]

• No harm, potential for more than minimal, widespreadF851Mar 27, 2024

  Based on interview and record review it was determined that the facility failed to submit their Payroll Based Journal (PBJ) Report to the Centers for Medicare and Medicaid Services (CMS) within a timely manner. This deficient practice was identified for the PBJ Report submission for Fiscal Year (FY) Quarter 1 2024 (October 1-December 31) and was evidenced by the following: A review of the PBJ Staffing Data Report CASPER Report 1705D reflected a triggered area indicating the facility failed to submit data for the first Fiscal Year Quarter to CMS. […]

• No harm, potential for more than minimal, widespreadF711Jun 16, 2022

  Based on interview and record review, it was determined that the facility failed to ensure that the residents' primary physician signed and dated monthly physician orders to ensure that the residents' current medical regimen was appropriate. This deficient practice was observed for 13 of 17 residents (Residents 4, 35, 28, 62, 55, 43, 47, 53, 61, 51, 41, 42, 32 ) reviewed and occurred over several months. This deficient practice was evidenced by the following: The surveyors reviewed the hybrid medical records (paper and electronic) for the residents listed above that revealed the residents' primary physician had not hand signed the Order Summary Reports (monthly physician's orders) located in the residents' chart. […]