Crest Haven Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Crest Haven Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Nov 26, 2024

  Complaint #: NJ00179530 Based on interviews, review of the medical records, and other pertinent facility documents on 11/15/24, 11/18/2024, 11/21/2024, and 11/25/2024, it was determined that the facility failed to properly notify a Resident's (Resident #1) Primary Physician (RPP) of a need for increased supervision that was recommended by the Psychiatric Nurse Practitioner (PNP) on 11/6/2024. Resident #1 was on Q (Every) 15 minutes checks that was being done by the staff. The NP recommended 1:1 supervision for one week until the next evaluation because Resident #1 would not contract to safety during the meeting. […]

• No harm, potential for more than minimal, widespreadF576Nov 17, 2023

  Based on interviews and record review, the facility failed to provide mail delivery services on Saturdays for residents who resided in the facility. The deficient practice was identified for 5 of 5 residents, (Resident #12, #39, #41, #63, and #72) interviewed during the Resident Council Facility Task (a meeting with residents). The deficient practice was evidenced by the following: On 11/08/2023 at 10:33 AM, during the Resident Council Meeting, the surveyor interviewed Residents #12, #39, #41, #63, and #72 regarding mail delivery services. The five residents reported that the mail was not delivered on Saturdays. […]

• No harm, potential for more than minimal, patternF690Apr 14, 2025

  Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to ensure that a.) nephrostomy (a type of urinary catheter inserted through the skin into the kidney to drain urine when there is blockage) care was consistently performed and documented in accordance with a physician order; b.) nephrostomy flushing was consistently performed and documented in accordance with a physician order; c.) urine output from nephrostomy tube was consistently monitored and documented according to physician orders; d.) urine output from Foley catheter was consistently monitored and documented according to a physician order; and e.) large catheter bag (a bag used to collect urine) was consistently changed to a leg bag when the… […]

• No harm, potential for more than minimal, patternF610Nov 17, 2023

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to thoroughly investigate an accident/incident for 3 of 6 residents (Resident #22, #55, and #78) reviewed for accident/incidents. This deficient practice was evidenced by the following: 1.) On 11/03/23 at 10:23 AM, during the initial tour, the surveyor observed Resident #22 sitting in a wheelchair in their room. Resident #22 stated that he/she did not have any complaints about the facility. The surveyor reviewed the medical records for Resident #22. […]

• No harm, potential for more than minimal, patternF684Nov 17, 2023

  Based on observation, interview, review of medical records and other pertinent facility documentation it was determined that the facility failed to follow professional standards of practice for 2 of 19 residents (Resident #55 and # 195) by not a.) obtaining physicians' orders for treatments for (Resident #55 and #195), b.) providing treatments as ordered by a physician (Resident #55), c.) accurately assessing a resident's skin during weekly skin checks (Resident #55), d.) implementing interventions to protect a resident's skin identified as having frail, fragile skin (Resident #55) and e.) accurately assessing a resident's skin during a admission physical (Resident #195). […]