Deptford Center for Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Deptford Center for Rehabilitation and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF808Nov 7, 2022

  Complaint#: NJ159249 Based on interviews, medical records review, and review of other pertinent facility documentation on [DATE] and [DATE], it was determined that the facility failed to provide the correct Therapeutic Diet to a resident (Resident #2), a cognitively impaired Resident with a known diagnosis of Oropharyngeal Phase Dysphagia (difficulty swallowing), Unspecified Cerebral Infarction and Hemiplegia, and Hemiparesis following Cerebral Infarction, who had a Physician's Order and Plan of Care for a regular diet pureed texture, and Nectar Thick consistency, on [DATE] at approximately 4:30 a.m. […]

• Actual harm, patternF697Feb 19, 2022

  C#: NJ 9, NJ 4, NJ 9, NJ 0 Based on interviews, review of the medical records, and review of other pertinent facility documents, on 2/15/2022, 2/16/2022, and 2/19/2022, it was determined that the facility failed to consistently follow residents' care plans, evaluate residents for pain and ensure that pain medications were administered according to the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility also failed to follow its policies titled Pain Management and Medication Administration-Documentation. This deficient practice occurred on 2/12/2022 and 2/13/2022 on the 11:00 p.m. to 7:00 a.m. […]

• Actual harm, isolatedF656Nov 7, 2022

  Complaint#: NJ159249 Based on interviews, medical records review, and review of other pertinent facility documentation on 11/3/2022 and 11/7/2022, it was determined that the facility failed to implement a comprehensive care plan (CP) for a resident on a regular diet pureed texture, Nectar Thick, Mildly Thick Consistency for 1 of 3 residents (Resident #2). The facility also failed to follow its policy titled Comprehensive Care Plan .This deficient practice was evident in 1 of 3 care plans, as evidenced by the following: According to the Admission Record (AR), Resident #2 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included but were not limited to Oropharyngeal Phase Dysphagia, Unspecified Cerebral Infarction, and Hemiplegia and Hemiparesis… […]

• No harm, potential for more than minimal, widespreadF812Aug 18, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen equipment in a clean and sanitary manner as evidenced by the following: On 8/8/25 at 9:58 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. The microwave had multicolored dried stuck on debris on the interior ceiling of the unit. The FSD acknowledge it was not properly cleaned according to facility policy. 2. The convection ovens were soiled with baked on brown coloring on the glass doors making them opaque and not transparent. There were baked on debris on the interior corners of the units. The FSD acknowledged and stated, it was not cleaned according to facility policy. 3. The six-burner stove top and oven were not clean. […]

• No harm, potential for more than minimal, widespreadF725Mar 5, 2024

  C/O # NJ171057 Based on interview and review of the Nurse Staffing Report and Payroll Based Journal (PBJ) Staffing Data Report, it was determined that the facility failed to ensure to have sufficient nursing staff on a 24-hour basis to provide nursing care to the residents. This deficient practice was evidenced by following: On 02/28/2024 at 10:30 AM surveyor #2 held a resident council meeting with 10 to 11 residents. Regarding the call bells, all in the group said the wait time was from 2 hours to 4.5 hours waiting for call bell to be answered, especially on evenings and night shift. They further stated, weekends horrible. […]