Embassy Manor at Edison Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Embassy Manor at Edison Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600May 12, 2025

  Complaint # NJ182121 Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to implement their abuse policy to ensure residents were protected from physical abuse after a cognitively intact resident (Resident #381) made an allegation of staff-to-resident physical abuse on 12/28/24. This deficient practice was identified for 1 of 1 residents reviewed for abuse (Resident #381). A review of the Progress Note (PN) dated 12/28/24 at 9:16 AM, revealed that Resident #381, a cognitively intact resident, reported to the Registered Nurse (RN #1) that they were fearful of staff and the facility due to an incident that had occurred two days prior (12/26/24). […]

• Immediate jeopardy, patternF835May 12, 2025

  Complaint #NJ182121 Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to ensure staff, as well as himself, implemented the facility's abuse policies and procedures to ensure resident safety and well-being by a.) protecting all residents from an alleged perpetrator pending a thorough investigation for an allegation of staff-to-resident physical abuse; b.) thoroughly investigating an allegation of staff-to-resident physical abuse; and c.) reporting an allegation of staff-to-resident physical abuse to the New Jersey Department of Health (NJDOH). […]

• Immediate jeopardy, isolatedF609May 12, 2025

  Complaint #NJ182121 Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to report within two hours to the New Jersey Department of Health (NJDOH) an allegation of staff-to-resident physical abuse for a cognitively intact resident (Resident #381) who reported being roughly handled by a Certified Nursing Assistant (CNA #1). This deficient practice was identified for 1 of 1 residents reviewed for abuse (Resident #381). A review of the Progress Note (PN) dated 12/28/24 at 9:16 AM, revealed that Resident #381, a cognitively intact resident, reported to the Registered Nurse (RN #1) that they were fearful of staff and the facility due to an incident that had occurred two days prior (12/26/24). […]

• Immediate jeopardy, isolatedF610May 12, 2025

  Complaint #NJ182121 Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to implement their abuse policy by thoroughly investigating an allegation of staff-to-resident physical abuse to a cognitively intact resident (Resident #381) who reported the allegation to the Registered Nurse (RN #1) on 12/28/24. This deficient practice was identified for 1 of 1 residents reviewed for abuse (Resident #381). A review of the Progress Note (PN) dated 12/28/24 at 9:16 AM, revealed that Resident #381, a cognitively intact resident, reported to the Registered Nurse (RN #1) that they were fearful of staff at the facility due to an incident that had occurred two days prior (12/26/24). […]

• No harm, potential for more than minimal, widespreadF812May 12, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to a.) maintain kitchen equipment in a clean and sanitary manner and b,) maintain 2 of 6 nourishment room refrigerators in a sanitary manner. The evidence was as follows: On 4/29/25 at 10:20 AM, in the presence of the Food Service Director (FSD) and the Regional FSD, the surveyor observed the following during kitchen tour: 1. The steamer unit floor drain was filled with debris and sediment. The FSD acknowledge it was not properly cleaned according to facility policy. 2. Two convection ovens were soiled with baked on brown coloring on the glass doors and interior of the unit. The FSD acknowledged and stated, it was not cleaned according to facility policy. 3. […]