Family of Caring Healthcare at Tenafly, LLC

In the surveyor’s words

From the most serious findings on record at Family of Caring Healthcare at Tenafly, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Nov 22, 2023

  Based on observation, interview and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to a.) acquire, accurately administer and document a medication (Polysaccharide Iron complex) from 10/7/23 until surveyor inquiry on 11/16/23 for one (1) of five (5) residents, (Resident #50), observed during the medication administration observation, b.) administer medications in a timely manner to five (5) residents, (2 sampled residents :Resident #23 and #53 and 3 unsampled Residents #1, #2 and #3) by one (1) of two (2) nurses observed administering morning medications on 11/16/23 and c.) accurately document the administration of an as needed (PRN) medication (Tylenol) for one (1) of nine (9) residents, (Resident #44),… […]

• No harm, potential for more than minimal, isolatedF842Mar 10, 2026

  Based on interviews, record review, and review of pertinent facility documentations on 3/3/26 and 3/10/26, it was determined that the facility failed to completely and accurately document Physician Orders (PO) and medication administration of insulin for Resident #1 in accordance with current professional standards and practices.This deficient practice was identified for 1 of 4 residents (Resident #1) reviewed for documentation as follows: A review of Resident #1's admission Record (AR), an admission record summary, revealed the resident was admitted to the facility with diagnoses which included but were not limited to fracture of right femur, muscle weakness, type 2 Diabetes Mellitus (DM) with diabetic chronic kidney disease, heart failure, hypertension, and repeated falls. […]

• No harm, potential for more than minimal, isolatedF641Jun 11, 2025

  Based on observation, interview, and record review it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, in accordance with federal guidelines for 1 of 17 residents, Resident #21, reviewed for accuracy for MDS coding. This deficient practice was evidenced by the following: On 6/5/25 at 10:07 AM, the surveyor observed Resident#21 seated on their bed. Resident#21 stated that they had wounds (PUs) that had gotten smaller and had a wound vac (vacuum-assisted closure (VAC) therapy device used to help wounds heal by creating negative pressure around the wound area that promotes healing by removing excess fluid and debris, reducing infection, and encouraging the growth of new tissue) for months that… […]

• No harm, potential for more than minimal, isolatedF657Jun 11, 2025

  Based on observation, interview and record review, it was determined that the facility failed to update and revise the comprehensive care plan of a resident. This deficient practice was identified for 2 of 17 residents reviewed, Resident#3 and Resident#37, and as evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed… […]

• No harm, potential for more than minimal, isolatedF658Jun 11, 2025

  Based on observation, interview, record review, and review of other pertinent facility provided documentation, it was determined that the facility failed to a.) follow the physician's order for appropriately assessing resident's pain and b.) ensure appropriate indication of as needed (PRN) pain medications, according to facility's policy and standards of clinical practice. This deficient practice was identified for 1 of 5 residents, Resident#17, observed during medication administration pass. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. […]