Forest Manor HCC

In the surveyor’s words

From the most serious findings on record at Forest Manor HCC, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 25, 2025

  Compliant #: NJ168954, NJ169014 Based on interview and review of pertinent facility documents, it was determined that the facility failed to ensure a resident who was dependent on staff for transfers was safely and properly transferred to bed with two staff members via a Hoyer lift (a mechanical lift) who was transferred by one staff member on 11/2/23, and fell sustaining a laceration to their head and a skin tear to their left hand. This deficient practice was identified for 1 of 3 residents (Resident #301) reviewed for accidents and was evidenced by the following: On 3/19/25 at 10:45 AM, the surveyor requested from the Licensed Nursing Home Administrator (LHNA) to provide a copy of the Facility Reportable Event (FRE) that was reported to the New Jersey Department of Health (NJDOH) for… […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2025

  Repeat Deficiency Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner to prevent food borne illness. On 3/19/25 at 10:14 AM, the surveyor in the presence of the Food Service Director (FSD) observed the following during the kitchen tour: 1. The 5 bay steam table was observed dirty with broccoli, potatoes white/greyish colored murky water in all 5 bays. The FSD stated the steam table bays should be cleaned nightly at end of day and acknowledged that they were not drained and cleaned according to facility policy. They should be drained and cleaned to prevent cross contamination and bacteria. 2. […]

• No harm, potential for more than minimal, widespreadF812Aug 24, 2021

  Based on observation, interview and document review, it was determined that the facility failed to maintain the kitchen in a clean and sanitary manner, and properly store potentially hazardous foods to ensure they are used by a safe use by date to prevent the development of food borne illness. The deficient practice was evidenced by the following: On 08/13/21 at 9:00 AM the surveyor conducted a tour of the kitchen in the presence of the Dietary Director. 1.) At 9:12 AM, the surveyor observed the ice scoop that was attached to the wall next to the ice machine and stored in a plastic holder. The bottom part of the ice scoop was in direct contact with the holder. The surveyor observed a grayish material caked to the bottom of the ice scoop holder. […]

• No harm, potential for more than minimal, patternF609Mar 31, 2023

  Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to report to the New Jersey Department of Health (NJDOH) incidents pertaining to a.) a bruise of unknown origin and b.) four incidences of resident-to-resident physical abuse. This deficient practice was identified for 2 of 3 residents reviewed for abuse (Resident #21 and #81) and was evidenced by the following: 1. On 03/22/23 at 11:14 AM, the surveyor observed Resident #21 sitting in a wheelchair in the hallway. The surveyor interviewed the resident at this time. The resident stated that they have been at the facility for several years. […]

• No harm, potential for more than minimal, patternF812Mar 31, 2023

  Based on observation, interview, and review of facility documentation, it was determined that the facility failed to handle potentially hazardous foods in a safe, consistent manner designed to prevent foodborne illness. This deficient practice was evidenced by the following: On 03/22/23 at 12:03 PM, the surveyor, in the presence of the Food Service Director (FSD), observed the following during the kitchen tour: 1. In the dry storage room, an opened an undated package of chicken soup mix powder wrapped in plastic was stored on a shelf. When interviewed, the FSD stated the container should have been dated when opened. 2. In the dry storage room, a dented can of applesauce was stored on a shelf alongside undented cans. […]