Fountain Springs at Cape May Nursing & Rehab Cente

In the surveyor’s words

From the most serious findings on record at Fountain Springs at Cape May Nursing & Rehab Cente, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 26, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 11/20/24 at 09:21 AM, the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. In the dry storage room on a middle shelf a previously opened bag of macaroni pasta was wrapped in plastic wrap. The pasta had no open or use by date. 2. On a middle rack of the spice shelf a stack of four (4) plastic Cambro containers were stacked on top of each other. […]

• No harm, potential for more than minimal, widespreadF584Feb 5, 2021

  Complaint: NJ 6 Based on observations, Interviews, and review of facility documentation on 2/5/2021, it was determined that the facility failed to maintain the residents' environment in good repair and in a clean and sanitary condition, as well as, failed to follow their policy titled, Quality of Life-Homelike Environment. At 9:11 a.m. during the survey entrance, a request was made to the facility's Administrator (Admin) and Director of Maintenance (DOM), to provide a copy of the facility layout which identifies the various rooms in the facility. The surveyor also requested, What is the facility's system for handling maintenance requests. The Admin. told the surveyor, there are two Nursing Units (East and West) and they have a maintenance request log at each Nursing Unit. […]

• No harm, potential for more than minimal, patternF697Apr 15, 2026

  Based on interview, record review, and other pertinent facility documents, it was determined that the facility failed to ensure that residents received appropriate pain management and that pain medication was administered in accordance with the physician's orders for pain level parameters. This deficient practice was identified for 1 of 5 residents (Resident #2) reviewed for unnecessary medications and was evidenced by the following:On 4/10/2026 at 8:53 AM, the surveyor observed Resident #2 lying on the bed watching television. Resident #2 was pleasant and cooperative and alerted the surveyor that they were hard of hearing. […]

• No harm, potential for more than minimal, patternF812Apr 15, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following:On 4/14/2026 at 10:03 AM the surveyor, accompanied by the Director of Dietary (DOD), observed the following in the kitchen:A standup mixer was observed to be bagged and not in use on a metal countertop, The DOD confirmed to the surveyor that the mixer was cleaned and sanitized and was bagged when not in use. The surveyor and DOD removed the plastic bag to observe the mixer. Upon removal of the bag the surveyor observed a yellowish, oily/greasy substance on the upper attachment area. […]

• No harm, potential for more than minimal, patternF638Nov 26, 2024

  Based on interview, record review and review of other facility documentation and Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, it was determined that the facility failed to complete the Quarterly Minimum Data Set (MDS) assessments, a resident assessment tool used to facilitate the management of care, in a timely manner for 46 of 49 residents reviewed for system selected MDS over 120 days for late submissions., (Residents #49, #24, #29, #55, #32, #33, #48, #13, #8, #51, #11, #22, #27, #3, #50, #72, #18, #19, #9, #54, #57, #64, #70, #58, #37, #36, #45, #337, #187, 336, #21, #5, #4, #20, #69, #34, #16, #28, #66, #15, #25, #30, #17, #38, #42, #67). […]