Fountainview Care Center

In the surveyor’s words

From the most serious findings on record at Fountainview Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 6, 2025

  Complaint #: NJ162242 Based on observation, interview, record review, and review of the facility's policy, the facility failed to implement their abuse policies and procedures by ensuring a resident (Resident #239) was free from verbal abuse. This deficient practice was identified for 1 of 3 residents reviewed for abuse (Resident #239). Resident #239, who had diagnoses of bipolar, schizoaffective disorder, and anxiety, was observed by staff at an Ear, Nose, and Throat (ENT) doctor's office appointment being verbally abused and exploited by their facility escort, Housekeeping Aide (HA #1), who recorded the resident with their cell phone while they verbally abused the resident. The ENT staff who witnessed the incident reported that HA #1 was belittling and yelling at the resident. […]

• Immediate jeopardy, isolatedF610Mar 6, 2025

  Complaint #: NJ162242 Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to thoroughly investigate an allegation of staff to resident verbal abuse and exploitation by a Housekeeping Aide (HA #1) who was observed being verbally abusive and videotaping the incident. This deficient practice was identified for 1 of 3 residents reviewed for abuse (Resident #239). Resident #239, who had diagnoses of bipolar, schizoaffective disorder, and anxiety, was observed by staff at an Ear, Nose, and Throat (ENT) doctor's office appointment being verbally abused and exploited by their facility escort, HA #1, who recorded the resident with their cell phone while they verbally abused the resident. […]

• No harm, potential for more than minimal, patternF755Jul 16, 2026

  Based on observation, interview and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards by not ensuring a.) a system to ensure discrepancies of controlled substances were documented and rectified for four controlled substances, Ambien, Klonopin, Percocet, and Ultram and, b.) accurately account for and document the administration of a controlled medication, liquid morphine sulfate. This deficient practice was identified for 4 medications stored in the Automated Dispensing System (ADS) and on 1of 4 medication carts reviewed and was evidenced by the following: 1. On 7/9/26 at 11:30 AM, the surveyor requested a copy of the discrepancy report for the ADS from the Assistant Director of Nursing (ADON). […]

• No harm, potential for more than minimal, patternF812Jul 16, 2026

  Based on observation, interview, and review of facility provided documents, it was determined that the facility failed to maintain proper kitchen sanitation practices to prevent the development of food borne illness.The deficient practice was evidenced by the following: On 7/9/26 at 10:47 AM, during the kitchen tour with the Food Service Director (FSD), the surveyor observed a utility rack with stacked pans on each shelf, all turned upside down. The FSD identified this as the dried pot and pan storage rack. The surveyor observed seven pans stacked together on the third shelf from the top. The FSD identified these as 4-inch deep full-size pans. The FSD separated all seven pans, and the 1st, 2nd, 3rd, and 4th pans in the stack revealed a clear, thin liquid dripping onto the floor. […]

• No harm, potential for more than minimal, patternF658Jun 19, 2025

  Complaint #: NJ186666 Based on interview and record review, it was determined that the facility failed to ensure physician's orders were obtained for a.) weekly cleaning and tubing changes for a resident's continuous positive airway pressure (CPAP) machine and b.) filling the chamber of the CPAP machine with distilled water daily from March 2025 through the resident's discharge from the facility in accordance with professional standards of practice. This deficient practice was identified for 1 of 4 residents reviewed (Resident #1). Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]