Grove Park Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Grove Park Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF695Feb 21, 2026

  Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to ensure a.) all emergency equipment was readily available at bedside for residents with tracheostomies (a surgical opening in the neck to provide an airway and remove secretions from the lungs), b.) staff were trained to use the emergency tracheostomy equipment, and c.) the primary care nurses were aware of the residents' inner cannula sizes for their tracheostomies. This deficient practice was identified for 2 of 3 residents reviewed for tracheostomy (Resident #6 and Resident #174). 1.Resident #174 was admitted to the facility on [DATE], and had a tracheostomy (trach). […]

• Actual harm, isolatedF600Jan 27, 2022

  C#: NJ 5, NJ 1 Based on observations, interviews, review of medical records (MRs), and other pertinent facility documents on 1/25/2022 and 1/27/2022, it was determined that the facility failed to follow their policies and procedures titled Abuse and Neglect-Clinical Protocol and Resident Abuse Neglect and Mistreatment [The Law] for a resident who encountered verbal abuse from staff. This deficient practice was investigated and identified for 1 of 3 residents (Resident #2), involving three staff members, and placed Resident #2 at risk for psychological harm. This deficient practice was evidenced by the following: Review of a revised facility policy dated 1/2021 titled; Abuse and Neglect-Clinical Protocol included under Definitions 1. […]

• No harm, potential for more than minimal, widespreadF550Oct 18, 2024

  Based on observations, interviews, and review of facility policy, it was determined that the facility failed to ensure residents were treated with dignity and respect by failing to remove the weekly menus posted from resident's rooms who had a physician's order (PO) for NPO (nothing per orem (mouth)). This deficient practice was identified for 3 of 3 residents (Resident #40, #88, and #141) reviewed that had a PO for NPO. The deficient practice was evidenced by the following: 1. […]

• No harm, potential for more than minimal, widespreadF809Oct 18, 2024

  Based on the interview and review of facility records, it was determined that the facility failed to consistently serve the residents a nourishing snack when there were more than 15 hours between dinner and breakfast mealtimes. This deficient practice was identified for 4 of 5 residents (Residents #29, #61, #132, and #144) who attended during the resident council meeting and was evidenced by the following: On 10/11/24 at 10:00 AM, the surveyor conducted a group meeting with 5 alert and oriented residents selected by the facility to attend the group meeting. Four of the five residents stated they did not receive bedtime snacks. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on observation, interview and record review, it was determined that the facility failed to maintain appropriate kitchen sanitation practices and sanitary environment to prevent the development of food borne illness. This deficient practice was evidenced by the following: During the initial tour of the kitchen, the surveyor, together with the facility's Dietary Manager (DM) on 10/9/2024 at 10:15 AM, the surveyor observed the following: Upon entering the room where the dish machine was located, the surveyor observed 2 dietary staff inside cleaning the dishes that were used during breakfast. The surveyor asked the DM to turn on the dishwasher machine. […]