Health Center at Bloomingdale

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF610Mar 8, 2024

  Based on the interview and review of pertinent facility documentation, it was determined that the facility failed to complete a thorough investigation for six (6) of six (6) fall incidents of Resident #80 reviewed for fall investigations. This deficient practice was evidenced by the following: On 02/14/24 at 10:54 AM, the surveyor observed Resident #80, awake, and laying on a low bed with two floormats in use. On 02/15/24 at 8:18 AM, the surveyor asked the Licensed Nursing Home Administrator (LNHA) for the resident's fall investigations for the last six months. […]

• No harm, potential for more than minimal, patternF812Mar 8, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to store potentially hazardous foods in a manner to prevent food borne illness as evidenced by the following: On [DATE] at 9:55, in the presence of the Food Service Manager (FSM) the surveyor observed the following: 1. In the freezer, the surveyor observed a pack of opened manufactured Cheese Omelet a bag of crunchy fish fillets, and a bag of tot potatoes. All were unlabeled and not dated with expiration or open dates. The FSM manager was unable to say when the package was received, opened, or the expiration date. 2. The Manual counter attached can opener and holder and blade unit was unclean with wipeable by the FSM with sticky brown substance and crumbs. […]

• No harm, potential for more than minimal, patternF880Mar 8, 2024

  REPEAT DEFICIENCY Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to follow appropriate infection control practices for performing hand hygiene to decrease the possibility of spreading infection. This deficient practice was observed during dining observation with four (4) of four (4) facility staff in one (1) of three (3) dining areas, in accordance with the facility's practice, policies, and Centers for Disease Control and Prevention (CDC) guidelines for infection control. […]

• No harm, potential for more than minimal, patternF658Nov 22, 2021

  Based on interview, and record review, it was determined that the facility failed to maintain professional standards of nursing practice for not following physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] #61) reviewed. The deficient practice was 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 casefinding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed… […]

• No harm, potential for more than minimal, patternF756Nov 22, 2021

  Based on interview, and record review, it was determined that the facility failed to respond to the consultant pharmacist recommendations for 1 of 21 residents (Resident #70) reviewed. This deficient practice continued over four months and was evidenced by the following: According to the November 2021 Clinical Physicians Order sheet Resident #70 had an order dated 2/25/2020 for [MEDICATION(S)] 10 mg two times daily with parameters to hold the medication when the systolic blood pressure (SBP) is above 120. The surveyor reviewed the August 2021, September 2021, and October 2021 Electronic Medication Administration Record that revealed the nurses administered the [MEDICATION(S)] 10 mg to Resident #70 when the SBP was above 120 on 21 occasions. […]