Hoboken University Medical Center Tcu

In the surveyor’s words

From the most serious findings on record at Hoboken University Medical Center Tcu, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 31, 2025

  Based on observation, interview, record review and policy review, it was determined that the facility failed to a.) failed to restrain employees hair and, b.) failed to sanitize and air dry steam table pans in a manner to prevent microbial growth. This deficient practice was evidenced by the following:On 12/29/25 at 11:24 AM, in the presence of the Food Service Director (FSD) the surveyor observed the following:1.Near the dishwashing area, the surveyor observed a Food Service Worker (FSW #1) with a hairnet on but the hair net was observed not covering all of the FSW #1's hair. The FSW #1 stated that he did not realize his hair net was like that. 2.In the area near the 3 compartment sink the surveyor observed a shelf with stacked sheet pans of various sizes. […]

• No harm, potential for more than minimal, widespreadF812Jun 18, 2024

  Based on observation, interview and review of documentation provided by the facility, it was determined that the facility failed to a) maintain proper kitchen sanitation practices and clean equipment, and b) properly store foods in a safe manner to prevent the development of food borne illness. These deficient practices observed as evidenced by the following: On [DATE] at 10:16 AM, in the presence of the Environmental Services Director/ Food Service Director (EVD/FSD), the surveyor toured the kitchen and observed the following: 1. In the walk-in freezer, the surveyor observed several boxes of opened food items that were unlabeled with open expiration date. […]

• No harm, potential for more than minimal, widespreadF812Jan 5, 2023

  Based on observations, interviews, and facility policy review, it was determined that the facility failed to ensure resident food items were labeled and dated and failed to discard all food items that had passed their expiration date. These failures had the potential to affect all 4 residents who resided in the facility. Findings included: Review of the facility's undated policy titled, Food Safety Management System Guidelines, specified, Food labeling is essential to identify food accurately, and ensure it is stored correctly. It is a [company name] requirement to discard all foods that have passed their use by or best before date. Food items that are decanted from their original packaging must be labeled. […]

• No harm, potential for more than minimal, isolatedF658Jun 18, 2024

  Based on observation, interview, record review and review of other pertinent documentation, it was determined that the facility failed to ensure a medication was administered in accordance with the physician's order and professional standards of clinical practice. The deficient practice was identified for one (1) of four (4) residents (Resident #309), administered by one (1) of two (2) nurses, observed during the medication pass observation, and was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF880Jan 5, 2023

  Based on observations, interviews, and review of the facility's guidelines, it was determined that the facility failed to ensure respiratory equipment was properly dated and properly stored when not in use and there was a storage containment bag to place the nasal cannula and oxygen tubing when not in use for 2 (Resident #7 and Resident #8) of 2 residents reviewed for respiratory care. Findings included: A review of the facility's undated guidelines titled, TCU Unit Guidelines Resident Room Checklist Each Shift, indicated, Oxygen tubing label and date within last 72 hours and placed in a plastic bag when not in use. 1. […]