Homestead Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Homestead Rehabilitation & Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835May 15, 2026

  Complaint #:3008822 and 3013216 Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to ensure their Licensed Nursing Home Administrator (LNHA) a.) maintained the facility in a safe operable condition including maintaining and testing their fire sprinkler system; b.) ensured the administrator, as well as all staff, implemented facility policies and procedures including conducting a fire watch accurately; c.) and ensured all local and state officials were notified that the facility's fire sprinkler system was in-operable since [DATE]. An interview with the LNHA on [DATE] at 4:38 PM, revealed that the facility's fire sprinkler system was in-operable and he was only made aware of it on [DATE]. […]

• Actual harm, isolatedF689Apr 1, 2025

  Complaint #s: NJ00182470, NJ00182480 Based on interview, record review, and review of pertinent facility documents on 03/26/2025 and 04/01/2025, it was determined that the facility failed to (a) provide a safe environment for a wandering, ambulatory, and cognitively impaired resident (Resident #1) and (b) follow facility policy on thorough investigation of accident/incident. On 10/15/2024 Resident #1 was found stuck to the floor in an opened room where the floor was being redone. […]

• Actual harm, isolatedF689Mar 12, 2024

  NJ00169688 NJ00169710 Based on interview, and record review, it was determined that the facility failed to ensure that Resident #10 who was at risk for falls, accurately investigated the cause of each fall, the prevention of future falls, including a fall that resulted in serious injury. This deficient practice was identified for 1 of 3 residents reviewed for falls. Review of history of falls for Resident #10 revealed that they had 2 falls, on 11/11/23 and 11/13/23 with injuries. A review of the Investigation reports for the falls that occurred on 11/11/23 and 11/13/23, revealed that they did not include possible causes/root cause of the falls. […]

• No harm, potential for more than minimal, widespreadF711Jul 24, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to assure that the physician responsible for supervising the care of residents completed monthly progress notes. This deficient practice continued over several months for 9 of 11 residents reviewed, Resident #2, #4, #7, #8, #10, #11, #39, #59, and #67 reviewed for physician progress notes.This deficient practice was evidenced by the following:1. On 7/16/24 at 10:57 AM, the surveyor reviewed Resident #8's hybrid medical records (combination of electronic and paper chart).Review of Resident #8's admission Record (AR) reflected that Resident #8 was admitted to the facility with medical diagnoses that included but were not limited severe protein-calorie malnutrition, chronic obstructive pulmonary… […]

• No harm, potential for more than minimal, widespreadF727Jul 24, 2025

  Based on interview, review of Nurse Staffing Report sheets, and other pertinent facility documents, it was determined that the facility failed to ensure a Registered Nurse worked seven days a week for at least 8 consecutive hours a day for 5 of 14 days reviewed. This deficient practice was evidenced by the following:On 7/16/25 at 10:29 AM, during the entrance conference, the surveyor requested the Nurse Staffing Report to be completed for the following weeks: 6/29/25 through 7/5/25; 7/6/25 through 7/12/25 and 3/2/25 through 3/8/25.The surveyor reviewed the Nursing Staffing Reports, which revealed there was no Registered Nurse (RN) to work eight consecutive hours on the following dates: 1. No RN on 7/4/25; the last RN was scheduled on 7/3/25 2. […]