Hope Creek Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Hope Creek Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, patternF600Aug 31, 2024

  Based on observation, interview, and record review the facility failed to ensure residents were free from physical and verbal abuse and identify and investigate a potential allegation of abuse and protect resident from further abuse from R500, with a known history of verbal and physical aggression. These failures resulted in R500 verbally yelling and physically hitting R134 and shoving both R84 and R103 to the ground. R84 sustained a bleeding laceration to posterior head, facial bruising, and hospitalization requiring three staples to R84's posterior head. R103 experienced hip and knee pain, bruising, and hospital evaluation. R134 was hit in the face. These failures have the potential to affect all 35 residents residing in the facility's Dementia unit. […]

• Immediate jeopardy, patternF600Aug 29, 2024

  Based on observation, interview, and record review the facility failed to ensure residents were free from physical and verbal abuse and identify and investigate a potential allegation of abuse and protect resident from further abuse from R500, with a known history of verbal and physical aggression. These failures resulted in R500 verbally yelling and physically hitting R134 and shoving both R84 and R103 to the ground. R84 sustained a bleeding laceration to posterior head, facial bruising, and hospitalization requiring three staples to R84's posterior head. R103 experienced hip and knee pain, bruising, and hospital evaluation. R134 was hit in the face. These failures have the potential to affect all 35 residents residing in the facility's Dementia unit. […]

• Immediate jeopardy, patternF678Jul 2, 2024

  Based on interview and record review the facility failed to immediately provide CPR (Cardiopulmonary Resuscitation) to one resident (R1) identified as having no Advance Directives and failed to follow their policy which documents that Direct and non-direct care staff upon finding a resident non-responsive shall remain with that resident as is possible while signaling for assistance. The facility also failed to ensure all staff received training on the facility CPR Policy. On [DATE] at approximately 9:25am R1 was found unresponsive and without a pulse or respirations in his room by V7 (RN - Registered Nurse). V7 then left R1's room to make telephone calls to another nurse regarding R1's condition and to V2, (DON - Director of Nursing). […]

• Immediate jeopardy, patternF689Feb 14, 2023

  Based on observation, interview, and record review, the facility failed to provide supervision during a period of increased facility visitation where visitors were exiting the facility locked unit doors, when a daily pacing, agitated, cognitively impaired resident exited the facility through the Locked Unit doors. These failures resulted in R4 not being adequately supervised and exiting from the facility, through the locked unit doors, on 2/05/23 around 1:40 P.M. R4 was last observed by staff between 12:15 P.M and 12:30 P.M. Staff did not observe R4 exiting the building and were unaware that R4 had left the facility, crossed a busy two-lane road to a gas station to purchase cigarettes. […]

• Immediate jeopardy, isolatedF600Apr 5, 2024

  Based on interview and record review the facility failed to develop a system to assess and evaluate residents for capacity to consent to sexual activity, failed to ensure two cognitively impaired residents (R1, R2) who engaged in a sexual act had the capacity to consent, and failed to prevent two cognitively impaired residents (R1, R2) who didn't have the capacity to consent, from engaging in a sexual act resulting in (R1) experiencing psychosocial harm as any reasonable person would be affected in a total sample of four resident reviewed for abuse. […]