Every finding on record at Hudsonview Health Care Center

Based on interviews, medical records review, and review of other pertinent facility documentation on 01/14/2026 it was determined that the facility failed to report an allegation of mistreatment of a resident with severely impaired cognitive skills to the New Jersey Department of Health (NJDOH). This deficient practice was identified for 1 of 2 (Resident #2) residents reviewed for abuse and was evidenced by the following: Complaint #: 2680538 Resident #2 was not at the facility at the time of the survey. A closed record review was conducted. According to the admission Record (AR), Resident #2 was admitted to the facility with diagnoses which included but were not limited to: muscle wasting and atrophy (the loss or thinning of your muscle tissue), not elsewhere classified, multiple sites; Alzheimer's Disease; adult failure to thrive; history of falling; pressure ulcer of sacral region, unstageable; and unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. According to the Minimum Data Set (MDS), an assessment tool dated 12/01/2025 Resident #2 had severely impaired cognitive skills for daily decision making, rarely or never understood others, and rarely or never was able to make themself understood. A facility document Nursing Home Resident Grievance Form (NHRGF) dated 11/10/2025 and completed and signed by the Director of Nursing (DON) and the Licensed Nursing Home Administrator was reviewed. The NHRGF had Resident #2's name at the top. The NHRGF revealed that on 11/10/2025 around 7:10 PM, Resident #2's Power of Attorney (POA) called the facility and stated that there was a sheet tied to the edge of the resident's bed. The form revealed that Registered Nurse #1 went to the room to investigate and determined that the resident was not tied with the sheet and family members were present in the room at the time. Review of documentation accompanying the NHRGF revealed that four staff statements were obtained and that a skin assessment was completed for Resident #2 on 11/10/2025 related to this incident. The skin assessment revealed no wounds, no marks, and no visible injury. A follow up telephone interview was conducted with the Director of Nursing (DON) on 01/23/2026 at 2:54 PM. The DON stated that the 11/10/2025 allegation was not reported to the NJDOH because the resident was found not to be tied. The DON further stated that the resident's family alleged that the resident was tied at the end of the bed not around the body. The facility policy, Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Resident Property, with a last reviewed date of 10/2025 was reviewed. Under, G. Reporting and Response the facility document revealed that it was the policy of the facility to report abuse, neglect, exploitation, or mistreatment per Federal and State Law. The policy revealed that the facility will ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator and other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities). NJAC 8:39-9.4(f)

Based on observations, interviews, record review, and review of other facility documents, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure a.) quality control testing (calibration) was conducted for the blood glucose (bg) monitors, simultaneously used for residents, observed on two (2) of four (4) medication carts inspected, and identified for 7 of 7 medication carts; b.) timely receipt of medication (Sitagliptin, generic for Januvia a medication used to lower high blood sugar) for administration, and prevent borrowing from another resident's supply for one (1) of 8 residents observed during the medication administration.The evidence was as follows:1. On 7/30/25 at 9:17 AM, in the presence of the Licensed Practical Nurse (LPN #1) the surveyor began the inspection of medication cart #1 on the Third floor and observed two (2) bg monitors (glucometers). LPN #1 stated she disinfected the glucometer after she measured the amount of glucose (sugar) in a blood sample of a resident. The glucometers required drying time after disinfection, and while one glucometer was drying, she used the other glucometer to test the next resident's blood sugar. A review of the Third floor bg monitor (glucometer) control record reflected only one(1) glucometer was calibrated daily from 7/1/25-7/30/25. At that time, LPN #1 stated that the 11:00 AM – 7:00 PM shift nurse checked and calibrated the glucometers and was also unable to identify which glucometer was calibrated for accuracy. LPN #1 stated she was not responsible and did not calibrate the glucometer on her shift. At that time, the surveyor, and the Registered Nurse/Unit Manager (RN/UM) reviewed the glucometer control record together. The RN/UM #1 confirmed and acknowledged the record reflected only 1 glucometer was calibrated, checked for functionality and accuracy. A review of the Third floor's glucometer control record from May 2025 to July 2025 on the third floor reflected only one glucometer was calibrated, checked for functionality and accuracy. 2.) On 7/30/25 at 9:43 AM, in the presence of the Licensed Practical Nurse (LPN #2) the surveyor began the inspection of medication cart #1 on the Fourth floor and observed two (2) glucometers. A review of the Fourth-floor glucometer control record reflected only one (1) glucometer was calibrated daily from 7/1/25-7/30/25. At that time, LPN #1 stated that the 11:00 AM – 7:00 PM shift nurse checked and calibrated the glucometers and was also unable to identify which glucometer was calibrated for accuracy. LPN #1 stated she was not responsible and did not calibrate the glucometer on her shift. At that time, LPN #2 stated she used both glucometers, disinfected one (1) after each use, let the glucometer dry after disinfection and switched to the other glucometer, in-between residents. At that time, LPN #2 stated that the 11:00 AM – 7:00 PM shift nurse checked and calibrated the glucometers and was also unable to identify which glucometer was calibrated for accuracy. LPN #1 stated she was not responsible and did not calibrate the glucometer on her shift. On 7/30/25 at 9:43 AM, the surveyor and the RN/UM #2 reviewed the glucometer control record together. The RN/UM #1 confirmed and acknowledged the record reflected only 1 glucometer was calibrated, checked for functionality and accuracy. A review of the Fourth floor's glucometer control record from May 2025 to July 2025 on the third floor reflected only one glucometer was calibrated, checked for functionality and accuracy. Further review of the July 2025 glucometer control record for the 5th, 6th, 7th, 8th and 9th floor reflected only one (1) glucometer was calibrated, checked for functionality and accuracy. On 7/30/25 at 12:19 PM, in the presence of the survey team, the [NAME] President of Operation (VPO), the [NAME] President of Clinical Operations (VPCO), the Regional Director of Nursing (RDON) and the Licensed Nursing Home Administrator (LNHA), the surveyor discussed the concerned that only 1 of 2 glucometers were calibrated, checked for functionality and accuracy. The VPCO stated she would conduct an investigation. On 7/31/25 at 10:11 AM, during a meeting with the survey team, the VPO, the VPCO, and the LNHA, the RDON confirmed there were two (2) glucometers in the cart and the 11:00 PM to 7:00 PM nurse checked only the primary glucometer and not the secondary. The RDON stated that the policy was revised to ensure both glucometers were calibrated and checked for functionality. A review of the provided facility policy Control Solution Testing for Blood Glucose Monitor dated/reviewed on 7/29/25, included that to ensure accuracy and reliability of the blood glucose results obtained from the (brand redacted) bg monitoring system, control solution testing would be performed in accordance with manufacturer's instructions and quality assurance protocols. 3. On 7/29/25 at 8:47 AM, the surveyor, while observing the medication pass (med-pass), observed the licensed practical nurse (LPN) assigned to the 9th floor medication cart prepare and administer medications for Resident #131. The surveyor observed that the LPN could not locate the medication sitagliptin 50mg, a medication used help control blood sugar levels in diabetes. The surveyor observed the LPN locate the same medication that was dispensed and labeled for another resident. The surveyor asked the LPN what the usual procedure and policy for missing medications was. The LPN stated that they would search for the medication to see if another resident was taking the same thing and borrow theirs. The surveyor observed the LPN administer all due medications as well as the sitagliptin that was from another resident's stock. The surveyor concluded the med-pass observation . The surveyor reviewed the electronic medical record (EMR) for Resident #131 which revealed the following: An admission record (AR), a document that includes pertinent resident information such as admission dates and diagnoses, which reflected that the resident had diagnoses that included but were not limited to hypertension (high blood pressure) and major depressive disorder (a mood disorder expressed as extended periods of sadness). A review of the resident's Comprehensive Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, with an assessment reference date of 5/20/25, indicated the facility assessed the resident's cognition using a Brief Interview Mental Status (BIMS) test. Resident #131 scored a 6 out of 15, which indicated the resident had severe cognitive impairment. Part N of the MDS reflected that the resident was receiving a medication classified as a hypoglycemic, sitagliptin is classified as a hypoglycemic. The surveyor reviewed Resident #131's electronic medication administration record (eMAR), a document that shows the resident medication orders, when they are schedules and who administered. The eMAR reflected that the resident had an order for sitagliptin 50mg, scheduled at 9:00 AM and was administered the medication on 7/29/25. The surveyor reviewed an Order Audit Report (OAR) and an Order Summary Report (OSR), each of which reflected that the resident had a current active physician's order for sitagliptin 50mg. On 7/29/25 at 9:15 AM, the Regional Director of Nursing, informed the surveyor that the LPN on the 9th floor wished to speak with him. At 9:41AM on the same day, the surveyor interviewed the LPN previously observed during the med-pass. The LPN stated that they found the medication, sitagliptin, for Resident #131 and showed the medication to the surveyor. The LPN also stated that the facility policy is not to borrow medications if they can't be found and to get them from the facility backup supply. On 7/29/2025 at 12:49 PM, the survey team met with the Licensed Nursing Home Administrator (LNHA), the [NAME] President of Clinical Services (VPCS) and the [NAME] President of Operations (VPO) to discuss concerns. The surveyor informed the facility of the concern with borrowing medications from other residents. The VPCS responded that the policy is never to borrow and to check the facility back up supply and the LPN who did the borrowing was re-educated. On 7/29/25 at 1:05 PM, the surveyor interviewed the facility Consultant Pharmacist (CP) by phone. The surveyor asked the CP what the nurses should do if a medication is not available. The CP stated that nurses should check if the medications is available in the facility backup. If it is not there, then the resident's physician should be called for instructions. The surveyor asked if the staff should borrow meds from other residents. The CP stated no, medications should never be borrowed from any other resident. On 7/30/2025 at 12:09 PM the survey team met with the LNHA, VPCS, RDON, and VPO to discuss concerns and get responses. The RDON provided copies of attendance for education given to nurses regarding missing medications and an individual investigation for the nurse that was witnessed borrowing medications.The facility did not provide any further pertinent information. The surveyor reviewed the facility provided policy titled Medication Administration dated revised 9/2024. The policy reflected, under Purpose: Right resident/patient. The policy did not reflect any other information related to missing medications. NJAC 8:39-29.2(d)

Based on the interview, medical record review, and review of other pertinent documentation, it was determined that the facility failed to ensure that residents who receive hemodialysis (HD, a medical procedure used to treat kidney failure) receive such services consistent with professional standards of practice for 3 of 3 residents (Resident #2, #11, and #220) reviewed for dialysis services. The deficient practice was evidenced by the following: 1.The surveyor observed Resident #2 seated in a wheelchair in the unit day room on 7/28/25 at 10:47 am. The resident was brought to their room by staff so that the surveyor could interview the resident in a private area. The surveyor interviewed the resident with the aid of an interpreter since the resident was non-English speaking. The resident stated they receive HD on Monday, Wednesday, and Friday leaving the facility at 2 pm for the 3 pm HD appointment. The resident stated they sometimes get back to the facility as late as 8 pm at which time they eat dinner. The resident stated they are frequently not assessed by the nurse prior to leaving for the HD clinic at 2 pm. A review of the electronic medical record revealed the following information. The resident was admitted with diagnoses including but not limited to chronic kidney disease and dependence on renal hemodialysis. The Order Summary Report included physician's orders for HD on Monday, Wednesday, and Friday with a pickup time of 2 pm and appointment time of 3 pm. The Hemodialysis Report (a 1-page form brought to and back from the HD clinic) included documentation from the HD clinic nurse and post dialysis information and assessment written by the facility nurse upon the resident's return to the facility. The form did not have a section for pre dialysis information and assessment by the facility nurse. A review of July 2025 electronic progress notes failed to reveal pre dialysis nursing assessments. The July 2025 Medication Administration Report included nursing documentation for the following medications which were charted to have been given on Mondays, Wednesdays, and Fridays when the resident was out of the building at HD: Folic Acid 400 micrograms, Ferrous Sulfate 325 milligrams (MG), and Vitamin C 250 MG. The surveyor interviewed the Licensed Practical Nurse (LPN) assigned to Resident #2 on 7/28/2025 at 11:18 am. The LPN stated nursing should check vital signs and the HD access site prior to the resident leaving the facility and upon return to the facility from the HD clinic. The LPN was unclear where the pre dialysis assessment should be documented. The surveyor interviewed the Registered Nurse Unit Manager (RNUM) on 7/29/2025 at 10:45 am. The RNUM stated she expected nurses to document pre dialysis vital signs and access site assessment in the electronic progress notes. The RNUM stated she was aware that pre dialysis nursing assessments were inconsistent and stated she is going to formulate a new form with a top section for pre dialysis assessment. The RNUM did not discuss medications marked as given when the resident was out of the building. The surveyor discussed concerns with the Administrator and the [NAME] President of Clinical Services (VPCS) on 7/29/2025 at 12:52 pm. 2. On 07/29/2025 at 9:32 AM, the surveyor observed Resident #11 sitting on the bed in the room, lying in bed, and able to answer the surveyor's inquiries. The resident stated that they go to dialysis every Monday, Wednesday, and Friday, and leave at around 8:30 AM. On 07/29/2025 10:35 AM, the surveyor reviewed the hybrid medical record (paper and electronic) of Resident #11, which revealed the following: A review of the admission Record (AR, an admission summary) reflected that Resident #11 was admitted with diagnoses that included, but were not limited to, end-stage renal disease (ESRD, the kidneys can no longer function). A review of the recent quarterly Minimum Data Set (Q/MDS), (an assessment tool used to facilitate the management of care), dated 7/11/25, indicated that the facility assessed the residents' cognitive status using a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated that the resident had intact cognition. Further review of the A/MDS in Section O – Special Treatments, Procedures, and Programs stated that Resident #11 is on dialysis while a resident. A review of the Order Summary Report (OSR) with a start date on 5/21/25 revealed an order of dialysis days Monday, Wednesday, and Friday at [facility name redacted] chair time 9:30 AM, pick up time at 8:30 AM. 3. On 07/28/2025 at 10:45 AM, the surveyor observed Resident #220 in bed, awake, alert, who stated that they came back from dialysis this morning and have been attending hemodialysis for more than five years now. On 07/28/2025 10:54 AM, the surveyor reviewed the hybrid medical record of Resident #220, which revealed the following: A review of the AR reflected that Resident #220 was admitted with diagnoses that included, but were not limited to, ESRD. A review of the annual Minimum Data Set (A/MDS), dated [DATE], indicated that the facility assessed the residents' cognitive status using a BIMS score of 15 out of 15, which indicated that the resident had intact cognition. A review of the OSR with a start date on 12/17/24 revealed an order of dialysis at [facility name redacted] every Monday, Wednesday, and Friday at 6:00 AM, pick up at 5:00 AM. A review of the HD form included documentation from the HD clinic nurse and post-dialysis information and assessment written by the facility nurse upon the resident's return to the facility, but does not contain an assessment section for pre-dialysis assessment by the facility nurse. A review of June and July 2025 electronic Progress Notes (ePN) shows no consistency in pre-dialysis nursing assessments. On 07/28/2025 at 10:47 AM, the LPN/Unit Manager (LPN/UM) stated that assessing the resident before they go to dialysis is essential. She added that she is aware that some nurses do not evaluate and document the resident before leaving for the dialysis center. On 7/30/2025 at 12:07 PM, the survey team met with the Licensed Nursing Home Administration (LNHA), [NAME] President of Clinical Services (VPCS), Regional Director of Nursing (RDON), and [NAME] President of Operations (VPO) regarding the above concern, but did not provide further information. A review of the facility policy titled Dialysis Management (Hemodialysis) with the last review date on 3/2025 revealed under Procedure: If dialysis is provided at off-site Dialysis Center: 1. Assure physician order includes: Medication administration times adjusted on dialysis treatment days. The facility policy does not include a pre-dialysis assessment procedure. NJAC 8:39-11.2(b), 27.1(a)

Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to properly store Controlled Substance medications (CDS) securely per regulations and standards of practice. This deficient practice was identified in one (1) of four (4) medication carts (med carts) observed in the facility.This 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 licensed practical nurse is defined as performing tasks and responsibilities within the framework of case finding; reinforcing the patient and family teaching program through health teaching, health counseling, and provision of supportive and restorative care, under the direction of a registered nurse or licensed or otherwise legally authorized physician or dentist.On 7/30/2025 at 10:08 AM the surveyor began to inspect selected medication (med) storage areas in the facility. The surveyor observed the following:On the facility 6th floor, the surveyor, in the presence of the Licensed Practical Nurse (LPN) assigned to the med cart, accessed the med cart. The surveyor opened the drawer where the CDS are stored. The surveyor observed that the lock box containing the CDS was not closed or locked and was readily opened by the surveyor without a key. The surveyor asked the LPN if the CDS box should be locked. The LPN stated, yes it should be locked, but the medications inside keep it from closing easily and sometimes you must shut it very hard.The surveyor concluded the inspection of the med cart.On 7/30/2025 at 12:09 PM, the survey team met with the Licensed Nursing Home Administrator (LNHA), [NAME] President of Clinical Services (VPCS), Regional Director of Nursing (RDON), and [NAME] President of Operations (VPO) to discuss concerns. The surveyor discussed the concern with the CDS storage box not being locked.On 7/30/25 at 2:00 PM, the surveyor interviewed the facility Consultant Pharmacist (CP) by phone. The surveyor asked the CP what the correct way was to store CDS in the med cart. The CP stated that CDS should be stored behind two (2) separate locks, in its own compartment. The med cart should be locked and the CDS box should be locked. The surveyor informed the CP about the concern with the 6th floor med cart lock box that was accessible to the surveyor without a key and was not closing properly.On 7/31/2025 at 10:11 AM, the survey team met with the LNHA, VPCS, RDON, and VPO for responses to concerns. The RDON stated that the CDS lock box was fixed by re-organizing the way the medications fit inside so the top closes easily. The VPCS stated that staff education on storage of CDS was also performed.The facility did not provide any further pertinent information.The surveyor reviewed the facility policy titled Medication Storage with a last reviewed date of 9/2024. The policy reflected, under line 1 Narcotics and Controlled Substances: Schedule II drugs. are stored under double-lock and key.The surveyor reviewed the facility policy titled Medication Administration with a revision date of 9/2024. The policy reflected, under Procedure, line 27 Assure controlled substances are double locked. NJAC 8:39-29.7 (c)

Based on interviews and record review, it was determined that the facility failed to accurately code the Minimum Data Set (MDS, an assessment tool used to facilitate the management of care), in accordance with federal guidelines, for 2 of 35 residents (Resident #220 and #274), who were reviewed for accuracy for MDS coding.This deficient practice was evidenced by the following: 1. On 07/28/25 at 10:45 AM, the surveyor observed Resident #220 in bed, awake, alert, who stated that they came back from dialysis this morning and have been attending dialysis (treatment used when the kidneys fail to function correctly) for more than five years now. On 07/28/25 10:54 AM, the surveyor reviewed the hybrid medical record (paper and electronic) of Resident #220, which revealed the following: A review of the admission Record (AR, an admission summary) reflected that Resident #220 was admitted with diagnoses that included, but were not limited to, end-stage renal disease (ESRD, the kidneys can no longer function). A review of the annual Minimum Data Set (A/MDS), (an assessment tool used to facilitate the management of care), dated 6/16/25, indicated that the facility assessed the residents' cognitive status using a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated that the resident had intact cognition. Further review of the A/MDS in Section O – Special Treatments, Procedures, and Programs stated Dialysis while a resident – No. A review of the Order Summary Report (OSR) with a start date on 12/17/24 revealed an order of dialysis at [facility name redacted] every Monday, Wednesday, and Friday at 6:00 AM, pick up at 5:00 AM. A review of the Care Plan Report with an initiated date of 6/13/2018, with the focus on at-risk for complications due to hemodialysis. On 07/28/25 at 10:47 AM, the surveyor interviewed the Licensed Practical Nurse/Unit Manager (LPN/UM), who confirmed that the resident goes to the dialysis center three times a week. On 07/29/25 at 11:16 AM, the surveyor interviewed the MDS Coordinator/Registered Nurse (MDSC/RN#1), who stated that the A/MDS assessment was miscoded by the MDSC/RN #2, who was on vacation at the time. The MDSC/RN #1 added that the dialysis should be coded at the annual assessment because the resident continues to receive dialysis treatment. 2. The surveyor reviewed Resident # 274's records. The resident was discharged from the facility, and according to the Discharge Return Not Anticipated MDS, an assessment tool used to facilitate the management of care, dated 5/1/25, the resident was assessed as having an unplanned discharge. A review of Resident # 274's progress notes dated 5/1/25 revealed the resident was discharged home with family. Review of progress notes upon admission on [DATE] and throughout the resident's stay, there were several notes that indicated that the resident had discharge planning in place. On 07/29/2025 at 11:16 AM, the surveyor interviewed the MDSC/RN#1, who stated that the discharge MDS should have been coded to indicate that the resident had a planned discharge. On 7/30/2025 at 12:07 PM, the survey team met with the Licensed Nursing Home Administration (LNHA), [NAME] President of Clinical Services (VPCS), Regional Director of Nursing (RDON), and [NAME] President of Operations (VPO) regarding the above concern, but did not provide further information. NJAC 8:39-33.2 (d)

Based on observation, interview, and record review it was determined the facility failed to follow a physician's order for an insulin medication and acceptable professional standards of practice for 1 of 35 residents reviewed. This deficient practice is 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 or otherwise legally authorized physician or dentist.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 licensed practical nurse is defined as performing tasks and responsibilities within the framework of casefinding; reinforcing the patient and family teaching program through health teaching, health counseling and provision of supportive and restorative care, under the direction of a registered nurse or licensed or otherwise legally authorized physician or dentist.On 7/29/2025 at 11:28 AM, the surveyor reviewed the electronic medical records (EMR) of Resident #71.The admission Record (a summary of important information about the resident) revealed that Resident #71 had diagnoses that included but were not limited to, type 2 diabetes mellitus (DM2).A comprehensive Minimum Data Set (MDS) assessment, a tool used to facilitate management of care, dated 7/17/2025, indicated the facility assessed the resident's cognition using a Brief Interview Mental Status (BIMS) test. Resident #71 scored a 7 out of 15, which indicated the resident had severe cognitive impairment. Section N (for medications) indicated the resident received insulin injections. A physician's order dated 7/12/2025 revealed for Humalog injection solution, inject subcutaneously before meals and at bedtime for DM2 9PM half dose insulin. The order was scheduled to be administered at 7:30AM, 11 AM, 4 PM, and 9PM. A review of the July 2025 Medication Administration Record (MAR) revealed the following for the Humalog injection insulin entry:-The order entry specified, .Inject as per sliding scale: if 151-200= 2 unit; 201-250= 4 unit; 251-300= 6 unit; 301-350= 8 unit; 351-400=10 unit. call MD < [less than] 60 or > [greater than] 400.subcutaneously before meals and at bedtime for DM2 9PM half dose insulin. - On 7/12/2025 at 9PM, it was documented the resident's blood sugar results was 158 and 2 units were administered to the resident.-On 7/13/2025 at 9PM, it was documented the resident's blood sugar results was 213 and 4 units were administered to the resident. - On 7/28/2025 at 9PM, it was documented the resident's blood sugar results was 203 and 4 units were administered to the resident.On 7/30/2025 at 10:11 AM, the surveyor interviewed a Registered Nurse Unit Manager (RN/UM) about Resident #71's insulin order indicating 9 PM half dose insulin. The RN/UM stated that it meant for the 9PM dose, the insulin to be given to resident should be half the insulin dose indicated by the sliding scale. The surveyor reviewed the physician's order and the MAR with the RN/UM. The RN/UM stated that there should have been a separate order entered for the 9PM dose administration to specify the half dose insulin sliding scale to be followed. The RN/UM acknowledged the order should have been clarified by the nurses and that she would clarify the order. On 7/30/2025 at 11:17 AM, the surveyor informed the Regional Director of Nursing (RDON) and the [NAME] President of Clinical Services (VPCS) of the concern regarding the insulin order for Resident #71. The RDON and the VPCS stated they would review and follow up with the RN/UM. On 7/30/2025 at 12:09 PM, the surveyor informed the Licensed Nursing Home Administrator (LNHA), the [NAME] President of Operations (VPO), the RDON, and the VPCS of the concern for Resident #71's insulin order. The RDON and VPCS stated that the order was clarified by the RN/UM and provided the surveyor a copy of the new order entry. The surveyor requested the facility's medication administration policy, and any other policy related to insulin administration.On 7/30/2025 at 12:31 PM, the surveyor interviewed the Consultant Pharmacist (CP) over the phone about the concern regarding Resident's #71 insulin order and no recommendations were noted for the resident's medication regimen review (MRR) dated 7/12/25. On 7/31/2025 at 8:59 AM, the CP called back and informed the surveyor that the CP had missed the 9PM half dose insulin comment on the order during the MRR. The CP further explained that it was not a typical insulin order.On 7/31/2025 at 10:11 AM, the LNHA, the VPO, the RDON, and the VPCS met with the survey team. The RDON stated the insulin order had been clarified for Resident #71, the facility audited insulin orders for other residents, provided education to nursing staff, and one on one in-service education was provided to the nurses who did not follow the physician's order when administering the 9PM insulin dose to Resident #71. There was no additional response provided by the facility's management. The surveyor reviewed the facility provided policy titled, Medication Administration, with a last revised date of September 2024. Under Purpose revealed: To administer the following.Right medication.Right dose. Right documentation.Right timeUnder Procedure of the policy revealed: .9. Read the Medication Administration Record (MAR) for the ordered medication, dose, dosage form, route, and time.NJAC 8:39-11.2 (b); 29.2(d)

Based on interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and facility policy review, the facility failed to offer one of five residents (Resident (R) 131) reviewed for flu/pneumonia vaccinations and/or their representatives, the opportunity for the resident to be vaccinated in accordance with nationally recognized standards out of a total sample of 55 residents. The facility failed to offer R131 the opportunity to be vaccinated with Pneumococcal 15-valent Conjugate Vaccine (PCV15) or one dose of Prevnar 20 (PCV20) in accordance with nationally recognized standards. This practice had the potential to increase the risk for this resident to contract pneumonia. In addition, the facility failed to ensure their pneumococcal policies reflected current CDC recommendations. Findings include: Review of the CDC website titled Pneumococcal Vaccination: Summary of Who and When to Vaccinate, effective 01/28/22, indicated . CDC recommends pneumococcal vaccination for all adults [AGE] years or older . For adults [AGE] years or older who have not previously received any pneumococcal vaccine, CDC recommends you . Give 1 dose of PCV [Pneumococcal Conjugate Vaccine] 15 or PCV20 . If PCV15 is used, this should be followed by a dose of PPSV 23 at least one year later. The minimum interval is 8 weeks and can be considered in adults with an immunocompromising condition, cochlear implant, or cerebrospinal fluid leak . If PCV20 is used, a dose of PPSV23 is NOT indicated . For adults [AGE] years or older who have only received a PPSV23, CDC recommends you . May give 1 dose of PCV15 or PCV20 . The PCV15 or PCV20 dose should be administered at least one year after the most recent PPSV23 vaccination. Regardless of if PCV15 or PCV20 is given, an additional dose of PPSV23 is not recommended since they already received it. For adults [AGE] years or older who have only received PCV13, CDC recommends you . Give PPSV23 as previously recommended . For adults who have received PCV13 but have not completed their recommended pneumococcal vaccine series with PPSV23, one dose of PCV20 may be used if PPSV23 is not available. If PCV20 is used, their pneumococcal vaccinations are complete . Review of a document provided by the facility titled Admission Record indicated R131 was admitted to the facility on [DATE]. The resident was over the age of [AGE] years of age upon admission to the facility. Review of a document provided by the facility titled Updated Immunization, dated 05/25/22, indicated R131 received PPSV23. During an interview on 01/08/24 at 9:56 AM, the Director of Nursing (DON) confirmed R131 was not offered any other pneumococcal vaccine other than the PPSV23. During an interview on 01/09/24 at 9:49 AM, the Infection Control Preventionist (ICP) stated she was not aware of the updated CDC recommendations for the pneumococcal vaccines. Review of a facility policy titled Pneumococcal Vaccine (Series), dated 07/23, indicated .It is our policy to offer our residents, staff, and volunteer workers immunization against pneumococcal disease in accordance with current CDC guidelines and recommendations.Each resident will be assessed for pneumococcal immunization upon admission. Self-report of immunization shall be accepted. Any additional efforts to obtain information shall be documented, including efforts to obtain information shall be documented, including efforts to determine date of immunization or type of vaccine received .No previous vaccination (or vaccination status is unknown): PCV13 first, then PPSV23 one year later. NJAC 8:39-19.4(h)(i)

Based on observations, staff interview, and facility policy review, the facility failed to ensure medications were stored in a locked storage area when left unattended for one of eight medication carts in the facility and failed to maintain medications in the original package delivered from pharmacy for two of eight medication carts. Findings include: During an observation on 01/08/24 at 1:56 PM to 2:01 PM, Licensed Practical Nurse (LPN)6 left the medication cart outside of Resident (R)96's room unlocked and unattended while LPN6 went into R96's room to give the resident medication. There were three residents seated in the hallway at the time of observation. LPN6 was unable to visualize the medication cart once inside of the resident's room. During an interview on 01/08/24 at 2:01 PM, LPN6 stated, I couldn't see the cart when I went into the room. I should have checked my cart before I went into the room to give the medication. During an observation and interview on 01/10/24 at 9:34 AM, Registered Nurse (RN)1's medication cart on the seventh floor had pills that were noted to be loose in the second drawer and not in the original package from the pharmacy as follows: one round white pill with 40 imprinted on one side, one peach oval pill with 5 imprinted on it, one light green pill with ARI [ Aripiprazole] imprinted on one side, one small white round pill, and one small white oval pill. In the third drawer of this medication cart, the following pills were also noted to be loose in the drawer and not in the original package from the pharmacy: one medium oval pill with 16 imprinted on one side and one small white oval pill. In the narcotic drawer the following pill was noted to be loose in the drawer without being in the original package from the pharmacy: one small, round pill with R5 imprinted on one side. RN1 confirmed that the loose pills should have been discarded. During an observation and interview on 01/10/24 at 1:55 PM, the medication cart on the sixth floor had four boxes of Hydrocortisone Acetate Suppositories 30 mg (milligram) which had an expiration date of 12/23. LPN4 stated, The nurses that checked this cabinet for expired medications should have pulled these boxes so they could not be used and reordered from pharmacy. During an interview on 01/10/24 at 3:15 PM, the DON confirmed the medication cart should be locked when unattended by the nurse, the loose pills should have been discarded, and the expired medication should had been discarded and reordered from the pharmacy. Review of facility policy Medication Administration dated 07/23 revealed, .Lock medication cart before entering resident/patient room. Never leave the medication cart open and unattended . NJAC 8:39-29.4(h)

Based on record review, staff interview, and facility policy review, the facility failed to ensure that two hematomas observed on a resident's arm were reported to the state survey agency for one (Resident (R)83) out of three residents reviewed for abuse and neglect out of a total sample of 55 residents. Findings include: Review of R83's Admission Record, located under the Profile tab of the electronic medical record (EMR), revealed R83 was initially admitted to the facility on [DATE] and was readmitted on [DATE] with diagnoses including diabetes and chronic kidney disease. Review of R83's Quarterly Minimum Data Set (MDS) assessment located under the MDS tab of the EMR, with an Assessment Reference Date (ARD) of 10/07/23, revealed R83 scored 11 out of 15 on the Brief Interview for Mental Status (BIMS), indicating R83 was moderately cognitively impaired. Further review revealed R83's primary language was Chinese and required the use of an interpreter. Review of R83's Care Plan, located under the Care Plan tab of the EMR, dated 07/24/23, revealed, The resident was at risk for bruising, bleeding and skin tears related to aspirin therapy. Review of R83's Health Status Note located under the Progress Notes tab in the EMR, dated 07/24/23 revealed notified by CNA that R83 had two hematomas on the left upper posterior arm area with no complaints of pain. Review of R83's Skin Breakdown Report dated 07/24/23, indicated a hematoma on left upper posterior arm area with the physician, responsible party, and supervisor notified. Review of Facility Incident/Accident Report dated 07/24/23 revealed, possible contributing factors were R83 had a movement disorder, required total assistance, and took aspirin. Further review of this incident report revealed R83 was interviewed and said she took aspirin and bruised more easily. During an interview on 01/10/24 at 9:05 AM, Licensed Practical Nurse (LPN)2 stated she observed bruises on R83's arm and immediately reported it to the Registered Nurse (RN)5. During an interview on 01/10/24 at 9:37 AM, Certified Nursing Assistant (CNA)9 stated she observed the bruises on R83's arm while providing morning care and she informed the nurse immediately. During an interview on 01/10/24 at 10:40 AM, Family Member (FM)2 stated she did not remember staff notifying her about any hematomas being discovered on R83 arm on 07/24/23 and she was not asked to interpret for staff so they could interview R83 about how the bruises occurred. FM2 stated R83 was unable to state how the bruises occurred. An interview was conducted on 01/10/24 at 1:39 PM with the Director of Nursing (DON) and the Administrator. The DON stated after an incident, staff would assess any type of injury, interview staff and residents, and look at residents' medications. The DON stated if there is an injury from an unknown origin, they report it to the state survey agency and notify the physician, family, complete an investigation, and update the care plan. The DON stated that this incident was not reported but there was an incident report done by RN5. A review of the facility policy titled Abuse, Neglect and Exploitation, revised 06/09/23 revealed Each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. Residents must not be subject to abuse by anyone, including, but not limited to; facility staff, other residents, consultants, contractors, volunteers, or staff of other agencies serving the resident, family members, legal guardians, friends, or other individuals. The policy further revealed, The Abuse coordinator in the facility is the Director of Nursing, Administrator, or facility appointed designee. Report allegations or suspected abuse, neglect, or exploitation immediately to the Administrator, other Officials in accordance with State Law and the State Survey and Certification agency through established procedures. NJAC 8:39-9.4(f)

Based on observation, interview, record review, and facility policy review, the facility failed to ensure that residents were free from the use of unnecessary side rails bars for one (Resident (R)209) out of two residents reviewed for physical restraints out of a total sample of 55 residents. Findings include: Review of R209's Admission Record, located under the Profile tab of the electronic medical record (EMR) revealed R209 was admitted to the facility on [DATE] with diagnoses including repeated falls, unspecified dementia, and difficulty in walking. Review of R209's annual Minimum Data Set (MDS) assessment under the MDS tab of the EMR, with an Assessment Reference Date (ARD) of 10/29/23, revealed she scored five out of 15 on the Brief Interview for Mental Status (BIMS), indicating R209 was severely cognitively impaired. Further review revealed side bars were not listed as being in use for R209. Review of R209's Care Plan, located under the Care Plan tab of the EMR and dated 08/04/23, revealed R209 was using 3/4 side rails and was at risk for entrapment and injury. Interventions in place were to ensure proper bed positioning and evaluate continuous need for side rails. Further review revealed R209 was care planned for impaired cognitive function and behavior issues as evidenced by impulsive behavior of continuously standing up from wheelchair or bed. Review of R209's Quarterly Nursing Assessment located under the Observations tab in the EMR and dated 10/29/23 revealed R209 scored a 15 on the fall risk evaluation, which indicated R209 was a high fall risk. Further review revealed R209 was currently using side rails for support and positioning and wants side rails raised at this time, but side rails do not prohibit R209's mobility or freedom of movement and are not a restraint. Review of R209's Physician's Orders located under the Orders tab in the EMR, dated 08/05/23 revealed R209 may have 3/4 side rails for bed mobility/enabler/positioning/resident request. During observations on 01/07/24 at 10:26 AM and on 01/08/23 at 1:57 PM, R209 was lying in bed with full side rails in place on both sides of the bed. During an interview on 01/09/24 at 12:04 PM, the Rehabilitation Director stated R209 required staff's assistance with bed mobility and repositioning and upon discharge from therapy in April 2023, R209 still required staff prompting and queuing to use bed rails for positioning. The Rehabilitation Director stated that without staff being present and prompting, R209 would be unable to use side rails to reposition with intent due to the resident's cognition. The Rehabilitation Director stated side rails were up for fall/safety risk, but she was unable to state if the side rails should remain up when R209 was in bed when staff were not in the room helping the resident. During an interview on 01/09/24 at 12:25 PM, Certified Nursing Assistant (CNA)6 stated R209 was total care and was unable to turn and reposition herself in bed and that staff needed to help with that. CNA6 stated the side rails were in place to keep R209 from falling onto the floor. CNA6 stated R209 was unable to get out of bed without staff assistance and that R209 was unable to put the side rails down by herself. CNA6 stated the side rails were always kept up whenever R209 was in bed. During an interview on 01/09/24 at 1:24 PM, Registered Nurse/Unit Manager (RN)4 stated side rails were used for bed mobility and positioning and helped with providing care. RN4 stated R209 required cuing from staff to use the bedrails and was unable to use them for bed mobility or repositioning due to R209's confusion and R209 was unable to release them without staff assistance. RN4 stated she thought that R209 may be able to scoot out of the bed and get around the rail, but that staff kept an eye on her. RN4 stated she was unsure why the bed rails were kept up whenever R209 was in bed since R209 was only able to use them with staff prompting. RN4 stated the family wanted the bed rails up and that staff went over the risks and benefits with the family when the consent was signed. During an interview on 01/10/24 at 1:25 PM, the Director of Nursing (DON) stated when side rails were used a siderail assessment was completed and staff took into consideration a resident's mental capacity and overall, activities of daily living (ADLs) functionality and what type of ADL assistance a resident required to determine if the resident needed a side rail to turn or reposition and to help them get up or when staff were providing care. The DON stated staff tried removing side rails before but there was an increase in falls and families requested the siderails be used. The DON stated they discussed risk versus benefits, but some families insisted on residents having them. The DON was unable to answer if a side rail should be down when staff were not in the room providing care. But she did state the facility recognized the need to update the side rail assessments and she knew some of the assessments had been not updated. The DON stated she felt R209 used the side rails as an enabler. A review of the facilities policy titled Restraint Free Environment, revised 07/23 indicated, Each resident shall attain and maintain his/her highest practicable well-being in an environment that prohibits the use of restraints for discipline or convenience and limits restraint use to circumstances in which the resident has medical symptoms that warrant the use of restraints. Physical restraints are defined as any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or normal access to one's body. Physical restraints may include but are not limited to using side rails to keep resident from voluntarily getting out of bed. NJAC 8:39-4.1(a)6 NJAC 8:39-27.1(c)

Based on observation, record review, staff interview, and facility policy review the facility failed to ensure that two hematomas observed on a resident's left arm were thoroughly investigated for one (Resident (R)83) out of three residents reviewed for abuse and neglect out of a total sample of 55 residents. Findings include: Review of R83's Admission Record, located in the Profile tab of the electronic medical record (EMR) revealed R83 was initially admitted to the facility on [DATE] and was readmitted on [DATE] with diagnoses including diabetes and chronic kidney disease. Review of R83's Quarterly Minimum Data Set (MDS) assessment under the MDS tab of the EMR, with an Assessment Reference Date (ARD) of 10/07/23, revealed R83 scored 11 out of 15 on the Brief Interview for Mental Status (BIMS), indicating R83 was moderately cognitively impaired. Review of R83's Health Status Note located under the Progress Notes tab in the EMR and dated 07/24/23 revealed R83 had two hematomas on the left upper posterior arm area. Review of R83's Skin Breakdown Report dated 07/24/23, revealed a hematoma on left upper posterior arm area and physician, responsible party, and supervisor notified. New intervention to prevent recurrence was staff were educated regarding gentle hold/care during transfers and care. Review of Facility Incident/Accident Report dated 07/24/23 revealed, possible contributing factors were R83 had a movement disorder, required total assistance, and took aspirin. Further review revealed R83 was interviewed and said she took aspirin and bruised more easily. Further review revealed statements by Certified Nursing Assistant (CNA)9 who discovered the bruises, Licensed Practical Nurse (LPN)2 to whom CNA9 reported the bruises and RN5 who filled out the report. Further review revealed no additional staff or residents were interviewed. During an interview on 01/10/24 at 9:05 AM, LPN2 stated she observed bruises on R83's arm and immediately reported it to RN5. LPN2 stated she did not remember completing a statement regarding R83's bruises or being interviewed by staff. During an interview on 01/10/24 at 9:37 AM, CNA9 stated she observed the bruises on R83's arm and informed the nurse immediately. CNA9 stated she did not remember completing a statement regarding R83's bruises or being interviewed by staff. During an observation and interview on 01/10/24 at 10:40 AM, Family Member (FM)2 stated she did not remember staff notifying her about any hematomas being discovered on R83 arm on 07/24/23 and she was not asked to interpret for staff so they could interview R83 about how the bruises occurred. FM #1 stated R83 was unable to state how the bruise occurred. An interview was conducted on 01/10/24 at 1:39 PM with the Director of Nursing (DON) and the Administrator. The DON stated after an incident, staff would assess any type of injury, interview staff and residents, and look at residents' medications. The DON stated if there was still an injury from an unknown origin, they report it to the state survey agency and notify the physician, family, complete an investigation, and update the care plan. The DON stated RN5 wrote in the report that she interviewed R83 and that a family member was used at times to interpret but she did not know who RN5 used to interpret for R83. The DON said she felt it was investigated since RN5 stated she interviewed R83 and there was no concern. A review of the facility policy titled Abuse, Neglect and Exploitation, revised 06/09/23 revealed Each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. Residents must not be subject to abuse by anyone, including, but not limited to; facility staff, other residents, consultants, contractors, volunteers, or staff of other agencies serving the resident, family members, legal guardians, friends, or other individuals. Further review of the policy revealed, Investigation of Alleged Abuse, Neglect and Exploitation. - When suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur, an investigation is immediately warranted. Once the resident is cared for and initial reporting has occurred, an investigation should be conducted. Components of an investigation may include Interview the involved resident, if possible, and document all responses. If a resident is cognitively impaired, interview the resident several times to compare responses. If there is no discernible response from the resident, or if the resident's response is incongruent with that of a reasonable person, interview the resident's family, responsible parties, or other individuals involved in the resident's life to gather how he/she believes the resident would react to the incident. Interview all witnesses separately. Include roommates, residents in adjoining rooms, staff members in the area, and visitors in the area. Obtain witness statements, according to appropriate policies. All statements should be signed and dated by the person making the statement. Document the entire investigation chronologically. NJAC 8:39-4.1(a)5 NJAC 8:39-9.4(f) NJAC 8:39-27.1(a)

Based on interview, record review, and review of the RAI (Resident Assessment Instrument) manual, the facility failed to complete a significant change assessment for one of one resident (Resident (R) 109) reviewed for significant change out of a total sample of 55 residents after R109 was placed on hospice care. Findings include: Review of R109's Face Sheet, located in the electronic medical record (EMR) under the Profile tab, revealed R109 was admitted to the facility on [DATE] with diagnoses that included cerebral infarction (stroke). Review of R109's significant change Minimum Data Set (MDS) located under the RAI tab of the EMR, with an Assessment Reference Date (ARD) of 12/28/23 revealed that it was still in progress. R109 was admitted to hospice 12/22/23. Interview on 01/09/24 at 11:15 AM, Licensed Practical Nurse (LPN)1 stated, There was a significant change completed for hospice due to struggles with nutrition and [R109's] difficulty in swallowing. LPN1 stated that the significant change MDS was completed on 12/25/23. Interview on 01/09/24 at 11:22 AM, the MDS Coordinator (MDSC) stated A change in condition was completed on 12/28/23. During an interview on 01/10/24 at 8:50 AM, the Assistant Director of Nursing (ADON) stated that a significant change was not completed and was in progress. The ADON stated, I still have days to complete and send the data. During a follow-up interview on 01/10/24 at 1:21 PM, the ADON stated that after review of the RAI for significant change status, the significant change MDS was overdue for R109. Review of the RAI manual indicated, .An significant change in status (SCSA) is required to be performed when a terminally ill resident enrolls in a hospice program (Medicare-certified or State-licensed hospice provider) or changes hospice providers and remains a resident at the nursing home. The ARD must be within 14 days from the effective date of the hospice election (which can be the same or later than the date of the hospice election statement, but not earlier than). An SCSA must be performed regardless of whether an assessment was recently conducted on the resident. This is to ensure a coordinated plan of care between the hospice and nursing home is in place. A Medicare-certified hospice must conduct an assessment at the initiation of its services. This is an appropriate time for the nursing home to evaluate the MDS information to determine if it reflects the current condition of the resident, since the nursing home remains responsible for providing necessary care and services to assist the resident in achieving his/her highest practicable well-being at whatever stage of the disease process the resident is experiencing . NJAC 8:39-11.2(i)

Based on interview, record review, and facility policy review, the facility failed to ensure residents with newly evident serious mental disorder was referred for a (Preadmission Screening and Resident Review (PASARR) level II evaluation for one of three sampled residents (Resident (R) 108) reviewed for PASARR. R108 received a serious mental disorder diagnosis after admission to the facility; however, the resident was never referred for a PASARR Level II evaluation. This failure had the potential to negatively affect the resident's mental and psychosocial wellbeing. Findings include: Review of R108's undated Face Sheet, provided by the facility, indicated R108 was admitted to the facility on [DATE]. Review of the Face Sheet also revealed an active diagnosis of anxiety disorder dated 08/22/22. Review of R108's PASARR Level 1, dated 06/10/19, provided by the Director of Nursing (DON) indicated no diagnosis or evidence of a major mental illness. Review of R108's annual Minimum Data Set (MDS), with an assessment reference date (ARD) of 06/14/23, located in the resident's electronic medical record (EMR) under the MDS tab revealed the following active diagnoses: anxiety disorder, depression, and bipolar disorder. During an interview on 01/19/24 at 3:45 PM, the Social Services Director (SSD) stated he should have reported a significant change in R108's condition to the state-designated mental health or Intellectual Disability (ID) authority for a change of mental status. Review of the facility's policy titled Resident Assessment-Coordination with PASARR Program, dated January 2023, indicated This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. The policy also stipulated that all applicants to this facility will be screened for serious mental disorders or intellectual disabilities and related conditions in accordance with the State's Medicaid rules . NJAC 8:39-40.3(d)

Based on observations, staff interviews, record review, and policy review, the facility failed to ensure weekly weights were ordered and/or obtained after a weight loss for one (Resident (R) 46) of five reviewed for nutrition out of a total sample of 55 residents. The facility failed to weigh the resident weekly for the first four weeks as directed by the Registered Dietician (RD). Findings include: Review of R46's annual Minimum Data Set (MDS) located in the electronic medical record (EMR) under the MDS tab, with an Assessment Reference Date (ARD) of 09/15/23 indicated the resident had a Brief Interview for Mental Status (BIMS) score of 12 out of 15, which indicated R46 was moderately cognitively impaired. The assessment revealed the resident weighed 187 pounds and sustained no weight loss/gain. The assessment indicated the resident received mechanically altered meals. Review of a document provided by the facility titled Admission Record indicated R46 was originally admitted to the facility on [DATE] and recently readmitted to the facility on [DATE] with a diagnosis of cystitis (inflammation of the bladder). Review of R46's Progress Notes, located in the EMR under the Prog [Progress] Note tab and dated 11/07/23, indicated the resident was recently readmitted back to the facility on [DATE] with a new diagnosis of COVID-19 and cystitis. The Registered Dietitian (RD recommended the facility do weekly weights times four weeks. Review of R46's Weights, located in the EMR under Wts [Weight]/Vitals tab, indicated on 10/28/23 the resident weighed 188 pounds. On 11/07/23 the resident's weight was 176 pounds. Next to this date there was a notation which revealed the resident had lost 6.4 percent following a hospitalization from his last weight taken on 10/28/23. There were no weekly weights in R46's chart after the 11/07/23 weight. The next weight documented was on 12/08/23 and the resident's weight at this time was 182 pounds. Observations were made on 01/07/24 at 12:57 PM and 01/08/24 at 12:51 PM, for R46's lunch meal. The resident was observed to be able to feed himself with no concerns identified. During an interview on 01/08/24 at 1:53 PM, Licensed Practical Nurse (LPN) 1 stated the RD typically places her recommendations in the hard chart and the recommendation would then be sent to the primary physician. During an interview on 01/08/24 at 2:19 PM, LPN6 stated the standard for a resident who was admitted or readmitted was to weigh them once a week for four weeks. During an interview on 01/09/24 at 2:06 PM, the RD confirmed R46 was not weighed weekly times four weeks per her recommendations. The RD stated she typically would speak with the nurse and then write an order in the paper chart. The RD confirmed that she did not write an order for weekly weights for R46. During an interview on 01/10/24 at 9:57 PM, the Director of Nursing (DON) stated normally any recommendation would be written on a doctor order sheet and this would then be relayed to the primary physician and if approved by the doctor, the order would then be implemented. Review of a policy provided by the facility titled Weight Management/Gain Program, dated 07/01/23 indicated .The weight maintenance/gain program is designed to promote weight gain or maintenance in residents.Weights will be recorded weekly, unless otherwise recorded. NJAC 8:39-17.1(c) NJAC 8:39-17.2(d) NJAC 8:39-27.2(e)

Based on observation, interview, record review, and facility policy review, the facility staff failed to place signage on a resident's door notifying all who enter this was resident was in contact precaution isolation for one (Resident (R)13) of one resident reviewed for isolation precautions out of a total sample of 55 residents. Findings include: Review of R13's undated Admission Record, located in the electronic medical record (EMR) under the Profile tab, revealed this resident was readmitted to the facility on [DATE] with the diagnosis of heart failure. Review of R13's admission Minimum Data Set (MDS) located in the EMR under the MDS tab with an Assessment Reference Date (ARD) of 11/07/23 revealed a Brief Interview for Mental Status (BIMS) score of ten out of 15, which indicated R13 was moderately cognitively impaired. During an observation and interview on 01/07/2023 at 10:07 AM, an infection control bin was observed outside of R13's room that contained personal protective equipment (PPE) to be used when entering the room of a resident that is on isolation precautions. There was no sign on the door alerting the type of isolation. Licensed Practical Nurse (LPN)3 confirmed there should be signage R13's door. Review of R13's Physician Orders, under the Orders tab in the EMR, revealed an order dated 10/31/23 which indicated, Contact Precautions. During an interview on 01/09/2024 at 2:17 PM, the Infection Preventionist (IP) stated, The unit manager or the nurse that receives the patient is responsible for getting the correct signage on the door. The IP confirmed there should be signage on R13's door. Review of the facility policy Transmission Based Precautions dated for 07/23 indicated, . Room entry signage indicating what type of Transmission-Based Precautions and appropriate PPE to be used . NJAC 8:39-19.4(a)

C #: Covid-19 Infection Control Based on interviews and review of pertinent facility documentation on 7/15/22, it was determined that the facility failed to ensure that all staff entering the building were screened for Covid-19 signs and symptoms in accordance with the facility policy Infection Prevention and Intervention Plan - Coronavirus (COVID-19), and Centers for Disease Control and Prevention (CDC) guidelines for 8 of 25 nursing staff employees (E #1 through 8) reviewed for Covid-19 screening. This deficient practice was evidenced by the following: Reference: Centers for Disease Control and Prevention (CDC) COVID-19, Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, updated 2/2/22, showed .1. Recommended routine infection prevention and control (IPC) practices during the COVID-19 pandemic, Options could include (but are not limited to): individual screening on arrival at the facility; or implementing an electronic monitoring system in which individuals can self-report any of the above before entering the facility. HCP [Health Care Provider] should report any of the 3 above criteria to occupational health or another point of contact designated by the facility, even if they are up to date with all recommended COVID-19 vaccine doses. Recommendations for evaluation and work restriction of these HCP are in the Interim Guidance for Managing Healthcare Personnel with [CONDITION(S)]-CoV-2 Infection or Exposure to [CONDITION(S)]-CoV-2 . Review of the facility line listing (LL) provided by the facility on 7/15/22, showed that the Covid-19 outbreak was first identified on 6/28/22 involving 4 employees and 25 residents. The last tested positive for COVID 19 was on 7/12/22 involving an employee and residents. The screening for COVID-19, showed that the employees were to answer yes or no to the following questions: diagnosed with Covid-19, travel history for the last 14 days, Covid-19 symptoms (fever, cough .) and contact with someone with or under investigation for Covid-19 when entering the building. The facility memo, dated 7/11/22, showed that all employees were instructed to electronically complete the COVID-19 screening when entering the building. The list of nursing staff scheduled to work on 7/14/22 and 7/15/22 showed that 8 employees (1 of 8 [E#2] were not vaccinated) didn't have any documented evidenced that their body temperatures were taken. Also, no documented evidence of screening for Covid-19 before entering the facility was completed or at the start of staff's shift which was not in accordance with the facility's policy and CDC guidelines. The surveyor conducted an interview with E #1 on 7/15/22 at 4:00 pm, she stated that she forgot to screen for Covid-19 from 7/11/22 through 7/15/22. She further stated that it is important to screen before entering the building to prevent the spread for Covid-19. Interviewed with the Administration on 7/15/22 at 4:19 pm, they stated that all staff (vaccinated or unvaccinated) were instructed to electronically complete the Covid-19 screening prior to entering the building. The Reception staff (RS) should ensure that anyone entering the facility will actively screened for fever and symptoms of Covid-19. They were unable to explain why the aforementioned employees entered the facility without fully screened for Covid-19 symptoms. The surveyor attempted to conduct a telephone interview with the RS and E #2, however, they were not available. The facility policy titled, Infection Prevention and Intervention Plan - Coronavirus (COVID-19), dated 5/2022, showed POLICY: It is the policy of this facility to minimize exposures to respiratory pathogens and promptly identify residents with Clinical Features and an Epidemiological Risk for the Coronavirus (COVID-19) and to adhere to Standard, Contact, Droplet and /or Airborne Precautions .Facility shall screen and log all persons entering the facility and all staff at the beginning of the shift . NJAC 8:39-19.4(a)(b)

Based on observation and interview, it was determined that the facility failed to provide visual privacy during a physical examination for 1 of 35 residents reviewed, Resident # 180. The deficient practice was evidenced by the following: On 9/13/21 at 12:32 PM, the surveyor observed Resident #180 seated in a wheelchair wearing 2 facility gowns, in the dining room having lunch with other residents and staff in the dining area. On 9/13/21 at 12:35 PM, the surveyor observed the Nurse Practitioner (NP) enter the dining room to examine Resident #180. The NP was observed listening to the resident's heart and lungs with a stethoscope placed on top of the resident's facility gowns. The NP was also observed lifting Resident #180's facility gowns up to examine the resident's left leg, exposing the resident's left leg. On 9/13/21 at 12:40 PM, the surveyor observed the NP exit the dining area. The surveyor introduced herself to the NP and asked if it was her routine practice to examine residents in the presence of other residents and staff in the dining area. The NP replied that she should not have examined the resident in the dining area and should have taken the resident back to the resident's room for privacy and dignity. The surveyor reviewed Resident #180's Admission Record, which reflected that Resident #180 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The surveyor reviewed Resident #180's Minimum Data Set, an assessment tool, which assessed Resident #180 as having a Brief Interview for Mental Status (BIMS) of 15. A BIMS score of 15 indicates that Resident #180 has intact cognition. On 9/14/21 at 2:04 PM the survey team discussed the above concern with the Licensed Nursing Home Administrator (LNHA), Director of Nursing (DON), VP of Operations and Regional RN-VP Clinical Operations. On 9/15/21 at 12:49 PM, the DON stated that the NP should not have performed a physical examination in the dining room area. No further information was provided by the facility. On 9/15/21 at 1:15 PM, during an interview the surveyor asked the resident if it bothered [the resident] to have the NP do a physical exam in the dining room. Resident #180 replied, No, not at all. N.J.A.C. 8:39-27.1 (a)

Based on interview and record review, it was determined that the facility failed to complete and transmit a Minimum Data Set (MDS), in accordance with federal guidelines. This deficient practice was identified for 1 of 2 residents reviewed for resident assessment (Resident #4). This deficient practice was evidenced by the following: On 9/15/21 at 9:50 AM, the surveyor reviewed the facility assessment task that included the Resident's MDS Assessments. The MDS is a comprehensive tool that is federal mandated process for clinical assessment of all residents that must be completed and transmitted to the Quality Measure System. The facility must electronically transmit the MDS up to 14 days of the assessment being completed. On 9/15/21 at 9:57 AM, the surveyor reviewed Resident #4's electronic medical record. The record revealed that the resident was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Further review of the record revealed that the resident was discharged to the community on 7/9/21. The surveyor reviewed the MDS assessment history which revealed that there was no Discharge MDS Assessment completed for the resident's discharge date of [DATE]. On 9/15/21 at 12:25 PM, the surveyor interviewed the MDS assessor who was responsible for completing and submitting the MDS assessment. She stated that the Discharge MDS was not completed in a timely manner. On 9/15/21 at 12:45 PM, the surveyor spoke to the Regional Nurse and the Director of Nursing regarding the above concern. They did not provide any further information. NJAC 8:39-11.2

Based on interview and record review, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS) for 1 of 35 residents reviewed, Resident # 218. This deficient practice was evidenced by the following: On 9/3/21 at 11:57 AM, the surveyor observed Resident #218 in the hallway seated in a Geri chair. The surveyor was unable to interview the resident as they did not speak to or acknowledge the surveyor. Resident #218 was nonverbal. The surveyor reviewed Resident #218's electronic medical record which revealed that the resident was admitted to the facility on [DATE] with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the resident's MDS, an assessment tool used to facilitate the management of care, dated 7/30/21 reflected Resident #218 had a Brief Interview for Mental Status (BIMS) of 2. Resident #218's BIMS score indicated that the resident had a severe cognitive impairment. Section M (used to list skin conditions which best describes the current number of unhealed Pressure Ulcers and lists injuries at each stage) of the MDS documented that Resident #218 had two Stage 1 Pressure Ulcers, indicating the skin was intact with non-blanchable redness (means that there is no ulcer, but the skin is red in color). The MDS did not indicate that Resident #218 had any stage 2, 3 or 4 wounds. The surveyor reviewed the Weekly Wound Documentation (WWD), identifying an Unstageable sacral wound on 7/12/21. The WWD indicated that on 7/19/21 Resident #218 had a Debridement (the removal of damaged tissue from the wound) of the Sacral Wound by the Physician, The Physician assessed the wound as Stage 4. Stage 4 ulcers are the most serious. Stage 4 wounds can extend below the subcutaneous fat into deep tissues like muscle, tendons, and ligaments depending on the depth of the wound. On 9/14/2021 at 12:05 PM, the surveyor interviewed the Registered Nurse/ Unit Manager (RN/UM) for the 6th floor, who was responsible for completing the MDS assessments. The RN/UM stated that the resident had a Stage 4 Sacral Wound and acknowledged that the MDS was coded inaccurately as the wound was assessed as Stage 4 by the wound Physician on 7/19/21. On 9/15/21 at 12:49 PM, the survey team discussed the above concern with the Director of Nursing and Regional RN. No further information was provided by the facility. NJAC 8:39-11.1

Based on observation and record review, it was determined that the facility failed to withhold a blood pressure medication when the Systolic Blood Pressure (SBP) parameters ordered by the physician indicated that the medication should not be administered. This deficient practice was identified for 1 of 1 resident reviewed for blood pressure monitoring and medication management, (Resident #148). The evidence was as follows: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board The Nurse Practice Act for the State of New Jersey stated, The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, 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 or otherwise legally authorized physician or dentist. Reference: New Jersey Administrative Code, Title 13, Law and Public Safety, Chapter 37, New Jersey Board of Nursing, under 13:37-6.5 Non-Delegable Nursing Tasks, includes: A registered professional nurse shall not delegate the physical, psychological, and social assessment of the patient, which requires professional nursing judgment, intervention, referral, or modification of care. Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board The Nurse Practice Act for the State of New Jersey stated, The practice of nursing as a licensed practical nurse is defined as performing tasks and responsibilities within the framework of case-finding; reinforcing the patient and family teaching program through health teaching, health counseling and provision of supportive and restorative care, under the direction of a registered nurse or licensed or otherwise legally authorized physician or dentist. On 9/9/2021 at 11:21 AM, the surveyor observed Resident #148 in the room lying in bed, watching TV. The surveyor interviewed the Resident #148. The surveyor reviewed Resident #148's medical record. The resident was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the electronic Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the electronic Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . The September 2021 eMAR reflected that the [MEDICATION(S)] was signed as administered when the resident's SBP was greater than 135 seven times in the month. The facility nursing staff documented that [MEDICATION(S)] was administered on 9/2 at 2:00 PM with a SBP of 144, 9/6 at 2:00 PM and 11:00 PM with a SBP of 141, 9/11 at 2:00 PM with a SBP of 165, 9/12 at 11:00 PM with a SBP of 140, 9/13 at 11:00 PM with a SBP of 130 and 9/14 at 6:00 AM with a SBP documented as 156. On 9/14/21 at 2:04 PM, the surveyor discussed the issue with the Administrator, Director of Nursing, Vice President of Operations, Vice President of Clinical Services in the presence of the survey team. The facility representatives agreed that the eMAR reflected that nursing administered the [MEDICATION(S)] to Resident #148 seven times in September 2021 when it should have been held as per the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . NJAC 8:39- 29.2 (d)