Hunterdon Care Center LLC

In the surveyor’s words

From the most serious findings on record at Hunterdon Care Center LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF627Aug 14, 2025

  Complaint: 2582599 Based on interview, review of the medical records, and review of other pertinent facility documents, it was determined that the facility failed to ensure a safe discharge for a resident (Resident #3) with severe cognitive impairment, who lived in the community alone, and was denied at home nursing care services upon discharge. This deficient practice was identified for 1 of 4 residents reviewed (Resident #3). Resident #3, who was had a Brief Interview for Mental Status (BIMS) score of 5 out of 15, indicating a severely impaired cognition with an admission diagnosis of cognitive impairment, was discharged from Medicare Part A services with a last date of coverage on [DATE]. Resident #3 lost an appeal and was discharged to the community on [DATE]. […]

• No harm, potential for more than minimal, widespreadF880Feb 16, 2023

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure proper hand hygiene procedures were followed to potentially prevent the development and transmission of communicable diseases for four of four dining observations involving residents (Resident (R) 18, R137, R99, and R107) on the locked dementia unit. This had the potential to affect all 31 residents who reside on the locked dementia care unit. Findings include: 1. During a continuous dining observation on 02/13/23 at 11:40 AM through 11:51 AM, the following was observed: Dayroom Hostess (DH) was observed seated with R18 and R137, feeding both residents at this time. […]

• No harm, potential for more than minimal, patternF607Mar 19, 2025

  Based on interview and review of pertinent documentation provided by the facility, it was determined that the facility failed to implement the facility's abuse policy to ensure that reference checks were completed for 10 of 10 employee files reviewed. This deficient practice was evidenced by the following: On 3/18/25 at 9:30 AM, the surveyor reviewed 10 randomly selected employee files, which revealed the following: 1. Licensed Practical Nurse/Unit Manager (LPN/UM) #3, with a hire date of 1/22/24, did not have a previous employee reference on file. 2. Licensed Practical Nurse (LPN) #2, with a hire date of 11/25/24, did not have a previous employee reference on file. 3. […]

• No harm, potential for more than minimal, patternF812Feb 16, 2023

  Based on observations, interview, record review, and policy review, the facility failed to ensure that the unit nourishment rooms refrigerators and ice machines were maintained to prevent potential foodborne illness. The facility identified a census of 163 residents at the time of the survey. Findings include: On [DATE] at 2:15 PM an observation of the nourishment room refrigerator on Birch unit was done with the unit clerk. She stated that they keep milk and different types of juices for the residents. A reading of the thermometer found in the refrigerator door read 50 degrees Fahrenheit (F). […]

• No harm, potential for more than minimal, patternF658Jul 8, 2021

  Complaint#: NJ 1 Based on interviews, medical record reviews and review of other pertinent facility documents on 7/7/2021 and 7/8/2021, it was determined that the facility failed to consistently document in the medical records the status of the residents and adhere to the acceptable standards of nursing practice for not following physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] #3). This deficient practice was evidenced by the following: Review of the Electronic Medical Records (EMRs) were as follows: 1. According to the Medical Record (MR), Resident #1 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]