Imperial Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF814Jan 13, 2026

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to a.) keep 2 of 2 garbage disposal areas free of garbage and debris, and b.) keep the garbage contained in a closed container for one 1 of 3 (one of three) garbage containers. This deficient practice was evidenced by: On 1/07/26 at 8:55 AM, upon arrival at the facility, the surveyor observed the facility's garbage disposal area #1. The surveyor observed 3 garbage containers (GC). The first GC was uncovered and exposed to the elements. […]

• No harm, potential for more than minimal, patternF880Jan 13, 2026

  Based on observation, interview, review of medical records, and review of other pertinent facility documentation, it was determined that the facility failed to a.) implement infection control measures for the handling and storage of respiratory equipment for 1 of 3 residents reviewed for respiratory care (Resident #40) and b.) contain stored soiled linen appropriately and follow appropriate Personal Protective Equipment (PPE) practices for 1 laundry staff during handling of soiled laundry, to prevent the potential spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines and standards of clinical practice. This deficient practice was evidenced by the following: Reference: Have a separation between the soiled linen and clean linen storage areas. […]

• No harm, potential for more than minimal, isolatedF609Jan 13, 2026

  Based on interview, record review, and review of pertinent documents, it was determined that the facility failed to report a fracture of unknown origin to the New Jersey Department of Health (NJDOH) within 2 hours as mandated for 1 of 1 resident (Resident #43) reviewed for investigations and was evidenced by the following:On 1/7/2026 at 10:20 AM, the surveyor observed Resident #43 sitting on a wheelchair in the therapy room. The surveyor noted a yellow chair alarm hanging at the back of the resident's wheelchair. […]

• No harm, potential for more than minimal, isolatedF641Jan 13, 2026

  Based on observation, interview, and review of medical records and other facility documentation, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS) for 1 of 18 residents (Resident # 6) reviewed. This deficient practice was evidenced by the following:A review of Resident # 6's admission Recorded revealed the resident was admitted to the facility with the following but not limited to diagnosis, dementia (a of cognitive functioning that interferes with daily life and activities). A review of Resident # 6's Electronical Medical Record (EMR) revealed physician's orders for Zoloft 100 milligrams (mg) (a medication used to treat depression and anxiety.) to be given one time a day for social anxiety. […]

• No harm, potential for more than minimal, isolatedF658Jan 13, 2026

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to a.) obtain a physician's order for the use of a chair alarm; b.) identify the medical symptom that warranted the use of a chair alarm; c.) conduct ongoing evaluations for the continued use of the chair alarm; d.) document the least restrictive interventions that were utilized prior to using the chair alarms; and e.) document interventions to decrease and/or discontinue the use of the chair alarm in accordance with professional standards of clinical practice. This deficient practice was identified for 1 of 1 resident reviewed for restraints (Resident #43) and was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. […]