Jersey Shore Post Acute Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Jersey Shore Post Acute Rehabilitation and Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Feb 7, 2023

  Based on interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to activate their emergency response system by calling 911 and immediately initiating Cardiopulmonary Resuscitation (CPR) for 1 of 3 residents reviewed who were full-code and were found unresponsive and without respirations and a heart rate (Resident #82), in accordance with the American Heart Association and the Basic Life Support (BLS) for Healthcare Providers. Resident #82 was a full-code status and had requested aggressive life-saving treatment despite medical decline. The resident was last seen on [DATE] at 7:58 AM, by the nurse who took vital signs, administered blood pressure medications, and left the resident in stable condition. […]

• No harm, potential for more than minimal, widespreadF886Jan 28, 2021

  Based on interview and review of facility documentation, it was determined that the facility failed to test staff for Coronavirus Disease 2019 (COVID-19) at a frequency based on the COVID-19 Activity Level Index (CALI) Weekly Report. This deficient practice was identified for 3 of 3 staff members, who had worked on 3 of 3 units, which were reviewed for testing as evidenced by the following: On 1/28/21 at 9:30 AM, the surveyor met with the Assistant Director of Nursing (ADON)/Infection Preventionist (IP) in the conference room. The ADON/IP stated that staff were tested for COVID-19 at a frequency of once per week. […]

• No harm, potential for more than minimal, patternF658Mar 5, 2025

  Based on observation, interviews, review of the clinical records and pertinent facility documentation, it was determined that the facility to a.) ensure the documentation for the administration of wound treatments for 1 of 2 residents (Resident #46) reviewed for wounds, b.) properly secure medications during medication administration observation, and c.) ensure the medication cart was locked when not in use for 1 of 4 medication carts (east high side) in accordance with professional standards of practice. […]

• No harm, potential for more than minimal, patternF609Feb 7, 2023

  Based on interview and review of pertinent facility documents, it was determined that the facility failed to report to the New Jersey Department of Health (NJDOH) an allegation of staff to resident neglect that occurred on [DATE] when the Licensed Practical Nurse (LPN) failed to call 911 and initiate cardiopulmonary resuscitation (CPR) for a resident (Resident #82) with a full-code status. This deficient practice was identified for 1 of 2 investigations reviewed, and was evidenced by the following: On [DATE] at 9:17 AM, the surveyor reviewed the closed medical record for Resident #82 who had expired in the facility. The surveyor reviewed the medical record for Resident #82. […]

• No harm, potential for more than minimal, patternF695Feb 7, 2023

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) assess and educate a resident on self-administration of oxygen and respiratory inhalers; b.) obtain a physician's order for the self-administration of oxygen and respiratory inhalers; c.) care plan for the self-administration of oxygen and respiratory inhalers; d.) accurately sign in the Treatment Administration Record for the administration of oxygen; and e.) accurately sign the Medication Administration Record for the administration of a respiratory inhaler in accordance with standards of practice. […]