Jewish Home at Rockleigh

In the surveyor’s words

From the most serious findings on record at Jewish Home at Rockleigh, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 7, 2025

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain kitchen sanitation practices as well as store, and label in a manner intended to prevent the spread of food borne illness. This deficient practice was evidenced by the following: On 6/26/25 at 9:46 AM, the surveyor in the presence of the Dietary Supervisor (DS), who was covering for the Food Service Director (FSD), observed the following during the initial kitchen tour: 1. Large mixing machine with mashed potato residue. The DS confirmed the surveyor's observation and stated that it should have been cleaned yesterday as scheduled and after each use. […]

• No harm, potential for more than minimal, patternF755Jul 7, 2025

  Based on observation, interview and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to assure accurate dispensing and administration of Resident #132's insulin. This deficient practice was identified for 1 of 5 residents, that was administered by 1 of 5 nurses. Reference: According to the manufacturer's specifications for Humalog [NAME] KwikPen, instructions for use included: Each turn of the dose knob dials (0.5) ½ unit of unit. Administration of 0.5 to 30 units in a single injection. […]

• No harm, potential for more than minimal, isolatedF550Jul 7, 2025

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined the facility failed to treat a resident with respect and dignity during podiatry care. This deficient practice was identified for 1 of 1 resident (Resident #243) reviewed. This deficient practice was evidenced by the following: On 6/26/25 at 10:52 AM, the surveyor observed Elder #243 (also known as Resident #243) was attending an activity with other six residents when the resident was pulled over to the side in the activity area by the Medical Assistant (MA) and the Podiatrist (physician). The surveyor observed the Podiatrist seated on a regular chair with gloves, Resident #243 seated on their wheelchair, and the MA with gloves. […]

• No harm, potential for more than minimal, isolatedF552Jul 7, 2025

  2. On 6/26/25 at 10:52 AM, Surveyor #2 (S#2) observed Elder #243 (also known as Resident #243) was attending an activity with other six residents when the resident was pulled over to the side in the activity area by the Medical Assistant (MA) and the Podiatrist. S#1 observed that podiatry care was stopped after the resident declined to continue with podiatry care and became agitated. S#2 reviewed the medical records of Resident #243, and revealed: A review of the AR reflected that the resident was admitted to the facility with diagnoses that included but were not limited to; Alzheimer's disease unspecified, unspecified dementia, unspecified severity, with other behavioral disturbance, major depressive disorder, recurrent, moderate, and anxiety disorder unspecified. […]

• No harm, potential for more than minimal, isolatedF558Jul 7, 2025

  Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure 1 of 35 residents (Resident #99) call bell was within reach and able to use to accommodate the residents' needs. This deficient practice was evidenced by the following: On 6/26/25 at 1:22 PM, while conducting the initial tour of the facility, the surveyor observed Elder #99 (also known as Resident #99) in their room, sleeping in a wheelchair (w/c), which was positioned next to the resident's bathroom. […]