Jewish Home for Rehabilitation and Nursing, The

In the surveyor’s words

From the most serious findings on record at Jewish Home for Rehabilitation and Nursing, The, in the surveyor’s own words.

• Actual harm, isolatedF684Sep 13, 2021

  Complaint Intake NJ 9 Based on record review and interview, it was determined the facility failed to ensure the quality of care provided was in accordance with professional standards of practice for one (Resident #3) of three residents reviewed for delayed treatment. Specifically, the facility failed to: - Monitor and timely report changes in Resident #3's condition to the resident's attending physician; - Ensure there was a system through which the facility was able to swiftly receive a critical lab value; - Consult with the cardiologist to review Resident #3's condition when the resident repeatedly recorded a fluctuating heart rate, and; - Carry out the physician ordered treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Jun 3, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to a) maintain kitchen equipment in a clean and sanitary manner and b) maintain a clean, sanitary environment in 3 of 3 kitchenettes used by residents. The evidence was as follows: On 5/28/25 at 9:56 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following during the kosher kitchen tour: 1. The steam table on the dairy side had four individual wells that held water for the steam. All four of the wells had food, corrosion, and white flakey build-up floating in the water. The surveyor interviewed the Cook, in the presence of the FSD, who stated she only cleaned the water well weekly. […]

• No harm, potential for more than minimal, patternF755May 2, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure, a) disposition (destruction) of controlled dangerous substance (narcotic; medications, that due to their high potential for abuse, are tracked with detail) were accurately documented with a date of disposition and signed by two witnesses for Resident #40, #114, #125 and #428 as per facility policy, b) accurate reconciliation, acquisition, and dispensing of a narcotic medication for Resident #125 who was out on leave/pass, identified in one (1)of nine (9) medication carts inspected, c) a system to account and reconcile for prompt identification of loss or potential narcotic drug diversion stored within one of… […]

• No harm, potential for more than minimal, patternF759May 2, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that all medications were administered without error of 5% or more. During the medication observation on 4/20/23, the surveyor observed two (2) nurses administer medications to two (2) residents. There were 25 opportunities, and five (5) errors were observed which calculated to a medication administration error rate of 20%. This deficient practice was identified for one (2) of two (2) residents, (Resident #38 and #80), that were administered medications by two (2) of two (2) nurses. The deficient practice was evidenced by the following: 1. […]

• No harm, potential for more than minimal, isolatedF657Jun 3, 2025

  Based on observation, interview, review of the medical record, and review of other pertinent facility documents, it was determined that the facility failed to revise an individual comprehensive care plan (ICCP) for a resident with a physician's order for tube feeding (delivers nutrition directly into the digestive system through a tube) whose tube feedings were discontinued. This deficient practice was identified for 1 of 2 residents reviewed for tube feeding (Resident #8), and was evidenced by the following: On 5/28/25 at 11:10 AM, during the initial tour of the facility, the surveyor observed Resident #8 seated in their wheelchair watching television. The surveyor did not observe a feeding pump or tube feeding being administered. […]