Leisure Chateau Rehabilitation

In the surveyor’s words

From the most serious findings on record at Leisure Chateau Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Mar 20, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure laundry staff performed hand hygiene immediately after removing personal protective equipment (PPE) worn while handling soiled linen prior to contacting clean laundry equipment and areas. This failure had the potential for contaminated hands to transfer pathogens from soiled linen to clean linen, equipment, and environmental surfaces, placing residents at risk for the development and/or transmission of infections. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2023

  Based on observation, interviews and review of facility documentation it was determined that the facility failed to: a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of food borne illnesses, b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination and c.) maintain adequate infection control practices during food service in the kitchen. This deficient practice was observed and evidenced by the following: On 05/02/23 at 09:51 AM, in the presence of the Food Services Director (FSD), the surveyor toured the kitchen and observed the following: 1. […]

• No harm, potential for more than minimal, patternF812Oct 11, 2024

  Based on observation, interview, and review of facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 10/01/2024 from 9:29 to 10:14 AM, the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. In the dry storage area on a lower rack of a multi-tiered, wheeled, can storage rack, a can of vegetarian beans had a significant dent on the side of the can. The FSD removed the can to the designated dented can area after agreeing that it was significantly dented. 2. […]

• No harm, potential for more than minimal, patternF604Mar 19, 2021

  COMPLAINT # NJ 0 Based on observations, interviews, review of the Medical Record (MR), and review of other pertinent facility documents on 3/19/2021, it was determined that the facility failed to ensure Residents were free from restraints as well as, failed to follow their own policy titled Resident Safety/Restraint Use, for 2 of 5 sampled Residents (Resident #3 and Resident #4). This deficient practice was evidenced by the following: 1. According to MR, Resident #3 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. According to the Minimum Data Set (MDS), an assessment tool dated 12/13/2020, Resident #3 had a Brief Interview for Mental Status (BIMS) score of 3/15, which indicated the Resident's cognition was severely impaired. […]

• No harm, potential for more than minimal, isolatedF578Mar 20, 2026

  Based on interview, record review, and facility policy review, the facility failed to ensure residents were informed of and provided written information, upon admission, regarding their right to formulate advance directives for two residents (Residents (R) 95 and R201) of five reviewed for advance directives out of a total sample of 40 residents. This deficient practice placed residents at risk for more than minimal harm by limiting their ability to make informed decisions and communicate their healthcare preferences, including life-sustaining treatment, in the event they are unable to express their wishes.Findings included:1. Review of R95's admission Record, located under the Profile tab in the electronic medical record (EMR) revealed R95 admitted to the facility on [DATE]. […]