Livingston Post Acute Care

In the surveyor’s words

From the most serious findings on record at Livingston Post Acute Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 20, 2024

  Based on observation, interview, and review of facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain kitchen sanitation in a manner intended to prevent the spread of food borne illness and in accordance with professional standards for food service safety. The deficient practice was evidenced by the following: On 9/16/24 at 7:55 AM, the surveyor toured the facility kitchen with Dietary Aid (DA#1). DA#1 stated that the Food Service Director (FSD) was not at the facility. The surveyor observed the following concerns: 1. The surveyor observed a refrigerator next to the stove. […]

• No harm, potential for more than minimal, widespreadF838Sep 20, 2024

  Based on the interview and review of facility documentation, it was determined that the facility failed to a.) ensure that facility wide assessment included the resources required to establish policies and procedures for the management of staffing contingency plan to meet the requirements and needs of all residents in the facility and b.) meet the staffing plan as reflected in the Facility Assessment. These failures had the potential to affect all 126 residents who currently live in the facility. This deficient practice was evidenced by the following: During the entrance conference on 9/16/24 at 7:54 AM, the surveyor requested from the Licensed Nursing Home Administrator (LNHA) and the Director of Nursing (DON) a copy of the Facility Assessment (FA). […]

• No harm, potential for more than minimal, widespreadF920Sep 20, 2024

  Based on observation, interviews, record review, and review of other pertinent provided facility documents, it was determined that the facility failed to ensure that residents provided one or more rooms designated for residents dining and dining activities according to the federal regulation, approved floor plan, and facility policy. This failure had the potential to affect all 126 residents who currently live in the facility. This deficient practice was evidenced by the following: On 9/16/24 at 9:26 AM, Surveyor #1 (S#1) and Surveyor #2 (S#2) met with the Licensed Nursing Home Administrator (LNHA) and the Director of Nursing (DON) for an Entrance Conference. […]

• No harm, potential for more than minimal, patternF842Aug 18, 2026

  Complaint #: 3134110Based on interviews, medical record review, and review of other pertinent facility documentation on 08/18/26, it was determined that the facility failed to maintain medical records in accordance with accepted professional standards related to Activities of Daily Living (ADL) documentation for facility residents. This deficient practice was identified for 4 out of 4 residents, (Residents #1, Resident #8, Resident #9, and Resident #10) reviewed for ADL documentation.This deficient practice was evidenced by the following: A review of the facility's policy on Charting and Documentation, with an updated date of 4/2026, included under Policy Interpretation and Implementation: 3. Documentation in the medical record will be objective, complete, and accurate.1. […]

• No harm, potential for more than minimal, patternF607Jan 5, 2026

  Based on interview and review of pertinent documentation provided by the facility, it was determined that the facility failed to ensure licensed staff credentials were verified upon hire for 56 of newly hired licensed staff reviewed. The deficient practice was evidenced by the following. 1.On 12/29/25 at 9:49 AM, during entrance conference of Surveyor #1 (S #1) with the Licensed Nursing Home Administrator (LNHA), the Director of Nursing (DON), and the Assistant DON (ADON), S #1 asked the LNHA a list of new employees who were hired since the last recertification survey that included their title and date of hire. S #1 also notified the LNHA that all new hired employee files and medical records must be provided to the survey team as soon as possible. […]