Manahawkin Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Manahawkin Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Mar 25, 2026

  Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 03/05/2026, 03/09/2026, and 03/10/2026, it was determined that the facility failed to provide a safe environment for its residents. The facility failed to ensure that a resident (Resident #9) who had smoked inside the facility against facility policy on four previous occasions since 08/02/2025 did not have smoking materials in their possession or smoke in the facility and in the presence of a resident (Resident #16) who was receiving oxygen therapy on 01/28/2026. […]

• Immediate jeopardy, isolatedF627Mar 25, 2026

  Based on interviews, review of the medical records, and review of other pertinent facility documents, it was determined that the facility failed to ensure a safe discharge for a resident. This deficient practice was identified for 1 of 18 residents reviewed (Resident #18).Resident #18, who had a history of intravenous (IV) drug use and was admitted to the facility with endocarditis to receive IV antibiotics, was discharged from the facility with their Peripherally Inserted Central Catheter (PICC) in place. The PICC is thin, flexible tube inserted into a large upper arm [NAME] and guided to the large [NAME] near the heart. Resident #18 had documented complications of up to 9 dislodgements of their PICC line. […]

• Immediate jeopardy, isolatedF689Jan 5, 2026

  Complaint #: 2701205 Based on interviews, review of medical records, and review of other pertinent facility documents on 12/29/2025, it was determined that the facility failed to create a safe environment and provide adequate supervision to prevent the elopement of a resident (Resident #2) with poor decision-making abilities. The deficient practice was identified for 1 of 3 residents reviewed for elopement (Resident #2). During the survey a finding that constituted Immediate Jeopardy (IJ) was identified under CFR 483.12(a)(1) F689. The facility failed to: a) provide adequate supervision to prevent the elopement of a resident with poor decision-making abilities (Resident #2), b) develop appropriate interventions to prevent elopement, and c) follow their elopement and wandering policy. […]

• Actual harm, patternF755Mar 25, 2026

  Complaints:2794269, 2679147, 2588899, 2639889, 2789654, 2789700 Based on interviews, review of medical records, and review of pertinent facility documents on 03/05/2026, 03/09/2026 and 03/10/2026, it was determined that the facility failed to a.) ensure that physician ordered medication was obtained and available to be administered and b.) maintain records of, receipt, accountability, and removal from inventory of controlled drugs, for 4 out of 5 residents (Resident #9, Resident #10, Resident #15, and Resident #18) reviewed for methadone (opioid medication that treats severe, chronic pain and substance use disorder). The deficient practice was evidenced by the following:A. […]

• No harm, potential for more than minimal, widespreadF656Mar 25, 2026

  Complaint: 2639889Based on interviews, medical record reviews and reviews of other pertinent facility documentation on 3/5/26, 3/9/26, 3/10/26, and 3/18/26, it was determined that the facility failed to develop and implement a comprehensive, person-centered Care Plan (CP) for residents: with a Peripherally Inserted Central Catheter (PICC) line, methadone use, oxygen use, smoking and a history of substance abuse. The CPs lacked foci, goals and interventions addressing proper line integrity, monitoring dislodgement, safe administration of methadone, safe utilization of oxygen, addressing residents who were found smoking in their rooms, and for residents with history of substance abuse. […]