Millville Center

In the surveyor’s words

From the most serious findings on record at Millville Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF610Mar 5, 2026

  Based on interviews, record reviews, and facility policy review, the facility failed to thoroughly investigate an allegation of staff to resident abuse and take action to prevent further potential abuse for 1 of 10 residents (Resident [R] #3) R#3 reviewed for abuse. R2 alleged that a Certified Nurse Aide (CNA) abused R3. The facility failed to follow its abuse and neglect policy titled OPS300 Abuse Prohibition, conduct a thorough investigation of the incident, and failed to remove the CNA assigned to R3 on the shift identified in the allegation. […]

• Immediate jeopardy, isolatedF806Mar 5, 2026

  Based on observations, record review, and interviews, the facility failed to ensure 1 of 3 residents (Resident [R] 1) reviewed for food allergies was not served foods to which the resident was allergic. R1 was noted to have food allergies to ketchup, vinegar, and mayonnaise. R1 was served two meals containing allergens. Serving residents foods to which they are allergic has the potential to lead to serious harm, injury, or death.The failure to follow its policy titled Allergies to ensure R1 was not served a food to which the resident was allergic placed this resident and all residents with food allergies at risk of serious harm, injury, or death. Immediate Jeopardy was identified on 03/03/26 at 12:20 PM when R1 was served mayonnaise and offered ketchup at the lunch meal. […]

• Actual harm, isolatedF689Feb 2, 2023

  Based on observation, interview, review of clinical records and other pertinent facility documentation it was determined that the facility failed to: a.) provide adequate supervision for a resident identified as a high risk for falls, b.) implement appropriate fall prevention interventions for a resident after sustaining multiple falls with a major injury, c.) update the resident's Care Plan in a timely manner, d.) perform neuro-checks (assess an individual's neurological functions, motor and sensory response, and level of consciousness) as per facility policy for a resident who had three falls resulting in head injuries. This deficient practice was identified for one of five residents, (Resident #193) reviewed for accidents. […]

• No harm, potential for more than minimal, patternF623Mar 6, 2025

  Based on record review, staff interview, and facility policy review, the facility failed to ensure the resident and/or the resident representative (RR) were given a transfer notice/discharge notice at the time the resident was transferred/discharged to the hospital for seven of seven residents (Residents (R) 180, R181, R21, R22, R42, R89, and R56) reviewed for hospitalization of 30 sample residents. This created the potential for the residents or their RR to have incomplete information, misunderstand the reason, and process for transfer or discharge, and the discharge appeal process. Findings include: 1. Review of R180's electronic medical record (EMR) titled Face Sheet located under the Profile tab indicated the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF842Jun 1, 2023

  Complaint#: NJ150408, NJ151017 Based on interviews, review of Medical Records (MR), and other pertinent facility documentation on 05/31/23 and 06/01/23, it was determined that the facility staff failed to a.) maintain a complete and accurate MR for documentation of a resident's treatments on the Treatment Administration Record (TAR), to show that the tasks were completed for 1 of 2 residents (Resident #2) reviewed for pressure ulcer and failed to follow its policy titled Nursing Documentation. […]