Montclair Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 5, 2024

  Based on observation, interview, record review and policy review, it was determined that the facility failed to a.) store potentially hazardous foods in a manner to prevent food borne illness, and b.) failed to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination from foreign substances and potential for the development a food borne illness. This deficient practice was evidenced by the following: On 4/3/24 at 9:45 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. In the food preparation area, inside the ice machine, the surveyor observed a black colored build up along the seam and white colored matter inside the walls of the ice machine. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to maintain proper kitchen sanitation practices and properly store potentially hazardous foods in a safe and sanitary environment to prevent the development of food-borne illness. This deficient practice was evidenced by the following: During a tour of the kitchen with two surveyors and the Food Service Director (FSD) on 2/25/22 at 11:00 AM, the following was observed: 1. The walk-in refrigerator floor was covered with wet debris and all rusted as identified by the FSD, who also stated that there was a leak and that's why the floor is wet and rusted. There were three wire racks inside the refrigerator. Each rack contained four shelves. […]

• No harm, potential for more than minimal, patternF640Apr 5, 2024

  Based on the interview and record review, it was determined that the facility failed to complete and submit electronically the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care of all residents, within 14 days of completing the resident's assessment and in accordance with the Center's for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Manual. This deficient practice was identified for 14 residents sampled (Resident #11, 16, 22, 26, 27, 33, 36, 39, 50, 117, 9, 30, 45, and #41) and reviewed for resident assessment. According to the Long-Term Care RAI 3.0 User's Manual Version 1.18.11, updated October 2023, the MDS is a comprehensive tool and a federally mandated process for clinical assessment of all residents. […]

• No harm, potential for more than minimal, patternF711Apr 5, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to: a.) assure that the physician responsible for supervising the care of residents signed and dated monthly physician's orders. This deficient practice was observed for 3 of 12 residents reviewed (Resident #41, #58 and #45), b.) document Physician Progress Notes (PPN) at least every 60 days with alternating Nurse Practitioner (NP) visits for 1 of 12 residents reviewed (Resident #45), and c.) document physician progress notes that reflect the physician's decisions about the continued appropriateness of the resident's current medical regimen for 1 of 12 resident reviewed (Resident #28). The deficient practices were evidenced by the following: 1. […]

• No harm, potential for more than minimal, patternF726Apr 5, 2024

  Based on interview and record review it was determined that the facility failed to ensure that 5 of 5 licensed nurses were assessed to have the required competencies to meet the care needs of residents residing at the facility. The deficient practice is evidenced as follows. On 4/04/24 at 10:44 AM the surveyor requested from the Director of Nursing (DON) 5 randomly selected nurses' annual nurse competencies. Later that day the DON provided 5 Nursing Performance Appraisals for the 5 nurses. The Appraisals did not address specific nursing tasks. […]