Mountainside Skilled Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Mountainside Skilled Nursing and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 21, 2025

  Complaint # 2587610 Based on interviews and review of pertinent facility documents on 08/19/25, it was determined that the facility failed to implement their abuse prevention policy to protect a cognitively impaired resident (Resident #1) from physical abuse when Resident #1's Representative (RR #1) reported to the facility's Social Worker (SW) an allegation of abuse. This deficient practice was identified for 1 of 3 residents reviewed (Resident #1). On 8/4/25, RR #1 reported to the SW that they were on the phone with Resident #1 while the Certified Nursing Aide (CNA #1) was providing care, and the resident was screaming. RR #1 stated that they spoke to CNA #1 through the phone who was not receptive or admitting any wrongdoing. […]

• No harm, potential for more than minimal, widespreadF880Sep 7, 2021

  Based on observation, interview, and review of records, it was determined that the facility failed to: a) practice appropriate hand hygiene for 5 of 7 staff; b) ensure that facility policy was followed with regards to use of personal protective equipment (PPE) for 2 of 4 staff; c) ensure that covered bins were available inside the Observation, Person Under Investigation (PUI) and on reverse isolation (or protective isolation, formerly common type of isolation designed to prevent contact between potentially pathogenic microorganisms and persons with seriously impaired resistance) for 3 of 17 rooms; d) ensure proper handling of gowns and linens; e) ensure that the signage for Observation, PUI, and reverse isolation residents were outside the door for 2 of 17 rooms observed, and f) ensure… […]

• No harm, potential for more than minimal, patternF584Mar 4, 2025

  Based on observation and interview it was determined the facility failed to maintain the residents' living environment in a clean, sanitary, and homelike manner in multiple areas on 2 of 2 floors located throughout the facility. The deficient practice was evidenced by the following: 1. On 2/25/25 at 1:55 PM, in Resident # 236's room located on the 1st floor in room [ROOM NUMBER], the surveyor observed five different areas of peeling and scratched wall paper on the wall, across from the resident's bed, which was exposing the sheet rock underneath. The surveyor also observed an 8 inch area of torn wall paper and a white colored spackle on the wall around it. […]

• No harm, potential for more than minimal, patternF677Mar 4, 2025

  Complaint # NJ 00162506, NJ 177359, NJ 183441 Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that incontinence care was provided to dependent residents in a timely manner for 4 of 6 residents (Resident #,76 #103, #105, and #113) observed for incontinence care on 1 of 2 units (2nd-floor Nursing Unit). This deficient practice was evidenced by the following: On 2/26/25 at 7:50 AM, the surveyor completed an incontinence tour on the 2nd floor Nursing Unit and observed the following: 1. On 2/26/25 at 8:00 AM, the surveyor, accompanied by the Certified Nursing Assistant (CNA #1) observed Resident #103 in bed. […]

• No harm, potential for more than minimal, patternF698Mar 4, 2025

  Based on observation, interview, and record review it was determined that the facility failed to assess residents' vital signs and dialysis access site for complications upon return from the renal dialysis (RD) center. This deficient practice was identified for 2 of 2 residents (Resident #3 and #13) reviewed for dialysis and was evidenced by the following: 1. On 2/25/25 at 11:31 AM, during the initial tour of the facility the surveyor observed Resident #13 lying in bed. The head of the bed was elevated. The resident stated that the breakfast and care were satisfactory. […]