Mystic Meadows Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Mystic Meadows Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 3, 2024

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to handle potentially hazardous food and maintain kitchen sanitation in a safe and consistent manner in order to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] from 09:29 AM until 10:17 AM, the surveyor observed the following in the presence of the Food Service Director (FSD): 1.) The surveyor requested to view the dish machine that was in service at that time. The FSD stated that the wash cycle gauge was broken, and the temperature was obtained manually. […]

• No harm, potential for more than minimal, patternF658Nov 2, 2022

  Based on interview and record review, it was determined that the facility failed to consistently document the administration of a treatment in the electronic Treatment Administration Record (eTAR) in accordance with the facility policy. This deficient practice was identified for 1 of 2 residents (Resident # 29) reviewed for nutrition and for 2 of 3 residents (Residents #90 and #195) reviewed for urinary catheter and was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. […]

• No harm, potential for more than minimal, patternF880Feb 3, 2021

  Based on observation, interview, review of medical record and the review of other facility documentation, it was determined that the facility failed to ensure that Personal Protective Equipment (PPE) was utilized in accordance with facility policy and in accordance with the Center for Disease control and Prevention (CDC) and New Jersey Department of Health (NJDOH) guidelines to prevent the spread of Covid-19. This deficient practice was identified for 7 of 9 staff members observed on 2 of 3 residents' units, during the Focused Infection Control Survey on 2/3/2021 and was identified by the following : On 2/3/21 at 09:47 AM, the surveyors conducted an entrance conference with the facility administrative team which included: the Director of Nursing (DON), the Licensed Nursing Home… […]

• No harm, potential for more than minimal, isolatedF550Dec 10, 2025

  Based on observation, interview, review of medical records and other pertinent facility documents, it was determined that the facility failed to treat each resident with respect and dignity in an environment that promotes maintenance or enhancement of their quality of life by maintaining cleanliness and dignified appearance of the resident's motorized wheelchair. This deficient practice was identified in one of one resident (Resident #80) reviewed for dignity and was evidenced by the following:On 12/4/2025 at 10:57 AM, during the initial tour of the facility, the surveyor observed Resident #80 ambulating in the hallway on a motorized wheelchair. […]

• No harm, potential for more than minimal, isolatedF583Dec 10, 2025

  Based on observation, interview, review of medical record and other pertinent facility documents, it was determined that the facility failed to respect the resident's right to confidentiality of personal and medical records from unauthorized disclosure without the resident's consent by leaving the resident's private health information exposed on an open and unattended computer screen in an area accessible to the public. This deficient practice was identified for one of four unsampled residents (Resident #21) during medication administration observation.The deficient practice was evidenced by the following:On 12/5/2025 at 7:54 AM, during the medication administration observation in the long-term care unit, the surveyor observed Licensed Practical Nurse (LPN) #1 administer medications to… […]