N J Eastern Star Home

In the surveyor’s words

From the most serious findings on record at N J Eastern Star Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Sep 27, 2024

  Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to ensure staff: a) performed appropriate hand hygiene (HH) during meal delivery services and b) removed soiled gloves upon exiting a resident room to prevent the potential spread of infection. This deficient practice occurred on 2 of 3 units, for 1 staff observed on 1 of 3 units and was evidenced by the following: a) On 09/25/2024 at 8:13 AM, Surveyor #1 observed the breakfast meal trays being delivered to residents on the B unit. […]

• No harm, potential for more than minimal, patternF695May 17, 2023

  Based on observation, interview, record review, and review of other facility provided documents, it was determined that the facility failed to maintain the necessary respiratory care and services for residents who were receiving oxygen (O2) treatment according to standards of practice. This deficient practice was identified for three (3) of three (3) residents (Resident #10, #31, and #120) reviewed for respiratory care. This deficient practice was evidenced by the following: 1. On 5/02/23 at 10:06 AM, the surveyor observed Resident #10 seated in a wheelchair in their room. The surveyor observed a nasal cannula (n/c; consisting of two hollow prongs projecting from a hollow face piece) O2 tubing attached to an O2 concentrator in Resident #10's room. […]

• No harm, potential for more than minimal, isolatedF607Jan 23, 2026

  Based on interview, review of the facility's policy, and other pertinent facility documents, it was determined that the facility failed to implement their abuse policy to a.) complete reference checks for 2 out of 52 employees (Employee #4, #5); b.) complete background checks for 3 out 58 employees (Employee #1, #12, #13); and c.) complete license checks for 2 out of 58 employees (Employee #3, #8). This deficient was identified for newly hired employees reviewed since last survey from 9/27/2024 and was evidenced as follows:1.) A review of the employee personnel files revealed the following:For Employee #4, a Certified Nursing Assistant (CNA) with a start date of 6/28/25, there was no evidence of a reference check prior to the start of employment.For Employee #5, a CNA with a start date of… […]

• No harm, potential for more than minimal, isolatedF678Jan 23, 2026

  READY TO BE REVIEWEDBased on observation, interview, and record review, it was determined that the facility failed to document the code status (medical instructions regarding resuscitation and other lifesaving measures in the event of a medical emergency) for 2 of 3 residents reviewed (Resident #30 and # 73) for advanced directives.This deficient practice was evidenced by the following:1.On 1/21/26 at 9:38 AM, during the initial tour, the surveyor observed Resident #30 in bed with their eyes closed. […]

• No harm, potential for more than minimal, isolatedF686Jan 23, 2026

  Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to ensure that a low air loss mattress was functioning properly and accurately setup according to the resident's weight in accordance with a physician's order for a resident who was previously identified to have had an alteration in skin integrity.This deficient practice was identified for 2 of 2 residents (Resident #15 and Resident #38) reviewed for pressure ulcers and was evidenced by the following:a.) On 1/20/26 at 10:58 AM and 12:09 PM, the surveyor observed Resident #15 lying in bed, sleeping, on an air mattress. […]