Newark Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Newark Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 20, 2023

  The following survey finding pertains to an incident of past noncompliance that was subsequently corrected prior to this survey. Based on closed medical record review, hospital record review, emergency call center documentation, facility investigation, interviews, review of the weather information at localconditions.com, and facility policy review the facility failed to ensure adequate supervision was provided to Resident #1, who was cognitively impaired and exhibited wandering behavior to prevent elopement. This resulted in Immediate Jeopardy on 03/08/23 at 5:24 P.M. when Resident #1 was found confused in front of hospital (by another patient's family member), face down on the ground, with abrasions and swelling to the right side of face, bilateral hands, and left forearm. […]

• Actual harm, isolatedF686Jun 16, 2026

  Based on observations, review of the medical record, review of the ambulatory wound clinic notes, review of the pharmacy delivery slips, review of the facility policy, review of facility emails, and interviews with staff, the facility failed to ensure a comprehensive initial wound assessment for a new wound was completed, wound treatments were completed as ordered, the physician was notified of absent dressings, wound interventions were in place and initiated timely, the wound was adequately assessed for appropriate wound staging, imaging services were completed as ordered, and infection control was maintained during wound care, to prevent the in-house development and/or worsening of a pressure ulcer to the coccyx of Resident #01. […]

• Actual harm, isolatedF697Aug 21, 2025

  Based on observation, record review, facility policy review, and interviews, the facility failed to ensure an adequate stock of controlled substances were on-hand to adequately treat pain. This affected two residents, Resident #46 and Resident #65.Actual Harm occurred when the facility failed to ensure scheduled pain medication was reordered timely and available for Resident #65 and Resident #46. Resident #65's pain medication was not documented as administered on 08/09/25, 08/10/25, 08/11/25, and 08/12/25 leading to Resident #65 reporting pain, rating the pain a ten on a one to ten scale, with 10 being the worst pain ever experienced. Resident #65's pain medication was not documented as administered and on 08/11/25 at 10:43 A.M. […]

• Actual harm, isolatedF690Feb 9, 2023

  Based on record review, hospital record review and interview the facility failed to ensure a urinary tract infection (UTI) was timely identified and treated for Resident #98. Actual Harm occurred on 12/19/22 when Resident #98, who was symptomatic of a UTI/sepsis (including lethargy, tachycardia, altered mental status) was transferred to the hospital and admitted with the diagnosis of a UTI and sepsis (blood infection) due to the UTI. Resident #98 was originally admitted to the facility on [DATE] with a pending urinalysis (U/A) result for a specimen that had been collected at the hospital. The U/A culture results were not obtained by the facility resulting in a repeat U/A being collected on 12/17/22 causing a delay in the resident receiving appropriate treatment for his UTI. […]

• Actual harm, isolatedF690Jul 6, 2022

  Based on observation, interview, medical record review, and hospital record review, the facility failed to ensure Resident #22 was treated timely for a urinary tract infection ([CONDITION(S)]) after being discharged from the hospital. Actual harm occurred on 05/19/22 when Resident #22 returned to the facility from the hospital with a [CONDITION(S)] and the facility failed to continue the resident's antibiotic treatment resulting in a prolonged [CONDITION(S)] with delusions, paranoia, tearfulness, and urinary incontinence. This affected one resident (Resident #22) out of three residents reviewed for medication administration. […]