Ocean Grove Post Acute

In the surveyor’s words

From the most serious findings on record at Ocean Grove Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 2, 2025

  Based on observation and interview it was determined that the facility failed to ensure food was stored, prepared, and served in a manner that prevents food borne illness to the residents. Findings include: 6/23/25 - 9:46 AM - During a tour of the kitchen, observation of the walk-in refrigerator revealed a considerable amount of rust on the interior side of the door, numerous areas of rust and food debris on the food storage shelving and the walls and floor, as well as a significant number of areas of rust on and adjacent to the waterpipes located on the walk-in refrigerator ceiling. 6/23/25 - 9:53 AM - During observation of the kitchen office, a large area of standing water was noted. […]

• No harm, potential for more than minimal, widespreadF756Sep 30, 2021

  Based on record review and interview, it was determined that, for four (R3, R8, R56 and R77) out of five residents reviewed for unnecessary medications, the facility failed to ensure irregularities identified by the pharmacist were reviewed by the physician. Additionally, the Facility's Drug Regimen Review policy did not contain the necessary requirements. Findings include: 1. Review of the facility policy entitled Drug Regimen Review (last reviewed 6/15/21) revealed the policy failed to include: - Time frames for the different steps in the process (time frame for pharmacist to inform the facility of irregularities and time frame for the physician to review the irregularities). […]

• No harm, potential for more than minimal, widespreadF812Sep 30, 2021

  Based on observation, interview, and review of other facility documentation, it was determined that for two (1 and 3) out of four resident care units and inspection of the main kitchen, the facility failed store, prepare and serve food in accordance with professional standards for food service safety . Findings include: [DATE] (date of last revision) -The facility policy for Use and storage of Food Brought to the Residents by Visitors stated, .Food brought into the facility by residents and family members/visitors, or resident representatives will be stored according to the type .Any expired or unlabeled food will be discarded . 1. […]

• No harm, potential for more than minimal, patternF603Jul 30, 2026

  Based on record review and interview it was determined that for one (R182) out of sixteen residents reviewed for abuse the facility failed to ensure the resident was free from involuntary seclusion. Findings include: Review of R182's clinical record revealed:10/2/24 - R182 was admitted to the facility with multiple diagnoses including anxiety and depression. 10/7/24 - An admission MDS assessment documented R182 as cognitively intact with a BIMS score of 15. There were no behaviors and no diagnosis of dementia documented.3/24/26 - R182 was transferred from a long-term care unit to the facilities locked dementia unit. 3/24/26 11:36 AM - A social services progress note in R182's clinical record documented, SW spoke with [R182's] daughter via telephone. […]

• No harm, potential for more than minimal, patternF609Jul 30, 2026

  Based on record review and interview, it was determined that for four (R1, R32, R184 and R188) out of twenty-six residents reviewed for abuse and neglect, the facility failed to identify and report the allegations of abuse, neglect or suspicion of a crime to the State Agency within appropriate timeframe. Findings include: The facility policy on abuse last updated May 2026, indicated, The facility will have written procedures that include: 1. Reporting of all violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g. law enforcement when applicable) within specified time frames. 1. […]