Optima Care Harborview

In the surveyor’s words

From the most serious findings on record at Optima Care Harborview, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF838Jan 15, 2026

  Based on the interview and review of facility documentation, it was determined that the facility failed to; a.) ensure that facility wide assessment included the resources required to establish policies and procedures for the management of staffing contingency plans, b.) update to include the New Jersey (NJ) Mandated law for staffing, c.) update to include the day to day operations with regard to the physical environment, and d.) ensure to include accurate and updated information in order to meet the requirements and needs of all residents in the facility. […]

• No harm, potential for more than minimal, patternF693Jan 15, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to; a.) consistently document enteral tube feeding (TF) flush administration to assure the total volume administered was in accordance with physician's orders (PO), b.) administer TF per PO, c.) clarify PO, and d.) properly store and date TF supplies to ensure appropriate care and services for a resident receiving enteral feedings . This deficient practice was identified for 3 of 5 residents (Residents #1, #15, and #43), reviewed for enteral tube feeding.This deficient practice was evidenced by the following: 1. On 1/8/26 at 10:54 AM, Surveyor #1 (S #1) entered Resident #1's room and observed that the resident was not in the room. […]

• No harm, potential for more than minimal, patternF880Jan 15, 2026

  Based on observation, interview, and review of other pertinent documents, it was determined that the facility failed to: a.) ensure appropriate hand hygiene was performed and use of personal protective equipment (PPE) and b.) ensure appropriate storage of clean linen supplies. The deficient practice occurred on 2 of 3 resident units (3rd and 5th floor), 1 of 3 clean linen rooms, 4 of 11 staff (1 Licensed Practical Nurse, 1 Housekeeper, and 2 Certified Nursing Aides), failed to follow appropriate infection control practices to prevent the spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines, standards of clinical practice, and the facility's policy.This deficient practice was evidenced by the following:According to CDC, Clinical Safety: Hand… […]

• No harm, potential for more than minimal, patternF921Jan 15, 2026

  Based on observation, interview, and review of pertinent documents, it was determined that the facility failed to maintain a clean, safe, and sanitary environment for 4 of 4 common areas (2nd, 3rd, 4th, and 5th floors), 2 of 3 day rooms (3rd and 4th floor), and 1 Resident's room (room [ROOM NUMBER]).This deficient practice was evidenced by the following: 1.On 1/9/26 at 11:44 AM, Surveyor #1 (S #1), with Surveyor #2 (S #2), and in the presence of the Regional Quality Assurance Nurse (RQAN) toured the 3rd floor shower room and observed the following: -Upon entry, there was one floor tile missing. -The wall beneath the entrance door was broken and with hole. The surveyor asked the RQAN what the importance of ensuring the flooring was even and no missing tiles was. […]

• No harm, potential for more than minimal, patternF944Jan 15, 2026

  Based on interview and review of pertinent facility documents, it was determined that the facility failed to ensure facility staff had mandatory training that outlined and informed staff of the elements and goals of the facility's QAPI (quality assurance and performance improvement) program for 5 of 5 Certified Nurse Aides (CNAs) reviewed for mandatory education (CNA #1, #2, #3, #4, and #5). This deficient practice was evidenced by the following:On 1/9/26 at 11:33 AM, the surveyor requested from the Staff Educator (SE) the mandatory annual education and any related attendance logs or documents that was done for five randomly selected CNAs based on their date of hire (doh). […]