Preferred Care at Old Bridge, LLC

In the surveyor’s words

From the most serious findings on record at Preferred Care at Old Bridge, LLC, in the surveyor’s own words.

• Actual harm, isolatedF692Mar 6, 2023

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to a.) identify and address a severe weight loss of 7.6 pounds (lbs.) and 5.3% in one week from 9/15/22 through 9/22/22, and obtain a reweight for 1 of 4 residents, (Resident #97), b.) ensure that a resident identified as at risk for malnutrition or malnourished was comprehensively evaluated and assessed for 2 of 4 residents, (Resident #38 and #97), and c.) provide the recommended supplements to residents that experienced weight loss for 3 of 4 residents, (Resident #33, #38 and #97) reviewed for nutrition. The evidence was as follows: 1. […]

• Actual harm, isolatedF697Mar 11, 2021

  Based on observation, interview and record review, it was determined that the facility failed to: a.) administer breakthrough pain medication in a timely manner when a resident visually and verbally exhibited signs of unmanaged pain during movement, b.) ensure the same resident was appropriately assessed and pre-medicated for breakthrough pain prior to performing wound care and activities of daily living, and c.) place a pressure-relieving gel seat cushion to the chair when out of bed to offload pressure and reduce pain associated with the resident's full thickness tissue loss pressure ulcer. This deficient practice was identified for 1 of 3 residents reviewed for pain management (Resident #25). […]

• No harm, potential for more than minimal, patternF677Oct 23, 2025

  Complaint NJ#'s 420827, 2636492Based on observation, interviews, record review and review of pertinent facility documents it was determined that the facility failed to provide appropriate assistance with toileting needs and personal hygiene care for 4 of 6 residents (Residents #5, #8, #9, and #4) reviewed for Activities of Daily Living (ADL). This deficient practice was evidenced by the following:1. On 10/23/25 at 8:45 AM, Surveyor #1 observed Resident #5 sitting in a chair by the bedside on the South Unit. Resident #5 was disheveled and unkempt. Their sneakers were heavily soiled and stained. Their facial area was covered with yellow and white flakes. Resident #5's lower extremities were swollen, covered with yellow flaky and discolored areas. […]

• No harm, potential for more than minimal, patternF710Mar 6, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to ensure the physician addressed severe weight loss for 1 of 4 residents (Resident #97) reviewed for nutrition. The evidence was as follows: On 3/2/23 at 11:25 AM, the surveyor observed Resident # 97 awake and seated in a wheelchair in front of the North nursing unit. At that time, the resident stated that he/she was aware of his/her weight loss. The surveyor reviewed the electronic and paper medical record for Resident #97. […]

• No harm, potential for more than minimal, patternF658Mar 11, 2021

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure: a.) a medication used to treat low blood pressure ([MEDICATION NAME]) was administered in accordance with the hold parameters prescribed by the physician which occurred for 19 different nurses over a period of six months, and b.) the accurate documentation of a resident's skin condition in accordance with professional standards of nursing practice. This deficient practice was identified for 3 of 22 residents reviewed for professional standards of practice (Resident #10, #25, and #77). Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]