Raritan Post Acute and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Raritan Post Acute and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF688Apr 10, 2024

  Based on observations, interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to identify and prevent worsening of a contracture (A permanent tightening of the muscles, tendons, skin, and surrounding tissues that causes the joints to shorten and stiffen) for one of four residents (Resident #13) reviewed for position and mobility. This deficient practice was evidenced by: On 03/25/24 at 10:28 AM, during the initial tour of the 3rd floor, the surveyor observed Resident #13 in bed. The resident's right hand was closed from the middle finger to the pinky finger and the index finger was pointing out. […]

• No harm, potential for more than minimal, widespreadF880Sep 11, 2025

  Based on record review, interview, review of facility policies, and review of Centers for Disease Control and Prevention (CDC) guidance, the facility failed to establish and maintain an infection prevention and control program (IPCP) for recording incidents of infections identified under the facility's IPCP, surveillance, tracking and trending, and the corrective actions taken by the facility. The facility further failed to ensure staff wore the proper personal protective equipment (PPE) when providing care to one (Resident (R)3) out of one reviewed for proper PPE being donned (put on) out of a total sample of 35 residents. This had the potential for an increase in infections for all the residents of the facility. […]

• No harm, potential for more than minimal, widespreadF922Apr 10, 2024

  Based on observations, interviews, and pertinent facility documents it was determined that the facility failed to maintain the designated emergency supply of water needed for residents in the event of a loss of normal water supply. This deficient practice was evidenced by the following: On [DATE] at 09:00 AM, the survey team entered the facility and was made aware by the Licensed Nursing Home Administrator (LNHA) that the facility was licensed for 180 beds and the facility census was 123 (the number of residents who currently resided at the facility). On [DATE] at 10:10 AM, the surveyor toured the kitchen with the facility's Food Service Director (FSD) and the Regional FSD. […]

• No harm, potential for more than minimal, widespreadF882Oct 5, 2022

  Based on facility staff interviews and review of other facility documentation, it was determined that the facility failed to ensure that the designated Infection Preventionist (IP) had completed specialized training in infection prevention and control and was qualified by certification and experience for 1 of 1 staff member reviewed in accordance with the facility job description, Center for Medicare and Medicaid Services (CMS) and New Jersey State guidelines. This deficient practice was evidenced by the following: Reference: State of New Jersey Department of Health Executive Directive No 20-026-1 dated October 20, 2020, revealed the following: ii. […]

• No harm, potential for more than minimal, patternF641Sep 11, 2025

  Based on observation, record review, interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure five of five residents (Resident (R) 116, R21, R114, R121, and R26) out of 35 sampled residents had an accurate Minimum Data Set (MDS) assessment. Failure to code the MDS correctly could potentially lead to inaccurate federal reimbursements and inaccurate assessment and care planning of the residents.Findings include: Review of the RAI manual, dated 10/2024 and located at Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual | CMS, revealed .It is important to note here that information obtained should cover the same observation period as specified by the MDS items on the assessment, and should be validated for accuracy (what the… […]