Reformed Church Home

In the surveyor’s words

From the most serious findings on record at Reformed Church Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 27, 2026

  Based on observations, interview, and review of facility provided documents, it was determined that the facility failed to maintain proper kitchen sanitation practices to prevent the development of food borne illness. This deficient practice was evidenced by the following: On 4/21/26 at 9:50 AM, during a tour of the kitchen with the Food Service Director (FSD), the surveyor observed a stainless steel utility rack with stacked pans on each shelf, all turned upside-down. The FSD identified this as the pan rack. The surveyor observed the following:1. Eleven pans stacked together on the second shelf from the top. The FSD identified these as 2-inch full size pans. The FSD separated the 2nd and 3rd pans in the stack which revealed they were dripping a clear thin liquid. […]

• No harm, potential for more than minimal, isolatedF607Apr 27, 2026

  Based on interviews, review of the facility's policy, and other pertinent facility documents, it was determined that the facility failed to implement their abuse policy to complete a background check for 1 out of 48 employees (Employee #1). This deficient practice was identified for newly hired employees reviewed since last survey of 12/11/24. This deficient practice was evidenced by the following:On 4/21/26 at approximately 10:16 AM, during the entrance conference, the surveyor requested from the Licensed Nursing Home Administrator (LNHA) and the Director of Nursing (DON), all newly hired employee files for active and inactive employees from 12/11/24 to the current date.A review of the employee personnel files revealed the following:For Employee #1, a Certified Nursing Assistant (CNA)… […]

• No harm, potential for more than minimal, isolatedF686Apr 27, 2026

  Based on observation, interview, record review, and review of facility provided documents, it was determined that the facility failed to ensure professional standards of nursing practice were followed by offloading (use of a device or specialized surface to decrease the risk of pressure injury) a resident's heels according to the physician's order. This deficient practice was identified for 1 of 1 resident (Resident #14) reviewed for prevention of pressure injury and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF695Apr 27, 2026

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure professional standards of nursing practice were followed by administering oxygen therapy according to the physician's order. This deficient practice was identified for 1 of 1 resident (Resident #52) reviewed for respiratory care and was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, isolatedF689Dec 11, 2024

  Complaint # NJ 179632 Based on observation, interviews, review of medical records and facility documents, it was determined that the facility failed to follow fall prevention interventions as written on the resident's individual comprehensive care plan (ICCP). This deficient practice was identified for 1 of 4 residents (Resident # 44) reviewed for accidents. This deficient practice was evidenced by the following: On 12/04/24 at 12:30 PM, during the initial tour of the 1st floor unit, the surveyor observed Resident #44 in a reclining chair in the day room with other residents and staff members. […]