Regalcare at Glen Ridge

In the surveyor’s words

From the most serious findings on record at Regalcare at Glen Ridge, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Dec 16, 2022

  Based on record review and interview, the facility failed to ensure 1 Resident's (#231) significant change in condition was reported to the nurse on duty out of a total of 38 sampled Residents. While providing care to Resident #231, Certified Nurses Aide (CNA) #2 and CNA #4 observed Resident #231 to have a change in condition evidenced by vomiting and difficulty breathing. CNA #2 and CNA #4 continued to provide care for Resident #231 and then left the Resident alone without alerting Unit Manager #2. Resident #231 was found deceased approximately one hour later. […]

• Immediate jeopardy, isolatedF684Dec 16, 2022

  Based on record review and interview, the facility failed to provide quality care in accordance with professional standards of practice for 1 Resident (#231) out of a total of 38 sampled Residents. While providing care to Resident #231, Certified Nurse Aide (CNA) #2 and CNA #4 observed Resident #231 to have a change in condition as evidenced by vomiting and difficulty breathing. CNA #2 and CNA #4 continued to provide care for Resident #231 and then left him/her alone in bed without alerting licensed nursing staff (Unit Manager #2). Resident #231 was found deceased approximately one hour later. […]

• Actual harm, patternF677Aug 12, 2024

  Based on observations, record review, policy review and interviews, the facility failed to provide assistance with Activities of Daily Living (ADLs), for six Residents (#63, #10, #3, #37, #94, and #2) out of a total sample of 46 residents. Specifically: 1a. For Resident #63, the facility failed to ensure incontinence care was provided for 17 hours resulting in the development of new pressure ulcers. 1b. For Resident #10, the facility failed to ensure incontinence care was provided for 17 hours resulting in the development of new pressure ulcers. 2. For Resident #3, the facility failed to provide assistance with meals as per the plan of care. 3. For Resident #37 and #94, the facility failed to provide assistance with nail care. 4. […]

• Actual harm, patternF684Aug 12, 2024

  Based on observation, record review, and interview, the facility failed to ensure residents received treatment and care to maintain the highest practicable well-being for six Residents (#99, #42, #81, #41, #49, and #263) out of a total of 46 sampled residents. Specifically, 1. For Resident #99, the facility failed to ensure staff identified and address a deteriorating skin injury. 2. For Resident #42 the facility failed to obtain a culture and sensitivity (C&S) as ordered by the MD for 10 days after the order was initially given and failed to notify the MD that they were unable to fulfill the order. 3. For Resident #81, the facility failed to ensure it monitored or identified a Stage 2 calf wound or seek treatment to promote healing and prevent infection. 4. […]

• Actual harm, patternF686Aug 12, 2024

  Based on observations, interviews, policy review, and record review, the facility failed to provide care and treatment to prevent the development and worsening of pressure ulcers (wounds that occur when the skin and tissue are damaged by prolonged pressure, usually on bony areas like the coccyx, hips, heels, or elbows) for six Residents (#30, #14, #63, #10, #81, #3) out of a total sample of 46 residents. Specifically: 1. For Resident #30 the facility failed to implement interventions to prevent pressure ulcer development for a resident who is dependent on staff. The Resident developed an unstageable deep tissue injury on the right heel. 2. […]