Roosevelt Care Center At Old Bridge

In the surveyor’s words

From the most serious findings on record at Roosevelt Care Center At Old Bridge, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Dec 8, 2022

  Based on observation, interview and policy review, the facility failed to ensure the dumpster area remained free of garbage to prevent the harborage of pests and rodents on three of three days for which observations were made during the survey. This had the potential to affect staff, visitors, and all 167 residents residing in the facility. Findings include: During an observation on 12/05/22 at 09:55 AM, the outside dumpster area revealed two dumpsters next to each other. Dumpster 1 had a lid broken off at the hinge on one side and the other side was propped up and open with a mound of garbage bags. Dumpster 2 had a lid that was open and had four garbage bags in it. Two gloves, a spoon, two plastic knives, a grape and other garbage was noted on the ground around the dumpsters. […]

• No harm, potential for more than minimal, patternF641Sep 25, 2025

  Based on observations, record review, interviews, review of facility policy and review of the Resident Assessment Instrument (RAI), the facility failed to ensure four residents Minimum Data Set (MDS) assessments were accurately coded regarding dialysis (Resident (R) 6 and R135), weight loss (R14) and restorative nursing program (R8) out of 33 sampled residents. This failure had the potential to affect the care planning and provision of needed services.Findings include: 1.a. Review of the admission Record, located in the electronic medical record (EMR) under the Profile tab, revealed R6 was admitted to the facility on [DATE]. She had diagnoses of end stage renal disease and dependence on renal dialysis with an onset date of 10/01/24. […]

• No harm, potential for more than minimal, patternF550Dec 8, 2022

  Based on observation, interview, record review, and review of facility policy, the facility failed to assure that three (Resident (R) 80, R92, and R22) of 36 sampled residents were treated in a respectful and dignified manner during dining. Staff stood over the residents while feeding them their meals, rather than sitting at the resident's eye level, maintaining face-to-face contact. In addition, staff failed to refer to an unidentified resident with dignity. Staff referred to a resident by the level of assistance they need, rather than in a person-centered manner. Findings include: 1. Review of R80's Admission Record, located under the Profile tab of the electronic medical record (EMR), revealed R80 was admitted on [DATE] and had diagnoses including dementia. […]

• No harm, potential for more than minimal, patternF690Dec 8, 2022

  Based on observation, interview, record review and facility policy review, the facility failed to ensure four (Resident (R) R557, R133, R5, and R43) of five residents reviewed for catheter use received appropriate catheter care. Specifically, R557 had no order to indicate the size of the condom catheter needed to prevent leakage. R133 had two conflicting orders for catheter sizes. R5's catheter tubing was in contact with the floor, and R143's catheter tubing was not anchored as ordered. These failures had the potential to lead to increased urinary tract infections, pulling of the catheter tubing, or use of the wrong size catheter. Findings include: 1. […]

• No harm, potential for more than minimal, isolatedF678Sep 25, 2025

  Based on observation, interview, and record review, the facility failed to ensure that the facility was able to provide emergency basic life support immediately when needed, including cardiopulmonary resuscitation (CPR), to any resident requiring such care prior to the arrival of emergency medical personnel in accordance with related physicians orders and the resident's advance directives for three of five residents (Resident (R) R14, R184, and R187) reviewed for code status out of 36 sampled residents. […]