Shady Lane Gloucester Co Home

In the surveyor’s words

From the most serious findings on record at Shady Lane Gloucester Co Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF881Apr 12, 2022

  Based on interview and review of other pertinent facility documentation, it was determined that the facility failed to 1.) include a standardized infection assessment tool or management algorithm when prescribing antibiotics, 2.) provide evidence of staff education about antibiotic stewardship and 3.) provide evidence of antibiotic monitoring during quarterly reviews. These deficient practices were identified during investigation of the Infection Control Task. The deficient practice was evidenced by the following: 1.) On 4/6/22 at 1:17 PM, during an interview with the surveyor, the Director of Nursing (DON) stated that the facility does not use any standardized criteria for determining infections. […]

• No harm, potential for more than minimal, patternF888Apr 12, 2022

  Based on interview, and review of other facility documentation, it was determined that the facility failed to develop and implement a policy to include contingency plans that address staff who are not fully vaccinated due to an exemption or temporary delay in vaccination, to include implementing additional precautions. This deficient practice was evidenced by the following: During Entrance Conference with the Licensed Nursing Home Administrator (LNHA) and Director of Nursing on 4/1/22, the surveyor requested a copy of the facility policy and procedures regarding staff vaccination for Covid-19. […]

• No harm, potential for more than minimal, isolatedF656Sep 5, 2025

  Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to develop and implement a comprehensive care plan that identified an assistive device to help maintain the resident's highest practical and physical well-being for a resident who required bilateral foot braces. This deficient practice was identified for 1 of 2 residents reviewed for positioning and mobility (Resident #29), and was evidenced by the following:On 9/2/2025 at 8:04 PM, during the initial tour of the facility, the surveyor observed Resident #29 with their eyes closed. […]

• No harm, potential for more than minimal, isolatedF609Apr 18, 2024

  Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to report to the New Jersey Department of Health (NJDOH) and the State Ombudsman, an unwitnessed fall which resulted in fractures to multiple right foot metatarsal heads (bones located in the mid-foot). This deficient practice was identified for 1 of 3 residents (Resident #22) reviewed for accidents and was evidenced by the following: A review of the facility provided policy and procedure, Incident and Accident Report/Falls reviewed 03/2024, which included but was not limited to; to accurately record any incident or accident when it occurs in accordance with legal liabilities and state and federal regulations. Procedure 1. […]

• No harm, potential for more than minimal, isolatedF761Apr 18, 2024

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to ensure medications were dated upon opening and all medications were secured inside the medication cart. This deficient practice was identified in 1 of 2 medication carts observed and was evidenced by the following: 1. On [DATE] at 7:35 am, the surveyor observed the Licensed Practical Nurse (LPN) in an adjacent hallway. The surveyor approached the LPN and informed her that she would be observed for medication administration. The LPN had a Bingo card of medication in their hands. The LPN placed the Bingo card on top of the medication cart and wheeled the medication cart to the next hallway. […]