Shore Pointe Care Center

In the surveyor’s words

From the most serious findings on record at Shore Pointe Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 17, 2025

  Based on observation, interviews, and a review of medical records and pertinent facility documents on 11/12/25, it was determined that the facility failed to provide adequate supervision to a severely cognitively impaired resident (Resident #2) with a known history of wandering behaviors, who eloped from the facility on 10/29/25. The deficient practice was identified for 1 of 5 residents reviewed for elopement (Resident #2). During the survey, a finding which constituted an Immediate Jeopardy (IJ) was identified under 42 CFR 483.25 (d)(2) F 689, as the facility failed to provide adequate supervision to a severely cognitively impaired resident (Resident #2) with a known history of wandering behaviors who eloped from the facility on 10/29/2025. […]

• Actual harm, isolatedF692Jan 9, 2025

  Based on observations, interviews, record review, and review of facility documents, it was determined that the facility failed to prevent unintended insidious (gradual but with harmful effects) weight loss of 31.5 pounds (lbs.) in one year from 1/3/24 through 1/1/25, and significant weight losses to include a 14 lb./10.5% loss in 6 months from 4/2/24 through 9/2/24; a 15 lb./11.2% loss in 6 months from 5/5/24 through 10/1/24; a 6.5 lb./5.6% loss in 1 month from 11/1/24 through 12/3/24; and an additional 4 lb. loss from 12/3/24 through 1/1/25; which was also a 16.5 lb./13.4% loss in 6 months from 8/1/24 through 1/1/25. […]

• No harm, potential for more than minimal, widespreadF803Jan 9, 2025

  Based on observation, interviews, and review of pertinent facility documents, it was determined that the facility failed to ensure a.) the facility's Registered Dietitian (RD) reviewed and approved the menus (American and Korean) for nutritional adequacy and in accordance with nationally accredited standards, and b.) residents received care planned and physician ordered fortified foods for 3 of 3 residents (Resident's #41, 71 and 118) reviewed for food. The deficient practice was evidenced by the following: 1. On 1/2/25 at 9:46 AM, two surveyors toured the kitchen with the Food Service Director (FSD), the Regional RD and the Assistant Licensed Nursing Home Administrator (ALNHA). […]

• No harm, potential for more than minimal, widespreadF882Jan 9, 2025

  Based on the interview and review of pertinent facility documents, it was determined that the facility failed to ensure the designated Infection Preventionist (IP) was dedicated solely to the infection prevention and control program (IPCP) from 8/9/24 and ongoing. 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. Required Core Practices for Infection Prevention and Control: Facilities are required to have one or more individuals with training in infection prevention and control employed or contracted on a full-time basis or part-time basis to provide on-site management of the Infection Prevention and Control (IPC) program. […]

• No harm, potential for more than minimal, widespreadF812May 26, 2022

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] from 9:38 to 10:24 AM, the surveyor, accompanied by the Dietary Aide (DA) observed the following in the kitchen: 1. In the dish room on a top shelf of the drying rack, a stack of 5 bowls and an additional solo bowl used to serve resident meals were not in the inverted position or covered. The food contact surfaces were exposed to contamination. The DA stated, We have bins that we store them in covered. They should be covered. […]