South Jersey Extended Care

In the surveyor’s words

From the most serious findings on record at South Jersey Extended Care, in the surveyor’s own words.

• Immediate jeopardy, patternF835Dec 30, 2021

  Based on interviews, medical record review, and other pertinent facility documentation, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to ensure that the facility was in compliance with the following regulatory requirements, which affected the safety of all residents in the facility. The LNHA failed to a.) oversee the Infection Preventionist (IP) and Assistant Director of Nursing (ADON) to ensure that the facility followed their Outbreak Response Plan, b.) maintain compliance with Regulation F880, and c.) ensure the implementation of Transmission Based Precautions (TBP) in accordance with CDC guidance. […]

• Immediate jeopardy, patternF880Dec 30, 2021

  Based on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to appropriately identify residents exposed to COVID-19 as Persons Under Investigation (PUI) for the COVID-19 virus; and as a result, failed to implement Transmission Based Precautions (TBP) in a timely manner to prevent the transmission of COVID-19. This deficient practice was identified for 11 of 11 residents (Residents #10, #11, #25, #48, #51, #60, #63, #65, #73, #84, and #94) who were exposed to four known COVID-19 positive staff members on 2 of 3 nursing units (A-B Unit and C-D Unit) during a Standard Survey on 12/09/21. […]

• No harm, potential for more than minimal, widespreadF812Nov 26, 2025

  Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to store utensils in a clean, dry location; not exposed to splash, dust, or other contaminations, and failed to keep utensils covered or inverted to maintain sanitation in a safe, consistent manner. This deficient practice was evidenced by the following:On 11/19/25 at 10:30 AM, the surveyor, in the presence of the Food Service Director (FSD), observed in the facility kitchen, a white bin labeled Flour, with a clear top. Inside of the container, the surveyor noted a white powder and a clear plastic scoop utensil resting within the powder. […]

• No harm, potential for more than minimal, widespreadF570Jun 19, 2024

  Based on interview and document review it was determined that the facility failed to ensure a Surety Bond was in place to provide coverage to protect resident personal needs account funds held by the facility. The deficient practice effected all residents who had personal needs funds held by the facility and was evidence by the following: On 06/13/24 at 2:00 PM. and again on 06/14/24 at 9:00 AM, the surveyor requested a facility Surety Bond from the Liscensed Nursing Home Administrator (LNHA). On 06/14/24 at 9:30 AM, the LNHA provided a Funds Balance Report for 06/03/24 which listed 48 active residents with a combined balance of $20,829.05. […]

• No harm, potential for more than minimal, widespreadF727Jun 19, 2024

  Based on interview and review of Nursing Staffing Report sheets, Payroll Based Journal (PBJ) Reports and facility provided documents, it was determined that the facility failed to ensure the Director of Nursing served as a charge nurse only when the facility has an average daily occupancy of 60 or fewer residents for 7 of 16 days reviewed The deficient practice was evidenced by the following: A review of the Nurse Staffing Reports completed by the facility for 05/07/2023 through 05/13/2023 revealed the facility had one RN for the day shift on 05/12/2023. On 05/12/2023, the census was 100 residents. A review of the Nurse Staffing Reports completed by the facility for 05/26/2024 through 06/01/2024 revealed the facility had one RN for the day shift on 05/26/2024 and 05/27/2024. […]