The Arbor at Laurel Circle

In the surveyor’s words

From the most serious findings on record at The Arbor at Laurel Circle, in the surveyor’s own words.

• Actual harm, isolatedF684Sep 13, 2024

  Complaint # NJ 169997 Based on observation, interview, record review and review of pertinent facility documents, it was determined that the facility failed to a.) thoroughly review the hospital discharge summary (After Visit Summary) and communicate the recommendations for an anti-anxiety (AA) medication to the physician, and b.) follow a physician's order for an AA medication (Clonazepam) ordered to be administered daily at bedtime. This resulted in Resident #152 not receiving the physician ordered AA medication for 14 days (from 12/5/23 through 12/19/23) which resulted in Resident #152 experiencing a change in behaviors which included: agitation, anxiety, insomnia and wandering at night. […]

• No harm, potential for more than minimal, widespreadF812Sep 13, 2024

  Based on observation, interview and record review the facility failed to ensure the remote healthcare food service pantry area, and adjacent storage room was maintained in a clean and sanitary manner to prevent the potential for food borne illness. The deficient practice was evidenced by the following: On 09/10/24 at 11:34 AM, the surveyor toured the healthcare food service pantry in the presence of the Food Service Supervisor (FSS). -During the meal set up, and placement into the steam table, the surveyor observed an ant crawling up the wall in the kitchen and several small flying insects in the pantry. The FSS stated there was an ant issue and the facility was notified and the pest people sprayed for ants. […]

• No harm, potential for more than minimal, widespreadF730Jul 14, 2023

  Based on interview and review of pertinent facility documents, it was determined that the facility failed to conduct yearly performance reviews of Certified Nursing Aides (CNA) in order to provide specific education based on the outcomes of the reviews. This deficient practice was identified for 5 of 5 CNAs whose personnel records were reviewed, and was evidenced by the following: On 7/12/23 at 2:10 PM, the surveyor requested from the Director of Nursing to provide the most recent performance evaluation for five randomly selected Certified Nursing Aides (CNA #1; #2; #3; #4; and #5). On 7/13/23 at 9:05 AM, the Licensed Nursing Home Administrator (LNHA) provided the survey team with the five selected CNAs performance evaluations. […]

• No harm, potential for more than minimal, widespreadF802Jul 14, 2023

  Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to ensure dietary staff had the appropriate competencies and skill sets to effectively use and maintain the facility's high temperature dish machine. This deficient practice had the potential to affect all residents, and was evidenced by the following: During a follow-up visit to kitchen on 7/13/23 10:09 AM, the surveyor conducted an inspection of the dish machine, that was not currently in use, in the presence of the Executive Chef. The Executive Chef stated the facility utilized a high temperature dish machine and the gauges should read minimum of 160 degrees Fahrenheit (F) for wash and minimum of 180 F for rinse. […]

• No harm, potential for more than minimal, patternF679Sep 13, 2024

  Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to 1) have a system in place to ensure activities were conducted as scheduled, and 2) have a system in place to ensure residents were receiving their identified activity preferences to support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community. This deficient practice was identified for Resident #34, on 2 of 2 units and was evidenced as follows: A review of the facility provided policy and procedure, Community Life Services [name redacted] Policies and Procedures revised 1/2024, included but was not limited to; Monthly Program Calendars. There are 3 neighborhood calendars. […]