The Banyan at Montclair

In the surveyor’s words

From the most serious findings on record at The Banyan at Montclair, in the surveyor’s own words.

• Immediate jeopardy, widespreadF584Feb 24, 2025

  Licensure reference: 175 NAC 12-007.04C1 Based on observation, interview, and record review, the facility failed to ensure temperatures in 59 of 76 occupied resident rooms and common areas were maintained at a safe and comfortable level. This has the potential to affect all 119 residents of the facility. The facility was notified on 2/18/25 at 8:23 PM of an Immediate Jeopardy (IJ) which began on 2/18/25. The IJ was removed on 2/19/25, as confirmed by surveyor onsite verification. Findings are: A. A review of undated, un-timed temperature log revealed the following temperatures of less than 71 degrees F [Fahrenheit]: memory care unit 67.3 F; room [ROOM NUMBER] 68.3 F; and Station 1 67 F. […]

• Immediate jeopardy, patternF689Apr 3, 2023

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.18E3, 175 NAC 12-006.09D7 Based on observation, record review and interview; the facility failed to ensure water temperatures in resident rooms and a bathing area were maintained at a temperature to prevent the potential for scald burns for rooms 111, 112, 202, 203, 204, 205, 208, 209, 300, 307, 309, 317, 409, 406, 401, and the North spa room. The facility census was 107. Findings are: A. On 03/27/23 at 09:00 AM an observation of the water temperatures in room [ROOM NUMBER] was 129 degrees. […]

• Immediate jeopardy, patternF835Apr 3, 2023

  Licensure Reference Number 175 NAC 12-006.02 Based on observation, record review and interviews, the facility failed to ensure the facility and corporate administration utilize resources in a manner to ensure resident safety and quality of care. The facility census was 107. Findings are: The facility was found to be out of regulatory compliance in multiple areas resulting in an extended survey related to substandard quality of care for accidents. Please refer to the Tag citations for specific detailed findings. […]

• Immediate jeopardy, patternF867Apr 3, 2023

  Licensure Reference Number 175 NAC 12-006.07 Based on observations, record reviews and interviews, the facility Quality Assurance Performance Improvement (QAPI) team failed to identify high water temperatures to avoid the potential for burns and failed to maintain compliance as evidenced by repeat deficient practice. The facility census was 107. Findings are: Review of the facility Quality Assessment and Assurance (QA&A) policy dated March 2023 revealed the following members: Administrator, Director of Nursing, Assistant Director of Nursing, Business office manager (BOM) and Assistant BOM, housekeeping supervisor, Social services director, Maintenance Director, Dietary manager, Activities director, Medical records, Staffing, Concierge. […]

• Immediate jeopardy, isolatedF689Mar 4, 2024

  Licensure Reference Number 175 NAC 12-006.09D7 Based on observation, record review, and interview, the facility failed to ensure that staff were trained to check the function of individual resident elopement prevention equipment to prevent an elopement (unsupervised wandering that leads to the resident leaving the facility without facility staff knowledge). The facility staff identified a total of 13 residents at risk for elopement. The facility had a census of 135. Findings are: A. Record review of Resident 1's Medical Diagnosis sheet, revealed Resident 1's medical diagnoses of: personal history of traumatic brain injury, paranoid schizophrenia and anxiety disorder. […]