Alaris Health Cedar Grove: Fall Investigation Incomplete - NJ
Inspectors arrived at Alaris Health at Cedar Grove on September 18, 2025, responding to a complaint. What they found was a fall investigation with pieces missing that should have been collected in the days immediately after the incident: no assessment from a registered nurse, and no statements from the second transport company involved in the trip when the resident went down.
The fall happened on June 15, 2025. By the time the survey team walked in, the facility's own file on the incident had gaps that its written policy said shouldn't exist.
That policy, revised as recently as January 2025, spelled out what an investigation was supposed to include: interviews with staff, the resident, and any witnesses, with those statements attached to the incident report and kept on file in the Director of Nursing's office. None of that had been done completely. The registered nurse assessment was missing. Transport company number two, which had been present during the fall, had never been formally contacted as part of the investigation.
On September 17, with the survey team present, the Director of Nursing, the Licensed Nursing Home Administrator, and the facility's Regional Registered Nurse sat down with an inspector to go over what was missing. The conversation covered the absent nurse assessment and the absent outreach to the transport company. The same concerns were raised again the following morning.
At that second meeting, on September 18, the Regional Registered Nurse told the survey team that the facility had tried to reach the former administrator, the one who had been in charge when the fall occurred and when the investigation should have been conducted, to find out whether any interview had actually taken place. They had also, finally, contacted Transport company two directly. That company confirmed the June 15 transport had occurred and said it would send over relevant information.
It was the first time anyone had reached out to them. Months after the fall.
The Regional Registered Nurse acknowledged to inspectors that the investigation conducted under the previous administrator was incomplete. So did the Director of Nursing and the current administrator. The facility team, in other words, agreed with what the inspection report documented: the inquiry into a resident's fall had been left unfinished, and it had stayed that way until a complaint triggered federal scrutiny.
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting a small number of residents. That classification reflects the regulatory framework inspectors use to categorize findings, but it says nothing about what the resident experienced in the weeks and months after the fall, or whether anyone ever sat down with them to ask what happened.
CMS cited the deficiency under F0610, which covers the requirement that facilities investigate and report allegations and incidents. The inspection was completed September 18, 2025.
What the record shows is a three-month window between a resident's fall and the moment anyone contacted the company that was there when it happened. The former administrator was gone. The investigation file was thin. And the facility's own January 2025 policy, the one requiring witness statements to be collected and kept on file, sat unmet.
No further information was provided to inspectors before the survey closed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Alaris Health At Cedar Grove from 2025-09-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 27, 2026 · Our methodology
ALARIS HEALTH AT CEDAR GROVE in CEDAR GROVE, NJ was cited for violations during a health inspection on September 18, 2025.
Inspectors arrived at Alaris Health at Cedar Grove on September 18, 2025, responding to a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.