Green Hill: Incontinence Care Policy Gap Found - NJ
It said nothing about incontinence briefs.
Federal inspectors flagged the gap during a complaint inspection on October 29, 2025, at the 103 Pleasant Valley Way facility. The deficiency, catalogued under F0677, cited Green Hill's own incontinence care policy as the source of the problem. The policy laid out a toileting routine but made no mention of briefs, a basic tool used routinely in nursing home care when residents cannot be transported to a bathroom on schedule.
The citation was rated at the lowest level of harm, meaning inspectors determined there was minimal harm or potential for actual harm. A few residents were affected.
That lowest-level rating can be easy to dismiss. But a policy that doesn't account for incontinence briefs isn't a paperwork problem. It's a document that staff are trained on, that guides what happens when a resident is in bed at two in the morning and a bathroom trip isn't possible. If the policy doesn't address it, neither does the training built around it.
Green Hill's policy, as written, described a world in which every incontinent resident could always be brought to a bathroom or placed on a bedpan on a fixed schedule. Nursing homes are not that world. Residents are sometimes medically unstable. Staff are sometimes stretched. The brief exists precisely because the two-hour schedule doesn't always hold.
The inspection was conducted as a complaint survey, meaning someone, a resident, a family member, or a staff member, had raised a concern serious enough to prompt regulators to send investigators. The report does not describe the nature of the complaint that triggered the visit, and the publicly released narrative runs to just over 1,100 characters. What prompted it, and what else inspectors may have examined during their time at the facility, is not reflected in the released citation.
What is reflected is a facility whose written guidance on one of the most common and sensitive aspects of nursing home care was incomplete. Incontinence is among the most dignity-affecting conditions a resident can face. The handling of it, who does it, how often, with what tools, shapes the daily experience of residents who cannot manage it themselves. A policy that omits a standard tool used in that care is a policy that leaves staff without written guidance for situations they will encounter on every shift.
Green Hill is required to submit a plan of correction to address the deficiency. The contents of that plan were not included in the released inspection materials. Residents or family members seeking information about how the facility intends to respond were directed to contact Green Hill or the New Jersey state survey agency directly.
The facility sits on Pleasant Valley Way in West Orange, a suburban Essex County community. Its inspection record, including this citation, is publicly available through the Centers for Medicare and Medicaid Services.
For the residents affected, the gap in the policy was not abstract. Someone was incontinent. The written guidance their caregivers worked from had not thought through what to do about it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Green Hill from 2025-10-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
GREEN HILL in WEST ORANGE, NJ was cited for violations during a health inspection on October 29, 2025.
It said nothing about incontinence briefs.
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.