Pines at Medford: Care Quality Deficiency - NJ
A complaint inspection conducted on October 30, 2025 found that medications were not administered in accordance with physicians' orders. Inspectors reviewed medication administration records and found unsigned entries, the standard signal that a dose was not given.
The registered nurse and unit manager, interviewed that afternoon, told the surveyor that nurses are supposed to give the medication and then sign the record to confirm it. She said the process was straightforward. The director of nursing said the same thing: an unsigned line on the record means the medication was not administered.
Neither offered an explanation for why doses had been missed.
The violation was cited under F0658, which covers professional standards of care, and was assessed at a level of minimal harm or potential for actual harm, affecting a few residents.
That classification reflects how regulators scored the risk, not necessarily what residents experienced in the days their medications did not arrive. A skipped dose means something different depending on what the medication was for, and the inspection report does not say.
What the report does say is that the facility's own medication policy, last revised in March 2019, states that medications shall be administered in a safe and timely manner and as prescribed. The nurses who skipped doses and the supervisors who oversaw them worked in a building where that standard was written down and, on at least these occasions, ignored.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Pines At Medford from 2025-11-20 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 19, 2026 · Our methodology
THE PINES AT MEDFORD in MEDFORD, NJ was cited for violations during a health inspection on November 20, 2025.
A complaint inspection conducted on October 30, 2025 found that medications were not administered in accordance with physicians' orders.
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.