Livingston Post Acute Care: Care Order Failures - NJ
The resident, identified in inspection records as R3, was admitted to the facility to receive IV Cefazolin to treat osteomyelitis, a serious infection of the bone. Between May 21 and May 25, 2025, she did not receive four doses of the antibiotic. A note in her record cited the medication as not delivered from the pharmacy and indicated it was acceptable to continue. Nothing in that note documented that her physician had been informed.
The infectious disease provider was not notified until May 29, eight days after the first missed dose.
The Vice President of Clinical Services, interviewed by inspectors on September 24, confirmed the physicians should have been made aware of the missed doses and that the resident's record was expected to reflect both the notification and any attempts to address the situation. She said she believed the provider had been informed because new antibiotic start dates had been entered into the record on several of the days in question. Inspectors found that explanation unconvincing as a substitute for documented physician notification.
The Director of Nursing confirmed he knew the IV antibiotic administration had been delayed by several days. He said physicians were expected to be aware of missed doses and that records were expected to show it. The records did not show it.
Inspectors attempted to reach R3 and her family for an interview before leaving the facility on September 24 but were unable to do so. R3's physician was also unavailable for interview that day.
The facility is disputing the citation. Osteomyelitis requires sustained antibiotic treatment; interruptions in the course can allow the infection to persist or worsen. Whether R3's condition was affected by the four missed doses of the medication she had been admitted specifically to receive was not documented in the inspection report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Livingston Post Acute Care from 2025-11-21 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: August 4, 2026 · Our methodology
LIVINGSTON POST ACUTE CARE in LIVINGSTON, NJ was cited for violations during a health inspection on November 21, 2025.
Between May 21 and May 25, 2025, she did not receive four doses of the antibiotic.
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.