Mountainside Skilled Nursing: Abuse Report Delayed - NJ
The inspection report from Mountainside Skilled Nursing and Rehab, completed August 21, 2025, documents how the facility handled, and delayed handling, an allegation of resident abuse against a certified nursing assistant identified in the report as CNA #1.
The family member, identified as RR #1, first called the social worker around 10:00 AM on August 4. RR #1 said the resident didn't sound right on the phone and asked the social worker to go check on them. The social worker went upstairs and found the resident in their wheelchair eating lunch. The resident was pleasant and appeared to be in no distress. The social worker called RR #1 from the room and gave an update.
During that call, RR #1 mentioned a concern about CNA #1 splashing liquid on the resident. The social worker looked around the room, saw no liquid, and asked whether RR #1 might be referring to splashing during a bath or washing. By the end of the conversation, according to the social worker, RR #1 seemed satisfied with that explanation.
The social worker did not report any of this to nursing staff that day.
RR #1 called back the next morning. After sleeping on it, they said, they felt it was more than the splashing. They told the social worker that CNA #1 had bent the resident's hand back, pulled the resident's hair, and hit the resident with a chair. The social worker then reported the concerns to the charge nurse and the director of nursing.
Management responded that day. The director of nursing and the administrator said a body assessment was done, witness statements were gathered, and a customer service in-service was conducted. CNA #1 was removed from the resident's care assignment and a two-person assist was put in place for that resident.
CNA #1 continued working other assignments.
The administrator and director of nursing told the surveyor they did not suspend CNA #1 from the floor because, at the end of the day on August 5, RR #1 was agreeable with how the investigation was going. That was the reason they gave for leaving CNA #1 in contact with other residents for the next three days.
The inspection report documents CNA #1's assignments in the days surrounding the allegations. On August 4, CNA #1 had nine room assignments on Unit 2. On August 5, CNA #1 worked two shifts, one with ten assignments and one with twelve. On August 6, eleven assignments on Unit 1. On August 7, nine assignments. On August 8, CNA #1 was assigned to ten rooms across two shifts on Unit 2.
On August 8, RR #1 sent an email escalating their concerns. That was the day management suspended CNA #1 and called police.
The timeline the inspection report describes is this: a family member reported possible physical abuse on August 5. Management confirmed they knew. They chose not to suspend the accused employee. They waited to see whether the family would push further. When the family did, three days later, they acted.
The resident at the center of the allegations, whose name is not included in the inspection report, was in CNA #1's care assignment on August 4, the day RR #1 first called to say something seemed wrong.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mountainside Skilled Nursing and Rehab from 2025-08-21 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 22, 2026 · Our methodology
MOUNTAINSIDE SKILLED NURSING AND REHAB in MOUNTAINSIDE, NJ was cited for abuse-related violations during a health inspection on August 21, 2025.
The family member, identified as RR #1, first called the social worker around 10:00 AM on August 4.
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.