Complete Care at Bey Lea: ADL Documentation Gaps - NJ
The inspection, triggered by a complaint, found gaps across the activity of daily living sheets and treatment administration records for multiple residents. Nobody could show the work had been done.
The Director of Nursing told the surveyor at 1:23 PM that she had nothing further in writing to prove the ADLs were completed. "We need to be able to show the care was provided to our residents," she said. Forty minutes later, a registered nurse confirmed the blanks and put it plainly: "If it was not documented, it was not done."
A certified nursing assistant said the same. "There should be no blanks on the ADL sheets because it is important to show documentation of the care that was provided to the residents throughout the shift." The unit manager, interviewed at 2:17 PM, added that staff should have documented because it is a medical record, and that the gaps "may have had an effect on the resident's well-being."
The facility's own documentation policy, implemented October 1, 2024, requires that each resident's medical record contain an accurate representation of their actual experiences, with documentation completed no later than the shift in which the care occurred. CNA job responsibilities at the facility specifically include completing flow sheets daily to indicate that each assigned task was done.
At the time of the survey, the facility could not produce evidence that the tasks in question had been completed at all.
Inspectors rated the harm level as potential for minimal harm, with some residents affected. What the records could not answer, and what the facility could not resolve during the inspection, was whether the care those residents needed had actually reached them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Complete Care At Bey Lea, LLC from 2025-08-25 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
COMPLETE CARE AT BEY LEA, LLC in TOMS RIVER, NJ was cited for violations during a health inspection on August 25, 2025.
The inspection, triggered by a complaint, found gaps across the activity of daily living sheets and treatment administration records for multiple residents.
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.