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Autumn Lake Memorial Bridge: Nutrition Failures - NJ
The resident weighed 171.8 pounds on October 20....
Latest reports, citations, and penalties from CMS data
The resident weighed 171.8 pounds on October 20....
Staff A started her 7:00 AM shift on October 19, 2025, and began checking rooms around 7:15 AM when she discovered Resident ID #1 missing from bed....
Among the citations, the facility failed to ensure residents' right to a safe, clean, and comfortable living environment....
The deficiency was classified at **Scope/Severity Level D**, meaning the violation was isolated in nature....
The violent altercation left the resident with a nasal fracture....
Medical records showed the patient was cognitively intact with a BIMS score of 13 out of 15....
The facility was given a correction timeline and reported the issue was resolved as of **December 18, 2025**....
During three days of inspections in November, investigators discovered the same pattern repeatedly....
Staff only called an ambulance after the granddaughter alerted them around 4:15 PM on September 3 that she was having trouble waking the resident up....
The owner of the independent living facility told inspectors the placement was inappropriate from the start....
The resident suffered a left hip fracture....
The resident, identified as R #24 in inspection records, had been in the dining room since 11:30 AM when inspectors found him at 1:55 PM on November 17....
Resident 175 had $1,915.07 sitting in her personal account when federal inspectors arrived in September....
The resident identified in the report as R2 was hospitalized for injuries sustained in the attack....
The administrator, identified in inspection records as V1, found the woman, referred to as R3, at 6:55 AM on November 20, 2025....
The resident was prescribed Warfarin, a powerful anticoagulant that prevents clots from forming or growing larger....
The resident was spitting some of it out....
When inspectors watched Licensed Practical Nurse D perform the treatment on November 24, the nurse ignored multiple steps in the doctor's detailed orders....
That admission triggered an immediate jeopardy finding, the most serious designation federal inspectors can assign, affecting many residents....
The incident occurred on June 3, according to a facility incident report reviewed by state inspectors....