Complete Care at Inglemoor: Medical Records Failures - NJ
The facility has **not submitted a plan of correction**....
Latest reports, citations, and penalties from CMS data
The facility has **not submitted a plan of correction**....
The facility has not submitted a plan of correction....
The care plan must be prepared, reviewed, and revised by a qualified team of health professionals....
The facility was also cited for failing to select a registered nurse to serve as director of nurses on a full-time basis....
When a nursing home resident cannot perform these tasks independently, federal regulations require staff to step in and provide hands-on support....
The facility reported correcting the deficiency as of **November 17, 2025**, approximately eight weeks after the inspection....
The facility must also report the results of its internal investigation within five working days of the incident....
Federal regulations require that nursing homes make their inspection results readily available to current and prospective residents....
The incident at Concordia at Villa St Joseph violated the facility's own policy requiring licensed nurse assessment before moving any resident after a fall....
For allegations involving serious bodily injury, the reporting window is as short as **two hours**....
They must also provide notice of appeal rights when changes to care plans or services are proposed....
Inspectors determined the facility had failed to adequately provide and implement such a program....
During interviews, he said he also had wounds on his right toes, right shin, left shin, and buttocks that he believed were one to two months old....
Each plan must include specific timetables and measurable actions so that staff can track whether interventions are working....
The facility contacted a triage service, which instructed staff to keep a pillow under the resident's foot and contact her primary care provider on Monday....
The deficiency was classified at **Scope/Severity Level J** â an isolated finding of **immediate jeopardy to resident health or safety**....
The facility has not submitted a plan of correction, leaving open questions about how it intends to address the documented problems....
Resident #3 arrived at the facility in September with diagnoses including dementia with behaviors, repeated falls, and depression....
These requirements are not optional â they are conditions of participation in the Medicare and Medicaid programs....
The inspection found the facility fell short of these requirements....