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CareOne at Livingston: Wound Care Medication Failure - NJ
The burn and wound center physician had ordered cocoa butter to be applied three times per day....
Latest reports, citations, and penalties from CMS data
The burn and wound center physician had ordered cocoa butter to be applied three times per day....
Nobody had a system in place to make sure the doors were locked in the first place....
The inspection, conducted October 23, 2025, was triggered by a complaint....
The paperwork in question is called a Notification of Specialized Services, or NFSS....
The deficiency, recorded under a federal pharmacy services standard, found that the facility's error rate had reached or exceeded 5 percent....
The October 2025 inspection, triggered by a complaint, resulted in a citation under F0600, the federal tag covering abuse....
That deficiency was one of 13 cited during a complaint inspection conducted on October 28, 2025....
The inspection, completed October 25, 2025, found the facility caused actual harm to the resident, identified in records as Resident 1....
The inspection, conducted October 15, 2025, centered on what happened when Residents 1 and 2 were admitted to the facility....
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting a few residents....
The citation was classified as an isolated incident, meaning inspectors did not find a widespread pattern across the resident population....
That finding sits at the center of a complaint inspection completed October 24, 2025, at the facility on Hatchery Road in Waterford....
Her own facility's records suggested a lot wasn't getting done....
Inspectors visiting Carriage Inn of Steubenville on October 15, 2025, found the opening near the baseboard behind the headboard in Resident #7's room....
The deficiency at Sunplex Sub-Acute Center was one of 13 violations cited during the October 28 inspection....
At Fortuna Rehabilitation and Wellness Center, federal inspectors found that system wasn't reliably there....
The inspection, completed on October 27, 2025, produced a citation under F0550, the federal tag that covers resident dignity and respect....
But inspectors determined the gap between what was happening and what should have been happening carried real potential for more than minimal harm....
The incident happened in the smoking room on October 21, 2025....
The resident at the center of the findings, identified in federal records only as Resident ID #3, did not survive....