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Complaint Investigation

Allendale Rehabilitation And Healthcare Center

Inspection Date: November 25, 2025
Total Violations 1
Facility ID 315497
Location ALLENDALE, NJ
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

During an interview on 11/25/25 at 4:30 PM, Infection Preventionist (IP) was asked if she was aware of the situation in the laundry with the clean linen having to pass the soiled linen area to go to the folding area.

The IP stated, No, I was not aware.

  1. 3. On 11/25/25 at 6:18 PM, the Maintenance Director was asked for his water management plan including
  2. documentation of a floor plan which indicated where the water from the city entered the facility and how the water moved through the facility and areas where standing water may pool and any testing being done. The Maintenance Director stated he did not designate potential sites of pooling water or water sources to be tested if needed.

    Review of the facility procedure titled, Departmental (Environmental Services)-Laundry and Linen dated January 2014 revealed, .The purpose of this procedure is to provide a process for the safe and aseptic handline, washing, and storage of linen .Employee sorting or washing linen must wear a gown and gloves .Keep soiled and clean linen, and their respective hampers and laundry carts, separate at all times .

    Review of the facility policy titled, Legionella Water Management Program dated September 2022 revealed, .Our facility is committed to the prevention, detection and control of water-borne contaminants, including Legionella .The water management program includes the following elements .A detailed description and diagram of the water system in the facility, including the following: Receiving; Cold water distribution; Heating; Hot water distribution; and Waste .The identification of areas in the water system that could encourage the growth and spread of Legionella or other waterborne bacteria, including the following: Storage tanks; Water heaters; Filters; Aerators; Showerheads and hoses; Misters, Atomizers, Air washers, and Humidifiers .and Medical devices such as CPAP machines .

    NJAC 8:39-19.4

    FORM CMS-2567 (02/99) Previous Versions Obsolete

    Event ID:

    Facility ID:

    If continuation sheet

📋 Inspection Summary

ALLENDALE REHABILITATION AND HEALTHCARE CENTER in ALLENDALE, NJ inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ALLENDALE, NJ, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALLENDALE REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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