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Complaint Investigation

Crystal Lake Healthcare And Rehabilitation

April 29, 2025 · Bayville, NJ · 395 Lakeside Blvd
Citations 2
Beds 235
Provider ID 315125
Healthcare Facility
Crystal Lake Healthcare And Rehabilitation
Bayville, NJ  ·  View full profile →
Inspection Summary

CRYSTAL LAKE HEALTHCARE AND REHABILITATION in BAYVILLE, NJ — inspection on April 29, 2025.

Found 2 citations. Severity: Standard violations.

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

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Inspection Findings

FF600
Immediate Few This deficient practice was identified for 2 of 3 residents (Resident #1 and Resident #2) reviewed for abuse affected

According to the Facility Reportable Event (FRE), a New Jersey Department of Health (NJDOH) document used by healthcare facilities to report incidents with an event date of 4/3/25 revealed Staff reported she witnessed Resident #1 perform oral sex on Resident #2.

According to the facility's Summary of Investigation with an event date of 4/3/25 revealed under Summary, Staff knocked on the door and entered the room to complete her work assignment.

The staff member observed Resident #1 and #2 involved in a sexual act between each other.

The staff member exited the room and reported what she witnessed to the nurse.

The residents were immediately separated and placed on 1:1.

The residents expressed consent to their actions without anyone being taken advantage of by the other.

Abuse is unsubstantiated as both residents were consenting to their sexual action.

1.

According to the Admission Record (AR), Resident #1 was admitted to the facility in April 2021 with diagnoses which included but were not limited to: major depressive disorder, alcohol abuse, and toxic encephalopathy (a neurologic disorder caused by exposure to toxins).

According to the Quarterly Minimum Data Set (MDS), an assessment tool dated 1/26/25, Resident #1 had a BIMS score of 3, which indicated the resident had severe cognitive impairment.

2.

According to the AR, Resident #2 was admitted to the facility in September 2020 with diagnoses which included but were not limited to: schizoaffective disorder (a mental health condition with hallucinations, delusions, and mood disorder symptoms), bipolar disorder, and major depressive disorder.

According to the Quarterly MDS, an assessment tool dated 2/21/25, Resident #2 had a BIMS score of 8, which indicated the resident's cognition was moderately impaired.

A review of Resident #2's care plan (CP) revealed under Focus, Resident #2 has an alteration in thought process related to cognitive loss associated with mental illness.

History of asking for pornography and fixating on females.

Under Interventions, Monitor for sexually inappropriate behaviors.

On 4/10/25 at 11:03 A.M., the surveyor interviewed the Licensed Practical Nurse (LPN#1), who stated that on 4/3/25 she was informed by the CSC that the HK walked into the room and witnessed both residents in a sexual act. LPN #1 stated she immediately reported the incident to the ADON and the LNHA. LPN #1 stated Resident #2 told me he had been involved with another guy before, but I never seen [sic] anything. LPN #1 further stated that even though both residents were able to make their own decisions, she did not know if they were able to have sex.

315125

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 315125 B.

Wing 04/29/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crystal Lake Healthcare and Rehabilitation 395 Lakeside Blvd Bayville, NJ 08721

According to the Facility Reportable Event (FRE), a New Jersey Department of Health (NJDOH) document used by healthcare facilities to report incidents with an event date of 4/3/25 revealed Staff reported she witnessed Resident #1 perform oral sex on Resident #2.

315125

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 315125 B.

Wing 04/29/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crystal Lake Healthcare and Rehabilitation 395 Lakeside Blvd Bayville, NJ 08721

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 BAYVILLE, 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 CRYSTAL LAKE HEALTHCARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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