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Complaint Investigation

Alaris Health At Cedar Grove

Inspection Date: September 18, 2025
Total Violations 2
Facility ID 315357
Location CEDAR GROVE, NJ
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Inspection Findings

F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

fall during transport. On 9/17/25 at 1:34 PM, in the presence of the survey team, the Director of Nursing (DON), the Licensed Nursing Home Administrator (LNHA) and the Regional Registered Nurse (R/RN), the surveyor discussed the concern regarding the resident's missing assessment from a Registered Nurse and evidence that Transport #2 was contacted as part of the investigation of the alleged fall. On 9/17/25 at 1:34 PM, in the presence of the survey team, the Director of Nursing (DON), the Licensed Nursing Home Administrator (LNHA) and the Regional Registered Nurse (R/RN), the surveyor discussed the concern regarding the missing assessment after the reported fall and the missing statements from Trasport #2 as part of the investigation On 9/18/25 at 10:57 AM, during a meeting with the survey team, the DON, and the LNHA, the R/RN stated that they had tried to contact the former LNHA to learn more information regarding

the investigation and if an interview had occurred. The R/RN also stated that Transport #2 was contacted and confirmed of the transport that occurred on 6/15/25 and would send information regarding the concern.

The facility team acknowledged that the information received by the survey team and the investigation conducted by the previous LNHA was in-fact incomplete. A review of the facility policy for Accident/Incident Investigation dated/revised 1/2025 included that investigation would include interviewing staff, resident, and witness statements.The witness statements would be attached to the incident report and kept on file at the DON's office. No further information was provided. NJAC-8.39-4.1(a)5

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/18/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Alaris Health at Cedar Grove

110 Grove Ave Cedar Grove, NJ 07009

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0692 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

family's request. At that time, the RD stated that the increase of supplement was reflective of the resident's status of not eating well and acknowledged that the record did not reflect how the effectiveness of the nutritional intervention was measured. On 9/16/25 at 1:22 PM, in the presence of the survey team, the DON, the Licensed Nursing Home Administrator (LNHA) and the Regional Nurse, the surveyor discussed

the concern regarding the care plan that reflected the resident required assistance with meals, opposed to

the assessment that reflected the resident was dependent for activities of eating and the POCs that reflected the resident did not receive full assistance 27 out of 73 shifts. Additionally, the surveyor discussed

the concern that the former RD increased the resident's nutritional supplement with no method of measurement for the effectiveness of the intervention, and the care plan intervention to monitor, record and report greater that three (3) pound weight loss to the Medical Doctor (MD) was not followed. On 9/17/25 at 10:15 AM, during a meeting with the survey team, the R/RN, the DON and the LNHA, the RD stated that

the care plan was generic and should have been individualized. The RD acknowledged that the CP of weekly weight monitoring was not followed and should have been. The DON stated in-services were given to staff that the care plan should follow the assessment and the POC documentation should be accurate. A

review of the undated facility policy for Weights reflected that monthly, and weekly weights per the discretion of the dietician and/or physician) shall be obtained by the CAN and record on the weight sheet form. A review of the job description for the dietician included to assess the nutritional status of residents that included weight maintenance, resident's independence and overall nutritional well-being. A review of

the provided facility policy dated 1/2025 included that the care planning shall be implemented through the integration of assessment findings, consideration of the prescribed treatment plan and development foals for the resident that are reasonable and measurable. NJAC 8:39-27.1(a),27.2(a)

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📋 Inspection Summary

ALARIS HEALTH AT CEDAR GROVE in CEDAR GROVE, 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 CEDAR GROVE, 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 ALARIS HEALTH AT CEDAR GROVE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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