Dwellside Care And Rehab

The surveyor then requested that the WG alarm be tested on Elevator #2, and CNA #5 accompanied the resident into Elevator #2, and the alarm did not sound.During interview with the LNHA, in the presence of the DON on 9/18/2025 at 1:55 PM, he stated that he expected the alarm systems to work consistently whenever a resident with a WG tried to enter the elevator or to exit through the employee door.The implementation of the Removal Plan was not verified, and the immediacy continued.An acceptable Removal Plan (RP) was received on 9/19/2025 at 10:56 AM, indicating the action the facility will take to prevent serious harm from occurring or recurring.The facility implemented a corrective action plan to remediate the deficient practice to include Resident #2 was located on 8/23/2025, sent to the hospital for evaluation, returned to the facility the same day, and immediately placed on 1:1 supervision that was maintained until 8/24/2025. Resident #2 had a skin and pain assessment with no injury; the physician and family were notified; and the resident's WG was checked every shift for placement and function. On 8/25/2025, the facility's vendor serviced the WG system, and staff were stationed at employee entrance/exit until 9/18/2025, when the system was repaired when the WG vendor increased the system's sensitivity.

All residents with WG were checked; updated resident photos for residents with WGs were posted in both elevators and employee entrance.

All receptionists were educated on the process of buzzing employees in and out of the facility, and all staff were educated on the facility's elopement policy, wandering binders and identification process, and elopement drills were conducted.The surveyor verified the implementation of the RP on-site during the continuation of the survey on 9/23/2025.NJAC 8:39-27.1(a)

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