Silver Healthcare Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
receptionists, designees who cover receptionists, and leadership staff have the code, resulting in the elevator being inoperable to all other staff, visitors and residents. All codes changed on 10/16/2025 and will be changed on the 16th of each month, or as needed. All exit doors checked by maintenance for proper functioning and locking mechanism on 10/16/2025. Facility reviewed and updated elopement binders on each unit and by the receptionist area on 10/16/2025. Facility audited EMRs for presence of resident's profile pictures on 10/16/2025.Facility audited new admissions for presence of the elopement risk evaluation and corresponding care plan (if applicable) on 10/16/2025.Facility conducted additional elopement drills on day and evening shift on 10/16/2025 and night shift on 10/17/2025. On 10/17/2025, additional security measures added to include keypads inside and outside of the elevator, restricting access to elevator operation. Court-1 (first floor) outside Elevator #1 keypad code needed to access elevator by designated staff only. Elevator #1 keypad inside elevator code needed to operate first floor button (#1) to activate elevator to access first floor when on Court-2 (second floor). Code only given to receptionist, and designees who cover receptionists, and leadership staff. Receptionist and designees who cover the desk educated not to give out keypad codes.Added alarms to all court building stairwell exit/egress on 10/16/2025. 2. Larger sign at the entrance to the elevator, redirecting visitors to the other elevator on 10/16/2025. Receptionist and designees who cover receptionists educated to wait to release the main entrance doors until anyone attempting to exit is identified as staff, visitors, vendors and authorized resident only on 10/16/2025. 3. Elopement policy reviewed 10/16/2025. ADON or designee, initiated re-education on 10/16/2025 of staff members on the elopement policy and procedure. ADON or designee, initiated education on 10/17/2025 to changes to the elevator #1 access with keypads restricting operation. Agency, PRN, and employees on PTO will be educated prior to their next scheduled working shift/day. 4.The DON or (designee) audited current residents for elopement risk and implemented immediate interventions if a high elopement risk score is triggered on 10/16/2025.The DON (or designee) audited new admissions for elopement risk and implement immediate interventions if a high elopement risk score is triggered on 10/17/2025 weekly x 4 weeks. The DON (or designee) evaluated elopement risk for residents who present with new wandering/exit seeking behaviors as soon as the behavior is identified on 10/17/2025 and weekly x 4 weeks. The DON (or designee) conducted weekly observations of staff/visitors/vendors safety practices when entering and exiting secured units on 10/17/2025 and weekly x 4 weeks. Findings from audits and
observations will be reported to the monthly QAPI Committee. The surveyor verified the implementation of
the RP on-site on 10/29/25 and determined that the immediacy for F 689 was removed as of 10/29/25 at 11:00 am. NJAC 8:39-27.1(a)
Event ID:
Facility ID:
If continuation sheet
SILVER HEALTHCARE CENTER in CHERRY HILL, NJ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 CHERRY HILL, 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 SILVER HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.