Livia Health And Senior Living
LIVIA HEALTH AND SENIOR LIVING in EAST HANOVER, NJ — inspection on November 6, 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.
Inspection Findings
Review of the July 2025 TAR, revealed blanks for the following treatments: Skin assessment with bi-weekly showers scheduled every day shift for Tuesday, and Friday and document on 7/29/25 on the day shift. On 11/6/25 at 1:11PM an interview was conducted with the Director of Nursing (DON) who stated that the assigned nurse was responsible for signing the treatment record after each treatment completed.
The DON further stated that the expectation is for the nurse to carry out the physician order and sign the treatment record, indicating that it is the only way to verify that the treatment has been completed. A review of the facility's policy titled Administering Medications with a reviewed date of 5/2/25 revealed under Procedure number 18 The individual administering the medication initials the resident's MAR on the appropriate line after giving each medication and before administering the next ones. NJAC 8:39-11.2(b)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/06/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Livia Health and Senior Living
1 South Ridgedale Avenue East Hanover, NJ 07936
SUMMARY STATEMENT OF DEFICIENCIES
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint # 2656895 Based on interviews, medical record review, and review of pertinent facility documentation on 11/6/25 it was determined that the facility failed to consistently document Activities of Daily Living (ADL) as being provided to residents.
This deficient practice was identified for 1 of 4 residents reviewed for ADLs (Resident #1).The findings were as followed: A review of the admission Record (AR) revealed that Resident #1 was admitted to the facility with diagnoses that included but were not limited to; depression muscle weakness, and difficulty walking. A review Resident #1's comprehensive Minimum Data Set (MDS,) an assessment tool dated 7/17/25, revealed that the resident had a Brief Interview Mental Status (BIMS), of 15 out of 15, indicating that the resident's cognition was intact. A review of the July 2025 Documentation Survey Report v2, for Activity of Daily Living (ADL) care by the Certified Nursing Assistants (CNAs), revealed blanks for the following: Bed mobility on 7/28/25 on the evening shift. On 7/31/25 on the night shift.
Dressing on 7/28/25 on the evening shift.
Personal hygiene on 7/28/25 on the evening shift.
Toilet use on 7/28/25 on the evening shift.
Walk in corridor on 7/28/25 on the evening shift.
Walk in room on 7/28/25 on the evening shift.
Bowel and bladder elimination on 7/28/25 on the evening shift.Eating on 7/28/25 at 6:00 PM, on the evening shift.
Nutrition, amount eaten on 7/28/25 at 6:00 PM, on the evening shift On 11/6/25 at 1:23 PM, an interview was conducted with the Director of Nursing (DON) who revealed that the CNA was responsible for documenting on the Activity of Daily Living (ADL).
The DON further revealed that the Assistant Director of Nursing (ADON) and the DON were responsible for auditing MAR, TAR, and ADL documentation to ensure completion. A review of the facility's undated policy titled ADL Documentation Policy revealed under Procedure in item number 2 Documentation Requirements revealed in section a) ADLs shall be documented in real time or immediately after completion of care tasks for each shift. NJAC 8:39, 27.2(b), (h).
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.