Complete Care At Orange Park
Inspection Findings
F-Tag F0712
F 0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Level of Harm - Minimal harm or potential for actual harm
Complaint #425693Based on interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to ensure that residents must be seen by a physician at least once every 30 days for the first 90 days after admission, and at least once every 60 thereafter. The deficient practice was identified for 1 of 2 (Resident # 167) residents reviewed for Physician Visits. The deficient practice was evidenced by the following: A review of Resident # 167's Electronic Medical Record (EMR) revealed he/she was admitted in March of 2025.A review of Resident # 167's EMR revealed he/she was diagnosed with but not limited to unspecified sequelae of cerebral infarction (long term conditions of a stroke) and type 2 diabetes mellitus without complications (inability to control blood-sugar).A review of the Progress Notes for Resident # 167 revealed a late entry by a Physician that was created on 04/14/2025 and dated for 03/30/2025.A review of Resident # 167's EMR did not reveal any other documented visits from the Physician.A review of the Progress Notes revealed the Resident was seen by the Family Nurse Practitioner
on the following dates:3/31/20254/01/20254/3/20254/7/20254/8/20254/10/20254/11/20254/15/20254/17/20254/18/20255/5/20255/9/20255/ 09/23/2025 at 10:59 AM during an interview with the Surveyor, the Regional Clinical Director said that the requirement for physician visits in the facility occur at thirty, sixty, ninety, and one-hundred and twenty days.
She concluded that after the ninetieth day, the Nurse Practitioner can share with the Physician.On 09/24/2025 at 10:25 AM during an interview with the Surveyor, the Regional Clinical Director confirmed that prior to May of 2025, the attending Physician for Resident # 167 was identified by the facility as being noncompliant with physician visits. She said further that a new Medical Director was installed in May, and physician visits have improved. At that time, the Director of Nursing confirmed there is no further documentation that the attending Physician visited Resident # 167 during that time.A review of the facility provided policy titled, Physician Visits and revised in April of 2020 revealed that, 2. The Attending Physician must visit his/her patients at least once every thirty (30) days for the first ninety (90) days following the resident's admission, and then at least every sixty (60) days thereafter.S 8:39-23.2 (d)
Residents Affected - Some
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
COMPLETE CARE AT ORANGE PARK in EAST ORANGE, 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 EAST ORANGE, 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 COMPLETE CARE AT ORANGE PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.