Careone At The Highlands
CareOne at The Highlands in EDISON, NJ — inspection on October 23, 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
contamination from the skin into the open wound.) The RN, with the same contaminated gloves, applied Santyl directly on to the gauze pad, placed the gauze onto the wound bed, opened the Calcium Alginate and packed the wound.
The RN, with the same contaminated gloves, reached into her pocket, removed a pen, dated the foam dressing and applied it to the wound.
The RN did not sanitize the over bed table after the wound treatment was completed.The RN removed her gloves and, with no observed hand hygiene, brought the unused supplies out of the room and placed them back into the treatment cart. On 10/23/25 at 10:55 AM, in the presence of the Director of Nursing (DON), the surveyor discussed the infection control breaches with the RN, who confirmed that she should have removed her gloves and sanitized her hands after she removed the soiled dressing and should have performed hand hygiene before leaving the resident's room.
The RN acknowledged that she should have cleansed the wound from the inside out to prevent possible bacteria from contaminating the wound bed, should have only brought supplies that would be used for the treatment into the room, should not have placed the unused supplies back into the treatment cart, and should have sanitized the treatment cart after the treatment was completed.
The DON confirmed the breaches in infection control. On 10/23/25 at 3:13 PM, the surveyor discussed the above observations and concerns with the License Nursing Home Administrator and DON. A review of the facility's Dressings, Dry/Clean revised 9/2013 reflected.The purpose of this procedure is to provide guidelines for the application of dry, clean dressings.Steps in the procedure: Clean bedside stand, establish a clean field Place supplies on a clean field Wash and dry your hands thoroughly Put on clean gloves, remove soiled dressing, pull glove over dressing, and discard Wash and dry hands thoroughly Label the tape or dressing with the date, time, and initials.
Place on a clean field.
Using clean technique, open other products (prescribed dressing; i.e., dry, clean gauze.) Wash and dry your hands thoroughly Put on clean gloves Clean the wound with the ordered cleanser. If using gauze, use clean gauze for each cleansing stroke, cleanse from the least contaminated area to the most contaminated area (from the center of the wound outward) Remove disposable gloves and discard.
Wash and dry your hands thoroughly Clean the bedside stand Wash and dry your hands thoroughly NJAC 8:39-19.4(a)
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IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Careone at the Highlands
1350 Inman Avenue Edison, NJ 08820
SUMMARY STATEMENT OF DEFICIENCIES
The surveyor reviewed the facility policy with a revision date of 4/2019 for Administering Medications provided by the DON which reflected Medications are administered in a safe and timely manner, and as prescribed. NJAC 8:39-11.2(b); 29.2(a)(d)
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