Preferred Care At Mercer
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
recent quarterly MDS revealed Resident #3 had a BIMS of 9, meaning the resident had moderate cognitive impairment.A review of the physician orders showed the following orders related to wound care: Calcium alginate, cleanse with normal saline solution apply calcium alginate and cover with foam dressing every day shift and every evening shift to right ischial wound.A review of the TAR showed the wound care was completed on 11/1/25 day and evening shift, 11/2/25 day and evening shift, and 11/3/25 day shift.On 11/3/25 at 10:45 AM, with the UM the surveyor observed the residents right ischial dressing. The dressing was dated 11/2/25 day shift. The surveyor asked the UM if the dressing would be dated 11/2/25 if it was completed on 11/2/25 evening shift and 11/3/25 day shift and the UM responded, No, it wasn't done.A
review of Resident #3 ICCP initiated 4/22/25 showed a focus of actual skin integrity. Interventions included but were not limited to administer treatment as ordered.On 11/3/25 at 1:40 PM, the surveyor interviewed
the Director of Nursing regarding wound care. The surveyor asked if the TAR is signed by the nurse what would that mean, and she responded that it should be done. The DON then presented the surveyor with progress notes of resident refusal that were created after the surveyor inquiry.The surveyor reviewed the policy titled, Pressure Ulcer/Wound Treatment Management, with a review date of 2/1/25. The policy was to promote wound healing of various types of wounds, it is the policy of the facility to provide evidence-based treatments in accordance with the current standards of practice and physician orders. Number one of the policy was that wound treatments would be provided in accordance with physician orders.N.J.A.C. 8:39-27.1(a)
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PREFERRED CARE AT MERCER in EWING, 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 EWING, 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 PREFERRED CARE AT MERCER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.