Hunterdon Care Center Llc
HUNTERDON CARE CENTER LLC in FLEMINGTON, NJ — inspection on August 14, 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
The surveyor verified the implementation of the RP on-site during the continuation of the survey on [DATE] at 11:00 A.M. NJAC 8:39-5.4(c); 39.1
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/14/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Hunterdon Care Center LLC
1 Leisure Court Flemington, NJ 08822
SUMMARY STATEMENT OF DEFICIENCIES
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint # 2582599Based on interview, review of the medical records, and review of other pertinent facility documents, it was determined that the facility failed to ensure a discharge summary was written at the time a resident (Resident #3) was discharged from the facility.
This deficient practice was identified for 1 of 4 residents reviewed (Resident #3).The surveyor reviewed the closed medical record for Resident #3.According to the admission Record (AR) face sheet, Resident #3 was admitted to the facility with diagnoses which included but were not limited to: mild cognitive impairment, enterocolitis due to clostridium difficile (C. diff; a bacteria infection that causes diarrhea and gastrointestinal cramping), hyperlipidemia (high cholesterol), essential hypertension (high blood pressure), unspecified protein-calorie malnutrition, and Parkinson's Disease without dyskinesia (movement disorder).According to the discharge Minimum Data Set (MDS), an assessment tool dated 7/25/25, Resident #3 had a Brief Interview for Mental Status (BIMS) score of 5 out of 15, which indicated the resident's cognition was severely impaired.A review of Resident #3's Care Plan (CP) included the following focus areas:A focus area initiated 7/18/25, for anticipated short term, sub-acute placement; expected to discharge to community from skilled nursing facility (SNF) upon completion of care/services.
Interventions included: to arrange for post discharge support services; make necessary referrals for Durable Medical Equipment (DME) & home care services; social services will communicate with nursing and physicians for medical needs; encourage ongoing resident participation in discharge planning; set reasonable goals for reaching safe discharge; communicate with resident/family regarding services, equipment, prescriptions, and follow up recommendations; assess need for education regarding meds, diet, etc., & provide teaching as needed.A review of Resident #3's Progress Notes (PN), did not include a final discharge summary note written by the LPN at the time of the resident's charge.On 8/11/25 at 01:35 P.M the surveyor interviewed the Assistant Director of Nursing (ADON).
The ADON stated the facility's policy is to leave a note at the time of discharge and confirmed this was not done for Resident #3.On 8/11/25 at 01:54 P.M the surveyor interviewed the Licensed Practical Nurse (LPN) who was responsible for discharging Resident #3. LPN stated that she could not recall Resident #3 completely, but she confirmed did not complete Resident #3's discharge as per facility's discharge process.A review of the facility's policy titled Transfer/Discharge/Bed Hold Policy and Procedure dated 4/2025, included under Documentation: The facility will ensure that the transfer/discharge is documented in the resident's medical record (when applicable) an appropriate information is communicated to the receiving health care institution or provider.
Facility ID: