Hunterdon Care Center Llc
Inspection Findings
F-Tag F0627
F 0627 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
good decision. The SW stated that she tried to appeal the discharge, and she made the care coordinator and the LNHA aware. The SW stated that she gave the resident and RR #1 resources to the best of her ability, and she wanted the resident to stay in long-term care, but the resident had the capacity to make their own decisions. The SW stated that no one had told her that Resident #3 did not have the capacity to make their own decisions, and the SW stated that she made the DON and the LNHA aware of all her concerns. (This contradicted the surveyor's previous interview with the DON who denied knowledge of the concerns surrounding Resident #3's discharge.) The SW stated that the resident was denied for all visiting nursing services as well as at home PT/OT. The facility submitted an acceptable Removal Plan (RP) on [DATE REDACTED] at 4:23 P.M., indicating that the action the facility will take to prevent serious harm from occurring or recurring. The facility implemented a corrective action plan to remediate the deficient practice to include: on [DATE REDACTED], the LNHA and DON reviewed the facility's Transfer/Discharge/Bed Hold Policy with no revisions made; on [DATE REDACTED], the LNHA re-educated the DSW on the facility's Transfer/Discharge/Bed Hold Policy; on [DATE REDACTED], an audit was conducted by the DSW for the pending facility discharges for the week and confirmed all discharges had confirmed at home care services setup; on [DATE REDACTED], the DON conducted in-services with all licensed nurses and SW to re-educate on the Transfer/Discharge/Bed Hold Policy and that the licensed nurses upon discharge, the discharge summary must be printed out and signed by the resident and/or their representative and uploaded to the electronic medical system. On [DATE REDACTED], the LNHA and DSW spoke to the SW regarding the resident's discharge and confirmation of services prior to discharge. The surveyor verified
the implementation of the RP on-site during the continuation of the survey on [DATE REDACTED] at 11:00 A.M. NJAC 8:39-5.4(c); 39.1
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/14/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Hunterdon Care Center LLC
1 Leisure Court Flemington, NJ 08822
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0628
F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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.
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HUNTERDON CARE CENTER LLC in FLEMINGTON, 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 FLEMINGTON, 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 HUNTERDON CARE CENTER LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.