Spring Hills Post Acute Hamilton
SPRING HILLS POST ACUTE HAMILTON in HAMILTON, NJ — inspection on October 24, 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
a skin assessment and document it in the skin assessment profile.A review of the facility's policy titled Pressure Injury Risk Assessment with a revised date of March 2020 revealed under General Guidelines: 7.
Repeat the risk assessment weekly for the first four weeks, if there is a significant change in condition, or as often as is required based on the resident's condition, under Documentation: The following information should be recorded in the resident's medical record utilizing facility forms: 2.
The date and time and type of skin care provided, if appropriate . 4.
Any change in the resident's condition if identified. 5.
The condition of the resident's skin (i.e., the size and location of any red or tender areas), if identified .13.
Documentation in medical record addressing family, guardian or resident notification if new skin alteration noted with change of plan of care, if indicated, and under Reporting: 4.
Notify Family, guardian or resident update if new skin alteration noted.A review of the facility's policy titled Prevention of Pressure Injuries with a revised date of April 2020 revealed under Skin Assessment: 1.
Conduct a comprehensive skin assessment upon (or soon after) admission. 3.
Inspect the skin on a daily basis when performing or assisting with personal care of ADL's (Activities of Daily Living).A review of the facility's policy titled Wound Care with a revised date of October 2010 revealed under Preparation: 1.
Verify that there is a physician's order for this procedure and under Documentation: The following information should be recorded in the resident's medical record: 1.
The type of wound care given. 2.
The date and time the wound care was given. 3.
The position in which the resident was placed. 4.
The name and title of the individual performing the wound care. 5.
Any changes in the resident's condition. 6.
All assessment data (i.e. wound bed color, size, drainage, etc) obtained when inspecting the wound.A review of the facility's policy titled Care Plans, Comprehensive Person-Centered with a revised date of March 2022 revealed under Policy Interpretation and Implementation: 11.
Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change. 12.
The interdisciplinary team reviews and updates the care plan: a. when there has been a significant change in the resident's condition.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Spring Hills Post Acute Hamilton
3 Hamilton Health Place Hamilton, NJ 08690
SUMMARY STATEMENT OF DEFICIENCIES
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint #: 2638834Based on interview and review of facility documents on 10/20/25, it was determined that the facility failed to ensure a Registered Nurse (RN) worked for at least eight consecutive hours a day for 2 of 14 days reviewed.
This deficient practice was evidenced by the following:
Review of the Nurse Staffing Reports completed by the facility for the weeks of 09/28/25 through 10/11/2025, revealed that the facility failed to provide RN coverage for all shifts on 09/28/25 and 10/06/2025.The surveyor reviewed the facility's policy titled Staffing updated October 2017 which indicated under Policy Statement: Our facility provides sufficient numbers of staff with the skills and competency necessary to provide care and services for all residents in accordance with resident care plans and the facility assessment and under Policy Interpretation and Implementation 1.
Licensed nurses and certified nursing assistants are available 24 hours a day to provide direct resident care services.NJAC 8:39-25.2(h)
Facility ID: