Arnold Walter Nursing & Rehabilitation Center
ARNOLD WALTER NURSING & REHABILITATION CENTER in HAZLET, NJ — inspection on October 30, 2025.
Found 1 citation. 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 then reviewed the medication administration record with the DON which showed that Resident #2 did not receive Liothyronine on 1/28/25 at 4:00 PM, 1/28/25 at 8:00 PM, 1/29/25 at 5:00 AM.
Comment: Awaiting pharmacy delivery.
There was no documentation that the physician was informed of the omission. On 2/1/25 and 2/2/25 Resident #2 did not receive Liothyronine as ordered at 8:00 PM, and there was no comment regarding the omission.
The surveyor then asked the DON if Resident #2 should have received the Liothyronine as ordered, the DON stated that there should be a rationale added if the medication was not administered.
The surveyor then asked the DON what her expectations regarding medications administration/ omission of medication was.
The DON stated the physician, and the Unit manager were to be notified, the staff should have followed up with the pharmacy for a stat delivery or an alternative.A review of the facility provided policy titled, Policies, Procedures and Information last revised 12/27/24 included the following: POLICYIt is the policy of this facility to ensure that Medication Administration and Documentation occurs in a timely and accurate manner.The Electronic Medication Administration Record (EMAR) is the form onto which all medication orders are transcribed from physician electronic orders, from which medications are poured and administered and on which medication doses are documented.
Under procedure the following were documented:Immediately notifies nursing supervisor if medication is unavailable for administration and notifies Physician/NP of the same.
Contacts pharmacy to obtain medications.Documents administration of medication in the EMAR immediately following administration.
Notes in the EMAR medications not administered (i.e. refused, etc.) and identifies reason. NJAC 8:39-29.2 (d)
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.