Arnold Walter Nursing & Rehabilitation Center
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the physician would be contacted, and the physician would usually write an order for a substitute. The UM stated she started in July and could not comment on the above concerns regarding Resident #2.On 10/30/25 at 11:32 AM, the surveyor interviewed the Director of Nursing (DON) regarding the process of administering medications to residents. The DON stated that there would be a physician's order for medication administration and the order will be transcribed on the Medication Administration Record (MAR). The nurse would administer the medication and if the medication was not administered, the computer would prompt the nurse to add a comment. 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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ARNOLD WALTER NURSING & REHABILITATION CENTER in HAZLET, 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 HAZLET, 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 ARNOLD WALTER NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.