Optima Care Harborview
Inspection Findings
F-Tag F0558
F 0558
Reasonably accommodate the needs and preferences of each resident.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure that 1 of 3 residents (Resident #1) preference was honored by having a nurse removed from the resident's care team.This deficient practice was evidenced by the following:The surveyor reviewed Complaint #431358 submitted by Resident #1's family member. The complaint reflected that the facility allegedly continued to keep a nurse caring for the resident after the family member asked them not to on 4/11/25.The surveyor reviewed the electronic medical record (eMR) of Resident #1, and revealed the following: A review of the admission Record (an admission summary) reflected that the resident had diagnoses of but not limited to Alzheimer's Disease (progressive mental decline) and Dysphagia (difficulty swallowing).A brief interview for mental status (BIMS) (a cognitive screening tool) assessment dated [DATE REDACTED], score of zero (0), which indicated the resident had severe cognitive impairment.A review of the resident's Care Plan (CP) dated 7/17/25, a document that lists risks, goals and interventions for an individual resident, revealed a focus that the resident has a history of behavior problems, refusing care and aggressive with staff.A review of the resident's electronic medication administration record (eMAR) for 4/25 revealed that the Licensed Practical Nurse (LPN#1) that the family member wished to be removed from the resident's care administered medications and/or performed assessments for Resident #1 after 4/11/25.On 11/5/25 at 11:46 AM, the surveyor interviewed the Director of Nursing (DON). The DON stated that LPN #1 no longer works at the facility as of May or June of 2025. The surveyor asked the DON what the procedure is if a resident or family does not want certain staff caring for them or family member. The DON stated that there would be a family meeting and/or a meeting of the care team including the family to discuss what the concern is and try to solve the concern first. On the same date and time, the surveyor interviewed the Regional Nurse (RegN). The RegN stated that they spoke with Resident #1's family member about LPN#1 and the family member did not say what the concern was with LPN#1.On 11/5/25 at 3:00 PM, the survey team met with the Licensed Nursing Home Administrator (LNHA) and DON to discuss the above concern.
The DON could not provide any further information as to why LPN#1 was not removed from Resident #1's care team.The facility did not provide any further pertinent information.The surveyor reviewed the facility provided policy titled Resident's Rights dated reviewed 6/11/25. The policy reflected that the resident has
the right .self-determination with care and the right to the reasonable accommodation of your needs., the right to choose a representative.family member.to exercise your rights on your behalf. NJAC 8:39-4.1(a)3,12
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
OPTIMA CARE HARBORVIEW in JERSEY CITY, 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 JERSEY CITY, 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 OPTIMA CARE HARBORVIEW or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.