Mohawk Meadows
MOHAWK MEADOWS in LAFAYETTE, NJ — inspection on August 18, 2025.
Found 3 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
reported because Resident #13 was no longer at the facility.C.) On 08/15/25 at 11:37 A.M., the surveyor interviewed Resident #11 who reported an allegation of verbal abuse between Resident #14 and themself.
On 8/15/25 at 02:09 P.M., the surveyor notified the DON and LNHA of an allegation that Resident #14 verbally abused Resident #11.According to the AR face sheet, Resident #14 was admitted to the facility with diagnoses which included were not limited to; Type 2 diabetes mellitus with hyperglycemia (chronic metabolic disorder where the body doesn't properly use insulin, leading to elevated blood sugar levels), essential hypertension (elevated blood pressure), and alcohol abuse.A review of the MDS dated [DATE], revealed Resident #14 BIMS score of 15/15 which indicated that Resident #14's cognition was intact.On 08/18/25 at 11:57 A.M., the surveyor interviewed the DON and LNHA together.
The DON stated that based on the context of the investigation and interview regarding verbal abuse between Resident #11 and Resident #14, the DON did not believe this allegation had to be reported to the NJDOH.A review of the facility's policy titled Abuse, Prevention and Prohibition Program dated revised 06/27/23, included the following information under Reporting/Response:D.
The facility will report allegations of abuse, neglect, exploitation, mistreatment, injuries of unknown source, misappropriation of resident property, or other incidents that qualify as a crime.i.
Immediately, but no later than 2 hours after forming the suspicion or belief if the alleged violation involves abuse or results in serious bodily injury to the state survey agency, law enforcement, and the Ombudsman (if applicable per state regulation).ii. No later than 24 hours after forming the suspicion or belief if the alleged violation (e.g., misappropriation of property, neglect) does not involve abuse and does not result in serious bodily injury to the state survey agency, law enforcement, and the Ombudsman (if applicable per state regulations).NJAC 8.39-9.4
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Mohawk Meadows
1 O'Brien Lane Lafayette, NJ 07848
SUMMARY STATEMENT OF DEFICIENCIES
review of the June 2025 Progress Notes (PNs) did not include documentation regarding the treatment orders administration.On 08/18/25 at 11:49 A.M., the surveyor interviewed the Registered Nurse (RN), who stated that the treatments were always signed out on the TAR after administering the treatments to the residents.
The RN further stated it was important to sign out the TAR to document whether the resident had received the treatment.
The RN also stated that there was not supposed to be any blank spaces on the TAR according to the facility's policy.On 08/18/25 at 11:57 A.M., the surveyor interviewed the Director of Nursing (DON) in the presence of the Licensed Nursing Home Administrator (LNHA).
The DON stated that the nurses should sign on the TAR whether a treatment was administered or not.
The DON stated if a resident refused a treatment, the nurse was to code it appropriately on the TAR and write a progress note.
The DON further indicated that there should not be any blank spaces on the TAR.A review of the facility policy titled Nursing Documentation dated 07/2025 revealed under Purpose, Documentation in nursing is a key factor in our role and responsibility as patient care advocates.
Under General Guidelines (in Nursing Documentation), When to Chart: 1.
Record nursing actions and individual responses as soon after they occur as possible.NJAC 8:39-23.2 (a),27.1(a)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Mohawk Meadows
1 O'Brien Lane Lafayette, NJ 07848
SUMMARY STATEMENT OF DEFICIENCIES
The surveyor asked the DON what her expectations were for staff regarding a resident and their respiratory equipment such as oxygen or a BiPAP.
The DON stated that expected her staff to have obtained an order for a resident's respiratory interventions.At that time, the surveyor presented the DON and LNHA with the receipt for Resident #11's BiPAP dated 10/2024, and then Resident #11's order for BiPAP dated 05/16/25.
The LNHA stated that Resident #11 came to the facility with the BiPAP machine and that there should have been an order for it.A review of the facility's policy titled Physician Orders last revised 08/01/17, revealed under Policy: Nursing Department will verify that physician orders are complete, accurate and clarified as necessary, and that resident receives their medication timely. N.J.A.C. S 8:39-27.1
Facility ID: