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Complaint Investigation

Clover Meadows Healthcare And Rehabilitation Cente

Inspection Date: October 23, 2025
Total Violations 1
Facility ID 315113
Location LAWRENCEVILLE, NJ
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Inspection Findings

F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

following: Apply Skin barrier cream per facility protocol and as needed, assist/remind to reposition frequently and monitoring the skin weekly and PRN (as needed) per protocol. On 10/23/25 at 10:10 AM, the surveyor interviewed the Registered Nurse (RN) who stated that Resident #1 required complete care with all aspects of activities of daily living and received preventive protective skin care. The RN confirmed that

the resident had a blister on the right buttocks which required a treatment. The RN further stated that once that blister was identified as a new skin impairment, that its was the LPN/UM responsibility to update that CICP with new preventive protective skin treatment interventions.On 10/23/25 at 10:20 AM, the surveyor interviewed the LPN/UM who stated that when a blister was identified, staff usually monitor it to determine if

it developed into a wound. The LPN/UM stated that a blister was not considered a wound, and therefore, there was no need to update the CICP at that time.On 10/23/25 at 10:30 AM, the surveyor interviewed the Director of Nursing (DON) who reviewed Resident #1's CICP and stated that once the blister was identified

on 10/21/25, the CICP should have been updated to reflect an actual impairment. The DON further stated that new preventive and treatment interventions should have been included in the CICP.Despite identification of the new skin issue and initiation of treatment interventions on 10/21/25, the facility did not update or revise the resident's CICP to reflect the new skin integrity concern and corresponding interventions.The facility policy dated 6/2025 and titled, Care Plans-Comprehensive indicated that an individual comprehensive care plan that included measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs was developed for each resident. Each resident's care plan was designed to aid in preventing or reducing declines in the resident's functional status and or functional levels. Care Plans were revised as changes in the resident's condition dictates.N.J.A.C. 8:39-11.2(g)

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📋 Inspection Summary

CLOVER MEADOWS HEALTHCARE AND REHABILITATION CENTE in LAWRENCEVILLE, NJ inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 LAWRENCEVILLE, 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 CLOVER MEADOWS HEALTHCARE AND REHABILITATION CENTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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