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Complaint Investigation

Careone At Livingston

October 23, 2025 · Livingston, NJ · 68 Passaic Avenue
Citations 2
CMS Rating 5/5
Beds 120
Provider ID 315479
Healthcare Facility
Careone At Livingston
Livingston, NJ  ·  View full profile →
Inspection Summary

CAREONE AT LIVINGSTON in LIVINGSTON, NJ — inspection on October 23, 2025.

Found 2 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

that she was not aware that the Cocoa Butter was not ordered in the frequency that the Burn/Wound center physician recommended (three times per day), and confirmed it was administered only once per day.

The DON acknowledged that the medication should have been available for the resident the day it was ordered, 8/22/25, or the next day depending on the time of day it was ordered.

She also acknowledged that the Cocoa Butter should have been ordered three times a day as recommended by the Physician from the Burn/Wound Center. NJAC 8:39 29.2 (d)

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Careone at Livingston

68 Passaic Avenue Livingston, NJ 07039

SUMMARY STATEMENT OF DEFICIENCIES

The surveyor asked the DON when the wound was identified, was it assessed or measured? The DON stated, we thought it was an abscess (pocket of pus).

The surveyor asked if there was an initial assessment completed when the wound was identified on 7/28/25? The DON stated, I told the nurse to document it because it might open up not something, and the nurse didn't document it.

When asked if interventions for wound healing were added when the wound was identified, and the DON stated, barrier cream was already in place.

The surveyor asked what should occur when a new wound was identified? The DON stated, there should be a documented assessment.

The surveyor inquired if that would be important and the DON stated the wound would be measured as part of the process of documentation.

The surveyor asked the DON if the cause of the left buttock wound was identified on 7/28/25.

The DON provided an incident report dated 7/28/25 at 15:01 (3:01 PM) completed by a Licensed Practical Nurse (LPN).

The description was documented as a blanchable thick hard indurated skin on left buttock.

The skin was not open and no pain present.

There were no wound measurements documented. A handwritten note dated 7/28/25, and documented by the LPN Unit Manager revealed a [specialty mattress] was provided and a [specialty cushion], however, that documentation conflicted with the Nursing Progress Note dated 8/7/25 at 21:34 (9:34 PM), that indicated those items were added that day.

There were no physician orders or entries on the Care Plan for a [specialty mattress] or [specialty cushion] on 7/28/25.The Prevention of Pressure Injuries Policy dated April 2020 revealed the under Monitoring: 1.

Evaluate, report and document potential changes in the skin. 2.

Review the interventions and strategies for effectiveness on an ongoing basis.

The Pressure Injuries Overview dated March 2020 revealed A pressure injury will present as intact skin and may be painful. NJAC 8:39-27.1(a)

Facility ID:

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 LIVINGSTON, 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 CAREONE AT LIVINGSTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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