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Complaint Investigation

Total Rehab Moorestown

Inspection Date: January 2, 2026
Total Violations 1
Facility ID 315517
Location MOORESTOWN, NJ
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Inspection Findings

F-Tag F0689

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

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

sliding off the shower chair but could not reach the resident in time to prevent them from sliding off the chair. The surveyor attempted to reach CNA #1 for a telephone interview of 01/02/2026 but was unsuccessful. An interview was conducted with CNA #2 on 01/20/2026 at 1:52 PM. CNA #2 stated that when assisting residents with showering CNAs were supposed to bring everything needed for the task into

the room. CNA #2 stated that CNAs were not supposed to leave residents alone in the shower or on the toilet. An interview was conducted with the Unit Manager (UM) on 01/02/2026 at 2:32 PM. The UM stated that typically staff should not leave residents on the shower chair in the shower. The UM stated that staff should bring everything they need into the bathroom before starting to bathe a resident and if they forgot something they should use the call bell to get assistance. The UM stated that if residents were left alone in

the shower they could have fallen. The UM further stated that CNA #1 stepping out of the room while Resident #2 was seated on the shower chair could have led to the resident's fall. An interview was conducted with the Director of Nursing on 01/02/2026 at 2:40 PM. The DON stated that her expectation was that Resident #2 should have received bathing assistance of cueing and guiding as per their CP. During a follow up interview on 01/02/2026 at 3:36 PM, the DON stated that she considered it acceptable for CNA #1 to leave Resident #2 on the shower chair to step out of the bathroom to get a towel. The DON did not explain the difference between the level assistance Resident #2 required as indicated on the MDS and the level of assistance indicated on the CP. The facility's, Comprehensive Care Plans, policy with a review date of 08/2025 was reviewed. Under, Policy, the document revealed that it was the policy of the facility to develop and implement a comprehensive person-centered CP for each resident to meet the resident's needs as identified on the resident's comprehensive assessment. The facility policy further revealed, The comprehensive care plan will describe, at a minimum, the following: a. The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. The facility's Incident and Accident, policy with reviewed date of 01/2025 was reviewed. The facility policy revealed that an accident/incident was any unusual event that may or may not result in injury to the resident. The policy revealed that accident/incidents involving resident care were investigated to enable the facility to evaluate care given to residents; to assist in incident prevention; and to evaluate intervention implemented in the event of an incident. NJAC 8:39-27.1 (a)

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📋 Inspection Summary

TOTAL REHAB MOORESTOWN in MOORESTOWN, 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 MOORESTOWN, 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 TOTAL REHAB MOORESTOWN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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