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Health Inspection

Mountainside Skilled Nursing And Rehab

March 4, 2025 · Mountainside, NJ · 1180 Us Highway 22
Citations 2
CMS Rating 2/5
Beds 151
Provider ID 315259
Healthcare Facility
Mountainside Skilled Nursing And Rehab
Mountainside, NJ  ·  View full profile →
Inspection Summary

MOUNTAINSIDE SKILLED NURSING AND REHAB in MOUNTAINSIDE, NJ — inspection on March 4, 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

FF658
Minimal harm or #13. Few medications prescribed in the past for different residents and did not think to question the prescriber. The CP affected

The surveyor reviewed the medical record of Resident #13.

According to the Admission Record face sheet, an admission summary, reflected that Resident #13 was admitted to the facility with diagnoses that included, end stage renal disease, dependence on renal dialysis.

A review of medication list from the hospital included the following:

-Sevelamer carbonate (Renvela; a phosphate binder to control serum phosphorus levels for those with chronic kidney disease) 800 milligrams (mg).

Take 1 tablet by mouth three times a day with meals.

Sevelamer was last given to the resident 01/29/25 at 5:01 PM

-Sucroferric Oxyhydroxide (Velphoro; a phosphare bnder for the control of serim phosphorus levels for those with chronic kidney disease on dialysis).

Chew one tablet (500 mg) three times a day.

The last administered time was not indicated.

A review of the electronic Medication Administration record included the following physician's orders:

-Sevelamer 800 mg. give 1 tablet by mouth three times a day for phosphorus, started on 1/30/25, and discontinued on 2/19/25.

-Velphoro 500 mg, give 1 tablet by mouth three times a day for phosphate binder with meals, started on 1/30/25, and discontinued on 2/19/25.

A review of the Renal Dialysis communication form (RDCF) for February 2024 did not reflect the RD center administered to Resident #13, the Sevelamer and the Velphoro while at the RD center.

315259

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 315259 B.

Wing 03/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Mountainside Skilled Nursing and Rehab 1180 US Highway 22 Mountainside, NJ 07092

The surveyor observed postings of daily nursing staffing reports on each day of the survey.

On 3/4/25 at 10 am the survey team discussed the shortages of nursing staffing hours with the Licensed Nursing Home Administrator.

36419

On 2/26/25 at 7:50 AM, the surveyor completed an incontinence tour on the 2nd floor Nursing Unit and observed the following:

1 On 2/26/25 at 8:00 AM, the surveyor, accompanied by the Certified Nursing Assistant (CNA #1) observed Resident #103 in bed. CNA #1 exposed Resident #103's incontinence brief, and the surveyor observed that it was saturated with urine. CNA #1 confirmed that the brief was saturated with urine.

315259

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 315259 B.

Wing 03/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Mountainside Skilled Nursing and Rehab 1180 US Highway 22 Mountainside, NJ 07092

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 MOUNTAINSIDE, 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 MOUNTAINSIDE SKILLED NURSING AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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