Mountainside Skilled Nursing And Rehab
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
did not report that conversation with RR #1 to any of the nursing staff until 8/5/25, when RR #1 called again and said after sleeping on it, I felt like it was more than the splashing of liquid and [RR #1] further said that [CNA #1] was bending the resident's hand back, pulled [the resident's] hair, and hit [the resident] with a chair. The SW stated they then reported RR #1's concerns to RNUM #1 and the DON, who went upstairs and spoke to the resident and CNA #1. On 8/19/25 at 1:21 PM, the surveyor interviewed the LNHA and the DON. The LNHA and the DON stated that when they knew of RR #1's concerns on 8/5/25, they started the investigation; RNUM #1 did a body assessment on the resident, they interviewed and gathered witness statements, and conducted a customer service in-service. They further stated they removed CNA #1 from
the resident's care and assigned a two-person assistance for [the resident's] care. They stated that they started the investigation, but did not suspend CNA #1 from other residents' care assignments because at
the end of the day on 8/5/25, when they spoke to RR #1, RR #1 was agreeable with the result of their report. The LNHA and DON stated they suspended CNA #1 and called police on 8/8/25, when RR #1 emailed and escalated their concerns. An acceptable Removal Plan (RP) was received on 8/20/25 at 2:00 PM, indicating the action the facility will take to prevent serious harm from occurring or reoccurring. The facility implemented a corrective action plan to remediate the deficient practice including: on 8/19/25, CNA #1 remained suspended; all residents who received care by CNA #1 were assessed for pain, skin, and social services with no concerns; past three months of grievances were reviewed with no concerns for abuse; Regional staff in-serviced the LNHA and DON on the facility's abuse and abuse reporting policies;
the DON or designee began in-servicing all staff on abuse and abuse reporting; and the DON or designee will quiz all staff on abuse.The survey team verified the implementation of the RP on-site on 8/21/25.
N.J.A.C. 8:39-4.1(a)5
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Mountainside Skilled Nursing and Rehab
1180 US Highway 22 Mountainside, NJ 07092
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0609
Federal health inspectors cited MOUNTAINSIDE SKILLED NURSING AND REHAB in MOUNTAINSIDE, NJ for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-08-21.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of MOUNTAINSIDE SKILLED NURSING AND REHAB.
Correction Status: Deficient, Provider has no plan of correction.
MOUNTAINSIDE SKILLED NURSING AND REHAB in MOUNTAINSIDE, NJ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.