Mountainside Skilled Nursing And Rehab
MOUNTAINSIDE SKILLED NURSING AND REHAB in MOUNTAINSIDE, NJ — inspection on August 21, 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.
Inspection Findings
jeopardy to resident health or safety
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Mountainside Skilled Nursing and Rehab
1180 US Highway 22 Mountainside, NJ 07092
SUMMARY STATEMENT OF DEFICIENCIES
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.