Autumn Lake Healthcare At Oceanview
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
dated 10/21/2025 revealed under Today's Date 10/21/2025 and under Narrative: 3) that the physician, power of attorney and the ombudsman were notified.In a 10/30/2025 interview at 10:11 A.M. Certified Nursing Assistant #1 (CNA #1) stated she provided care to Resident #1 on 10/17/25 during the 3 P.M. to 11P.M. shift, specifically around 7P.M. She further stated that she and another CNA changed Resident #1 for bed. CNA #1 stated nothing was wrong with her hand on the 17th.In a 10/30/2025 interview at 11:23 A.M., Licensed Practical Nurse #1 (LPN #1) stated that CNA #2 came to her on 10/18/2025 and reported Resident #1's finger on their right hand had a bruise. LPN #1 further stated that when she saw Resident #1's hand just the tip was bruised but as the day went on the hand became bruised.In a 10/30/2025
interview at 11:44 A.M., when questioned about the reporting of the injury of unknown origin, the Director of Nursing (DON) stated, Well [Resident #1] is combative with care. I believe it was when they were getting her dressed. Probably the 3-11 shift, mostly because at that time before bed [Resident #1] was much more aggressive. The surveyor asked if the injury of unknown origin was reported to the New Jersey Department of Health and the DON replied, No we did not report to the state because it's not necessarily unknown origin because [Resident #1] was noted in PCC (Point Click Care the electronic medical record) to be more combative at that time. We assumed it was from this changing. She further stated, For us it wasn't of unknown origin.In an 10/30/2025 interview at 3:34 P.M., with the DON and the Licensed Nursing Home Administrator (LNHA), the DON stated Resident #1 had signs and symptoms of a potential injury on 10/18/2025 and that during the investigation she did not check other residents on the same unit or assignment for injuries to rule out abuse. The DON explained she did obtain statements from the staff on 10/20/2025 but she was unsure of what shifts provided statements. The DON stated the 18th was the weekend, so on Monday when management came back to work, we had everyone write statements. The statements are talking about previous encounters in general. The DON further stated that abuse was ruled out since Resident #1 had a note of aggressive behavior from the 17th and no allegations of abuse were reported. The DON went on to say, Yes, we did a thorough and complete investigation. We don't see it as an injury of unknown origin.A review of the facility's undated policy titled Abuse, Neglect and Exploitation revealed under IV. Identification of Abuse, Neglect and Exploitation A. The facility will have written procedures to assist staff in identifying the different types of abuse - mental/verbal abuse, sexual abuse, physical abuse., and under B. Possible indicators of abuse include, but are not limited to.2. Physical marks such as bruises. A further review revealed under V. Investigation of Alleged Abuse, Neglect and Exploitation, A. An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur. B. Written procedures for investigation include.5. Focusing
the investigation on determining if abuse, neglect, exploitation, and/or mistreatment has occurred, the extent, and cause; and 6. Providing complete and thorough documentation of the investigation.A review of
the facility's undated policy titled Reporting Abuse to State Agencies and Other Entities/Individuals revealed under Policy Interpretation and Implementation: Should a suspected violation or substantiated incident of all [sic] alleged violation of abuse.Including injuries of unknown source.Should be reported to any covered individual including the facility administrator, or his/her designee, owner operator, employee, manager, agent, or contractor will promptly notify the following persons or agencies (verbally and written) of such incident. The Department of Health, The State Ombudsman, The Resident's Representative, The Resident's Attending Physician, Others as deemed appropriate.NJAC 8:39-9.4(f)
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AUTUMN LAKE HEALTHCARE AT OCEANVIEW in OCEAN VIEW, 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 OCEAN VIEW, 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 AUTUMN LAKE HEALTHCARE AT OCEANVIEW or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.