Autumn Lake Healthcare At Oceanview
Autumn Lake Healthcare at Oceanview in OCEAN VIEW, NJ — inspection on October 30, 2025.
Found 1 citation. 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
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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