Preferred Care At Old Bridge, Llc
Inspection Findings
F-Tag F0558
F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
A review of the Care Plan Report revealed a Focus dated 11/6/20, which reflected the resident required assistance with ADL functions. In addition, the care plan report reflected the intervention keep call light within easy reach dated 11/6/20.
On 10/23/25 at 12:45 PM, the surveyor interviewed CNA #2 who stated that the call bell system alerts as a light above the residents room and a sound that can be heard in the hallway. She further stated that the residents room and bed number could also be seen on a monitor at the nurses' station. CNA #2 stated that upon entering the resident's room, the call bell was turned off and if it was her resident, she would see what
they needed. CNA #2 also stated, If it's not my resident I go and get the aid. In addition, CNA #2 stated the CNAs should respond to the resident right away.
On 10/23/25 at 12:50 PM, the surveyor interviewed LPN/UM #2 who stated that the process for answering call bells was to ask what the resident needs; then either do it or leave to get the staff that can do it. For example, if a resident needs pain medicine the CNA would get the nurse. LPN/UM #2 stated that staff should then go back to the resident to tell them someone was coming. LPN/UM #2 stated that everybody can answer a call bell. Sometimes they can do what the patient needs, but sometimes they have to get someone else. LPN/UM #2 stated that call bells needed to be in reach at all times, which meant the resident was able to press it with their dominant side or whatever's easiest.
A review of the facility's policy titled, Call Bell last revised 1/2025 revealed the following: Purpose Residents will have a functioning call bell to alert staff of their needs.
Procedures #1 Call bell functioning will be checked on a regular basis by Nursing and Maintenance. #7 When making beds and tidying resident rooms, call bell will be left in a standard place in all rooms: attached to a partial side rail or the top of the bed. The Nursing Assistant leaving the room must ensure that
the call bell is in place regardless of the residents' ability to use it. #9 The Nursing Assistants will ensure that the call bell is within the resident's reach before leaving the room.
NJAC 8:39-31.8(c)(9)
FORM CMS-2567 (02/99) Previous Versions Obsolete
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
10/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Preferred Care at Old Bridge, LLC
6989 Rt18 Old Bridge, NJ 08857
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 F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
A review of the admission Record reflected that the resident was admitted with diagnoses that included but were not limited to unspecified sequelae of cerebral infarction (complications that resulted from a stroke), urinary tract infection, retention of urine, and generalized muscle weakness.
A review of a Quarterly MDS dated [DATE REDACTED], reflected the resident had a BIMS score of 13 out of 15, which indicated the resident was cognitively intact. The MDS also reflected that Resident #4 had an indwelling urinary catheter, and was frequently incontinent of bowels.
A review of the Physicians Orders (PO) reflected a PO dated 9/25/25, to remove the indwelling urinary catheter.
A review of the Care Plan Report for Resident #4 included a Focus dated 8/21/25, that the resident required assistance with ADL functions. Interventions dated 8/21/25, included, Toileting: I am totally dependent on (1) staff for toilet use.
A review of the facility's policy titled, Activities of Daily Living (ADLs), Supporting, last revised 1/2025, indicated the following: Policy: Residents will be provided with care, treatment and services as appropriate to maintain their ability to carry out activities of daily living (ADLs).
Residents who are unable to carry out activities of daily living independently will receive the services, necessary to maintain good nutrition, grooming and personal and oral hygiene.
Procedure Residents will be provided with care, treatment and services to ensure that their activities of daily living (ADLs) do not diminish unless the circumstances of their clinical condition(s)demonstrate that diminishing ADLs are unavoidable.
Appropriate care and services will be provided for residents who are unable to carry out ADLs independently.
If residents with cognitive impairment or dementia resist care, staff will attempt to identify the underlying cause of the problem and not just assume the resident is refusing or declining care. Approaching the resident in a different way or at a different time or having another staff member speak with the resident may be appropriate.
The policy was not being followed.
NJAC 8:39-27.2 (d)(h)(i)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
PREFERRED CARE AT OLD BRIDGE, LLC in OLD BRIDGE, 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 OLD BRIDGE, 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 PREFERRED CARE AT OLD BRIDGE, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.