Preferred Care At Old Bridge, Llc
PREFERRED CARE AT OLD BRIDGE, LLC in OLD BRIDGE, NJ — inspection on October 23, 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
required assistance with ADL functions. In addition, the care plan report reflected the intervention
On 10/23/25 at 12:45 PM, the surveyor interviewed CNA #2 who stated that the call bell system
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)
315321 10/23/2025
Preferred Care at Old Bridge, LLC 6989 Rt18 Old Bridge, NJ 08857
did not take Resident #4 to the bathroom although he should have, stating it was an error.
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], 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)
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.