Alaris Health At St Marys
ALARIS HEALTH AT ST MARYS in ORANGE, 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
Review of the July 2025 TAR revealed blanks for the following treatments: Turn and reposition every 2 hours every shift was blank on 7/15/25 on the 7:00 AM shift. On 10/23/25 at 10:54 AM the surveyor interviewed the Unit Manager (UM) who stated that nurses documented on the TAR each shift.
The UM further stated that the residents were turned and positioned. On 10/23/25 at 2:33 PM, an interview was conducted with the Director of Nursing (DON) who stated that the nurses documented in the TAR after completing the resident's ordered treatment.
The DON further revealed that the nurses also documented in the nursing progress notes. A review of the facility's policy Charting and Documentation Policy and Procedure with a revision date of July 2021 revealed in the Policy Interpretation and Implementation revealed that Documentation in the medical record will be objective, complete, and accurate. NJAC 8:39-3.2(a)(b)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Axia Care Center of Orange
135 South Center Street Orange, NJ 07050
SUMMARY STATEMENT OF DEFICIENCIES
positioned. On 10/23/25 at 2:33 PM, an interview was conducted with the Director of Nursing (DON), who stated, if it is not documented it is not done.
The DON further stated that both the nurses and the CNAs were responsible for completing the ADL documentation, and that it was important to document that the care was being provided as required.
The DON also reported that the Assistant Director of Nursing (ADON) and the nurse manager were responsible for auditing ADL documentation to ensure completion. A review of the Charting and Documentation Policy and Procedure with a revised date of July 2021, revealed under Policy Interpretation and Implementation 3.
Documentation in the medical record will be objective, complete and accurate. NJAC 8:39, 27.2(b), (h).
Facility ID: