Bergen New Bridge Medical Center
BERGEN NEW BRIDGE MEDICAL CENTER in PARAMUS, NJ — inspection on November 18, 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
documentation. On 11/12/25 at 2:04 PM, an interview was conducted with the Assistant Director of Nursing (ADON) who stated that all nursing staff was responsible for the resident's care.
The ADON further revealed that CNAs document all care in the POC and the ADON also confirmed that there should not be any blanks in the POC. 2.A review of Resident #2's admission Record (AR) revealed on 11/12/25, that the section designated for the resident's medical diagnoses was left blank. A review of Resident #2's Medication Administration Record for November 2025, revealed in the section designated for diagnoses that the resident had diagnoses, that included but were not limited to; disease of spinal cord and quadriplegia. A review of Resident #2's comprehensive MDS dated [DATE], revealed that the resident had a BIMS score of 15 of 15, indicating that the resident's cognition was intact. A review of Resident #2's care plan with an original date of 9/2/25, revealed that the resident had self care deficit secondary to quadriplegic status, dx. (diagnosis) disease of spinal cord, diabetes, hypertension, gastroesophageal reflux disease, polyneuropathy [nerve damage].
The resident was dependent for assistance in all ADL areas. A review of Resident #2's CNA Flow Sheet for November 2025, revealed multiple blank sections where care tasks were not recorded.
These blank areas further revealed that the CNAs did not document care provided as follows: The ability to maintain personal hygiene, including combing hair, shaving, applying makeup, washing, drying face and hands (excludes baths, showers and oral hygiene) were blank on 11/1/25, 11/2/25, 11/4/25, 11/5/25, 11/7/25, 11/8/25, 11/10/25, 11/12/25, 11/13/25, 11/14/25, 11/15/25, and 11/16/25 on the night shift.
The ability to maintain personal hygiene, including combing hair, shaving, applying makeup, washing, drying face and hands (excludes baths, showers and oral hygiene) were blank on 11/1/25, 11/2/25,11/5/25, 11/6/25, 11/8/25, 11/9/25, 11/10/25, 11/11/25, 11/12/25, 11/13/25, 11/14/25, 11/16/25, and 11/17/25 on the day shift.
The ability to maintain personal hygiene, including combing hair, shaving, applying makeup, washing, drying face and hands (excludes baths, showers and oral hygiene) were blank on 11/2/25, 11/4/25, 11/5/25, 11/6/25, 11/7/25, 11/10/25, 11/11/25, 11/12/25, 11/13/25, 11/14/25, 11/15/25, and 11/17/25 on the afternoon shift.
The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair).
Does not include transferring in and out of tub and shower were blank on 11/1/25, 11/2/25, 11/3/25, 11/4/25, 11/5/25, 11/7/25, 11/8/25, 11/9/25, 11/10/25, 11/12/25, 11/13/25, 11/14/25, and 11/16/25 on the night shift.
The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair).
Does not include transferring in and out of tub and shower were blank on 11/3/25, 11/4/25, 11/7/25, and 11/15/25 on the day shift.
The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair).
Does not include transferring in and out of tub and shower were on 11/1/25 11/8/25, 11/9/25, and 11/16/25 on the afternoon shift. On 11/12/25 at 10:50 AM, an interview was conducted with the CNA, who revealed that the CNAs were responsible for providing the residents with activities of daily living care.
The CNA further revealed that all tasks were required to be documented in the Point of Care (POC) system. On 11/12/25 at 11:00AM, an interview was conducted with the Nurse Manager, who stated that it was the expectation that the CNAs documented in the POC and that the assigned nurses reviewed and confirmed the documentation. On 11/12/25 at 2:04 PM, an interview was conducted with the ADON, who stated that all nursing staff was responsible for the resident's care.
The ADON further revealed that CNAs documented all care in the POC and also confirmed that there should not be any blanks in the POC. A review of the facility's policy titled ADL [Activity of Daily Living], Functional Abilities and Self Care with a revision date of 1/2025, under Monitoring and Documentation item1 indicated Record ADL/Functional Abilities assistance in the Point of Care in the EMR [electronic medical record].
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