Careone At Parsippany
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
healing then worsened and the resident had a problem with edema (swelling). The ADON could not recall specifics from September and October 2024 about the WCC's recommendation and communication with
the physician. The ADON stated she would have to look in the resident's medical record to provide additional information. The ADON stated the WCC no longer consulted at the facility. On 11/7/25 at 1:06 PM, the surveyor interviewed LPN #1 who stated if a resident had a worsening wound it would be reported to the physician and the WCC for treatment orders. The LPN stated the ADON would conduct wound care rounds with the WCC and follow up on their recommendations. The surveyor asked LPN #1 about Resident #1. The LPN recalled the resident and that they had a left foot wound which received wound care; the WCC and ID was consulted. LPN #1 could not recall specifics from September and October 2024 regarding the WCC's recommendation and communication with the physician. On 11/7/25 at 1:15 PM, the surveyor interviewed the Director of Nursing (DON) who stated if a resident had a worsening wound an incident report would be completed; it would be reported to the physician and the WCC for treatment orders; and the resident and/or RR would be notified. The DON stated the physician should be notified regarding WCC recommendations to determine if they agreed or disagreed with the recommendations. The DON further explained the notification to the physician should be documented in the EMR under progress notes. The surveyor informed the LNHA of the concern there was no documentation of follow up with the physician regarding WCC recommendations and the resident's wound status. The DON stated she would review the resident's medical records to provide additional information. On 11/7/25 at 3:14 PM, the DON and the LNHA met with the surveyor. The DON stated she did not find any incident report for Resident #1's wound, physician progress notes, or documentation of notification to the primary physician regarding WCC recommendations for possible antibiotics and bone scan. There was no additional information provided by
the facility. The surveyor reviewed the facility policy titled Physician Orders for Consultation with a last revised date of 1/5/22. Under Purpose revealed: .Ensure that attending physicians are timely apprised of
the findings and recommendations of consultants and specialists.The surveyor reviewed the facility policy titled Physician Progress Notes with a last revised date of February 2008. Under Policy Statement revealed, Physician progress notes must be maintained for each resident. Under Policy Interpretation and Implementation revealed: .2. Physician progress notes reflect the resident's progress and response to his or her care plan, medications, etc.The surveyor reviewed the facility provided policy titled Pressure Ulcers/Skin Breakdown- Clinical Protocol with a last revised date of April 2018. Under Monitoring revealed: .1. During resident visits, the physician will evaluate and document the progress of wound healing-especially for those with complicated, extensive, or poorly-healing wounds.2. The physician will guide the care plan as appropriate, especially when wounds are not healing as anticipated or new wounds develop despite existing interventions.N.J.A.C. 8:39-3.2 (a), (b); 19.4; 27.1 (a)
Event ID:
Facility ID:
If continuation sheet
CAREONE AT PARSIPPANY in PARSIPPANY TROY HILL, 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 PARSIPPANY TROY HILL, 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 CAREONE AT PARSIPPANY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.