Careone At Parsippany
CAREONE AT PARSIPPANY in PARSIPPANY TROY HILL, NJ — inspection on November 7, 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
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)
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