Complete Care At Fair Lawn Edge
COMPLETE CARE AT FAIR LAWN EDGE in PATERSON, NJ — inspection on December 29, 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
Review of document from the third-party clinic which was provided to the Department of Health (DOH) by the facility, stated that CNA #1 performed this function of picking up the Methadone for residents on 11/19/2025 until 12/15/2025.
During an interview on 12/22/2025 at 1:07 PM, with the Director of Nursing (DON), the surveyor asked the DON for the policy and procedure on receiving Methadone from the outside third part clinic.
The DON stated that the facility had no policy.
The DON confirmed the facility had residents on Methadone, and that a Certified Nursing Assistant (CNA) or a nurse picked up the residents' Methadone from the clinic weekly or biweekly.
The DON further stated that the Methadone was usually transported in a locked box by the nurse or CNA and was given to the unit nurse where the resident was located.
The DON stated that she had an assigned CNA that picked up the Methadone from the third-party clinic, and if the assigned CNA was off, an arrangement was made for the CNA to come in for a couple of hours to go and pick up the Methadone.
During an interview on 12/23/2025 at 1:56 PM, the Consultant Pharmacist stated that Methadone Clinic was not under his jurisdiction.
During an interview on 12/23/25 at 2:16 PM, CNA #1 confirmed that she picked up Methadone from the outside clinic and that she delivered the box of Methadone and the key to the ADON or the DON when she arrived at the facility, and there were no discrepancies.
During an interview on 12/29/25 at 9:25 AM, the DON in the presence of the Licensed Nursing Home Administrator (LNHA), stated that they did not have a specific policy and procedure for picking up Methadone from the outside clinic and that they used their general narcotic policy.
The LNHA stated, that their corporate office only had the general narcotic policy but nothing specific about picking up Methadone.According to facility's policy dated 9/1/2024, with a revision date of 3/6/2025 and titled: Controlled Substance Administration and Accountability, it stated that controlled substances are delivered and signed for a licensed nurse.
During an interview on 12/29/25 at 10:08 AM, the Registered Nurse (RN #1) stated that a CNA should not pick up Methadone because it was a narcotic medication, and CNAs do not handle narcotics or any type of medication. RN #1 further stated that a CNA should not handle or deliver narcotics or any sort of medication because they are not licensed. NJAC 8:39-29.4(k); 29.7(c)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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