Alaris Health At The Chateau
Alaris Health at The Chateau in ROCHELLE PARK, NJ — inspection on January 9, 2025.
Found 5 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 Discharge Instructions, dated 04/13/24 in the EMR under the Assessment tab revealed
unstageable pressure ulcer was not documented, under the heading of Treatments the instructions read, Left anterior distal lower leg: apply Skin Prep daily and leave open to air.
Additional Notes - Loose sock only on left lower extremity.
During an interview on 01/09/25 at 1:15 PM, Unit Manager 3rd Floor South (UM3S) stated she remembered R328 having a sacral pressure ulcer and something on the top of her leg. UM3S reviewed R328's EMR and stated there was a DTI from the elastic of a sock and R328 was followed weekly in wound rounds through discharge. UM3S stated R328 received Skin Prep application for the pressure ulcer through discharge on [DATE].
During an interview on 01/09/24 at 1:37 PM, the Director of Nursing South (DON) S stated families should be notified of new pressure ulcers by the nursing staff.
The DON S stated this should be documented in Nurses Notes, in Physician's Notes or on the Wound Reports.
The DON S reviewed R328's EMR and stated she did not see documentation of notification in any location of the new pressure ulcer to the left anterior leg to F-F328.
During an interview on 01/09/25 at 5:01 PM, Registered Nurse (RN)3 stated when new pressure ulcers were discovered the physician and family were both notified right away. RN3 stated the notification should be documented in Progress Notes.
During an interview on 01/09/25 at 6:54 PM, the Administrator stated notification of the pressure ulcer was covered at discharge in the Discharge Instructions regarding the application of Skin Prep treatment.
The Administrator stated she did not know if the family was notified prior to that.
NJAC 8:39-13.1(a)(d)
315494 01/09/2025
Alaris Health at the Chateau 96 Parkway Rochelle Park, NJ 07662
During an interview on 01/09/25 at 6:00 PM with the Consulting Pharmacist (CP) revealed the reason she requested to increase the resident's Aricept on 08/29/24 after four weeks was due to the resident being on a low dose at the beginning and you want to titrate up to get the maximum effectiveness of the medication.
The CP confirmed she also made follow-up recommendations to the physician to increase the Namenda and Aricept two more times and the recommendations were not responded to by the physician.
She revealed the two medications are intended to slow the progression of the Dementia/Alzheimer's.
NJAC 8:39-29.3
315494 01/09/2025
Alaris Health at the Chateau 96 Parkway Rochelle Park, NJ 07662
Review of the Daily Maintenance Logbook provided by the facility dated 2024 and 2025 revealed there were no requests completed by staff to complete any painting, repair any closet doors, repair any sagging ceiling tiles, or to fix the wall surrounding the Activity room.
Further review of the logbook was an entry dated 01/09/25 revealed there were no maintenance issues reported by staff or found on maintenance rounds.
During an interview with the RM and MD at the time of the above observations, they confirmed the rooms needed to be painted and the closet doors needed to be repaired.
NJAC 8:39-31.4(a)
315494 01/09/2025
Alaris Health at the Chateau 96 Parkway Rochelle Park, NJ 07662
During an interview on 01/09/25 at 9:30 AM Licensed Practical Nurse (LPN)2 she was unsure how long the duct tape and foam had been on several of the handrails.
She said she knew they were working on the handrails last night.
During an interview with the Assistant Administrator on 01/09/25 at 1:30 PM revealed she had heard there was a plan to remodel the second floor but did not know when that would be started.
NJAC 8:39-31.2(e)
During an interview on 01/09/25 at 5:01 PM, Registered Nurse (RN)3 stated when new pressure ulcers were discovered the physician and family were both notified right away. RN3 stated the notification should be documented in Progress Notes.
During an interview on 01/09/25 at 6:54 PM, the Administrator stated notification of the pressure ulcer was covered at discharge in the Discharge Instructions regarding the application of Skin Prep treatment.
The Administrator stated she did not know if the family was notified prior to that.
NJAC 8:39-13.1(a)(d)
315494
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 315494 B.
Wing 01/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Alaris Health at the Chateau 96 Parkway Rochelle Park, NJ 07662
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.