Shore Gardens Rehabilitation And Nursing Center
SHORE GARDENS REHABILITATION AND NURSING CENTER in TOMS RIVER, NJ — inspection on August 20, 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
During the interview she revealed Resident #6 was to be short-term, but did not have any place to go after discharge.
The DSS explained the previous SW setup the community discharge at the resident's request to leave.
She further stated that Resident #6 was discharged and transported in an Uber to a hotel that was paid for a couple of nights, but unsure of what days.
She further stated that she was unable recall if Resident #6's discharge was discussed during the Interdisciplinary Care Team Meetings, where Physical therapy, nursing and social services would discuss the Resident's care, including the Resident's discharge.
The DSS further stated that the facility does not normally discharge to a hotel, and that in her opinion, she would of have the resident stay until there was a safe space for the resident to be discharged .
Stated that if a Resident is adamant about leaving, she would have them sign an Against Medical Advice (AMA) form.
She was not sure if prior notice of the discharge was provided to Resident #6, because the discharge was Resident initiated, not a facility-initiated discharge.
She stated that she does not believe an AMA form was signed due to Resident #6 being medically stable and approved for discharged by the physician.
During an interview with the DOR on 8/20/25 at 1:35PM, she revealed that discharges are discussed in the facility's morning meetings.
She further explained that when a Long-Term Care Resident is discharged into the community, rehab would do an evaluation prior to the discharge.
She further stated that the rehab department was not notified of Resident #6's discharge, so a discharge evaluation was not completed.
Stated Resident #6 was steady while walking, but he needed to rest at times, and had she been notified of Resident #6's discharge, she would have requested a new order for a rollator (a walker with four wheels and a seat).
During an interview with the Administrator on 8/20/25 at 2:00PM, he stated that discharges are discussed in both IDCT meetings and UR meetings. He further stated that if a Resident requested to be discharged , then they would have been discussed in IDCT meetings.
The Administrator stated that he was not able to recall if Resident #6's 3/26/25 discharge was discussed in their meetings.
Administrator further stated that Resident #6 was at Prior Level of Function, and they were cleared by Rehab and Medical, and even though the resident had no other placement, they wanted to leave, and the facility cannot force them to stay.
Surveyor informed Administrator that there is no documentation regarding the discussions of Resident #6 wanting to leave or understanding of their discharge location.The facility did not provide any further pertinent information. N.J.A.C. 8:39-4.1(a)30,32
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