Voorhees Pediatric Facility
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
covered in feces, which was a regular occurrence. CNA #2 stated she told Resident #1 that it was nasty and wiped Resident #1's hand and went to go get shower supplies to bathe Resident #1. CNA #2 then went
on to state that she asked RN #1 to help assist her on putting Resident #1 on the shower stretcher. CNA #2 then stated that RN #1 asked why Resident #1 looked sad, and CNA #2 replied saying I yelled at [the resident].During an interview on 10/20/25 at 12:10 PM, RN #1 confirmed CNA #2 asked for her assistance
in getting Resident #1 on the shower stretcher; that she had asked why Resident #1 looked sad; and that CNA #2 had responded by stating, I yelled at [the resident]; and that Resident #1 was left with CNA #2 to be bathed. When asked by the surveyor if that alarmed her, RN #1 stated that it did alarm her that CNA #2 yelled at the resident, which was why she asked what was wrong with the resident and comforted them.
When asked if she would consider that staff to resident abuse, RN #1 stated abuse would by physical and verbal. RN #1 stated that she reported it to the UM after the UM pulled her aside to ask her about the incident.During an interview on 10/20/25 at 12:23 PM, the UM denied that RN #1 reported that CNA #2 had yelled at Resident #1 and had only reported to him that Resident #1 looked sad and had a tear in [their] eye when being transferred to the shower.During an interview on 10/20/25 at 12:25 PM, the DON confirmed that he knew that RN #1 had been told that CNA #2 had admitted to yelling at Resident #1 and stated that RN #1 could have stopped the shower from occurring or inquired further as to what was going on.During an
interview on 10/20/25 at 1:38 PM, the LNHA stated that he was aware that CNA #2 had bathed Resident #1
during the time it took CNA #1 to report her allegation of abuse against CNA #2, but he was not aware that CNA #2 had told RN #1 that CNA #2 had yelled at Resident #1. The LNHA further stated that the facility policy for abuse was not followed, and that CNA #1 could have done a much better job in reporting the alleged abuse as there was a delay in timeliness. The LNHA stated that timeliness of reporting was important because the alleged abuser in this incident was left with the resident and if a staff member suspected abuse the facility's goal was to keep all residents safe and not leave the abuser with the residents.An acceptable Removal Plan was received on 10/20/25 at 7:38 PM, indicating the action the facility will take to prevent serious harm from occurring or reoccurring. The facility implemented a corrective action plan to remediate the deficient practice including on 10/09/25, when the DON was made aware, CNA #2 was immediately removed from resident care and suspended pending investigation and was terminated
on 10/17/25. On 10/9/25, the local police were notified, the facility started investigating, and Resident #1 was assessed. On 10/17/25, the facility reported CNA #2 to the NJDOH on the FRIDAY form and the Health Care Professional Responsibility and Reporting Enhancement Act. On 10/20/25, RN #1 was individually counseled and provided with remedial training; the facility's Abuse Prevention Policy was updated and redistributed to all staff to include termination for failure to report in a timely manner; quick reference posters for abuse reporting were installed in staff lounges; and a daily abuse incident reporting audit was started and will be conducted by the DON or appointed designee daily for 30 days to verify timeliness of incident reporting, proper resident protection procedures, and staff compliance with facility policy.The surveyor verified the implementation of the Removal Plan on-site during the continuation of the survey and determined the IJ for F 600 was removed as of 10/21/25 at 12:21 PM.NJAC 8:39-4.1(a)(5)
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If continuation sheet
Voorhees Pediatric Facility in VOORHEES, 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 VOORHEES, 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 Voorhees Pediatric Facility or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.