Complete Care At West Caldwell Llc
Inspection Findings
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
resident needs a safe environment (even floors, free from spills or clutter, adequate light, working and reachable call light, bed in low position at night, side rails as ordered, personal items within reach).On [DATE REDACTED] at 12:16 PM, the surveyor requested for the facility's ISC, investigation report and documents for the [DATE REDACTED] incident involving Resident #5. The LNHA provided the surveyor with Resident #5's investigation documents (ID). The surveyor was not able to find the ISC in the investigation documents. The LNHA stated that she started to work as the LNHA in the facility in June of 2025 and she was not aware of or if an ISC was made and submitted by the previous administrator who resigned from the facility before June of 2025.
The surveyor reviewed the facility's ID. There was no facility ISC nor staff statements in the documents received by the surveyor. Statements received by the surveyor were VWSs taken by the local police.On [DATE REDACTED] at 1:16 PM, the LNHA provided the surveyor of a document titled, Summary of Investigation (SOI).
The SOI indicated under Issue/Concern: On [DATE REDACTED] at approximately 120 [1:20 am] [Resident #5] was found lying next to [their] bed with a garbage pail at the top of her head. Under Action/Intervention: Staff immediately began CPR [cardiopulmonary resuscitation] and called 911.Under Conclusion/Plan: There is no evidence of abuse or neglect .Team has concluded .It is most likely the resident [Resident #5] suffered a fatal seizure and rolled off the bed onto the floor and [their] head hit the bedside garbage pail.A review of
the facility's Abuse, Neglect, and Exploitation with a Reviewed/Revised date of [DATE REDACTED] revealed under Policy Explanation and Compliance Guidelines: 1. The facility will develop and implement written policies and procedures that .b. Establish policies and procedures to investigate any such allegations. Under Investigation of Alleged Abuse, Neglect, and Exploitation: B. Written procedures for investigations include:
- 1. Identifying staff responsible for the investigation .4. Identifying and interviewing all involved persons,
witnesses, and others who might have knowledge of the allegations; .6. Providing complete and thorough documentation of the investigation.NJAC 8:39-4.1(a)5
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COMPLETE CARE AT WEST CALDWELL LLC in WEST CALDWELL, 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 WEST CALDWELL, 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 COMPLETE CARE AT WEST CALDWELL LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.