LUTHERAN SOCIAL MINISTRIES CRA

📍 459 PASSAIC AVENUE, west-caldwell, NJ 07006 📞 9732763018 🛏️ 56 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐⭐
5/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

16
Total Violations
5 years of data
$11,300
Total Fines
1 penalties
3
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0583 D Mar 14, 2025

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 5, 2025
Tag 0755 E Mar 14, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 5, 2025
Tag 0880 D Mar 14, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 1, 2025

2023 6 violations

Tag 0883 E Aug 22, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Sep 14, 2023
Tag 0695 D Jan 27, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 3, 2023
Tag 0755 D Jan 27, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 10, 2023
Tag 0760 D Jan 27, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 10, 2023
Tag 0812 D Jan 27, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 10, 2023
Tag 0880 D Jan 27, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 10, 2023

2021 4 violations

Tag 0582 D Feb 25, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Mar 19, 2021
Tag 0607 E Feb 25, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Mar 19, 2021
Tag 0686 G Feb 25, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 31, 2021
Tag 0689 D Feb 25, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 19, 2021

2018 2 violations

Tag 0758 D Nov 2, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Dec 3, 2018
Tag 0812 E Nov 2, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 3, 2018

2017 1 violations

Tag 0431 D Jul 27, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Aug 1, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $11,300

$11,300
Fine
February 25, 2021
Average: $11,300 | Range: $11,300 - $11,300

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 22, 2023
0.00

Health

January 27, 2023
0.00

Health

February 25, 2021
0.00

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Ownership Information

Non profit - Church related
Independent (Not part of a chain)
315457
315457
9732763018
Essex

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual