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Complaint Investigation

Alaris Health At West Orange

December 22, 2025 · West Orange, NJ · 5 Brook End Drive
Citations 1
CMS Rating 3/5
Beds 120
Provider ID 315449
Healthcare Facility
Alaris Health At West Orange
West Orange, NJ  ·  View full profile →
Inspection Summary

ALARIS HEALTH AT WEST ORANGE in WEST ORANGE, NJ — inspection on December 22, 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Actual Harm

ASSESSMENT PROCESS revealed under CARE PLAN PROTOCOLS AND POLICIES, .A baseline care plan is developed within 48 hours of admission A review of the facility policy titled Comprehensive Care Plan revealed under Procedure, .A comprehensive care plan must be developed within 7 days The plan of care shall be reviewed and revised by the interdisciplinary team after each assessment A review of the facility policy titled Skin Assessment & Monitoring with an Effective date of 03/18 and a Last Reviewed date of 12/25 revealed under Policy,It is the policy of this facility to perform: A head-to-toe skin check on admission .Bi-weekly skin observations andWeekly skin assessments for residents identified with skin impairments .Under admission Skin Check,1 will document all skin impairments in the skin section of the admission screener and progress notes 2 document findings and/or clarifications in the progress notes .3 Orders will be entered into PCC.Under Bi-weekly Skin Observations:2.

The licensed nurse will inform the resident and/or responsible party of any newly identified skin impairments A review of the facility policy titled Wound Management Program Policy revealed under Policy, .upon notification to physician with type of skin impairment, the facility is to follow all physician orders and document plan of care.

Under Stage I Redness or Non-blanching Redness, b. MD and family notification .m.

Document, and under Other Skin Impairments, a.

Assess type of skin impairment and record wound appearance .c.

Start appropriate treatment as per MD orders .j.

Monitor skin impairment daily during care .l.

Document.A review of the facility policy titled DOCUMENTATION revealed under Procedure, Documentation must be completed as soon as possible Corrections must be dated, timed, and initialized.Any change in condition must be documented and reported A review of the facility policy titled Change in Resident's Condition and Notification to Responsible Parties revealed under Procedure, 3.

The nurse assigned to the resident shall be responsible for notifying the attending physician/practitioner and the resident's responsible family members

Facility ID:

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 ORANGE, 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 ALARIS HEALTH AT WEST ORANGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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