Complaint Investigation

Alaris Health At West Orange

December 22, 2025 · West Orange, NJ · 5 Brook End Drive

Citations 1

CMS Rating 4/5

Beds 120

Provider ID 315449

Healthcare Facility

Alaris Health At West Orange

West Orange, NJ · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

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.

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.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.