Daughters Of Israel Pleasant Valley Home
DAUGHTERS OF ISRAEL PLEASANT VALLEY HOME in WEST ORANGE, NJ — inspection on November 10, 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
from the toilet seat to the w/c.
The nurse went to the room and observed Resident #3 on the bathroom floor on their knees, crying. Resident #3 complained of pain in their right knee.
All responsible parties were notified.
The Nurse Practitioner ordered an X-ray of the right knee and an order for the rehabilitation department to screen for treatment from the occupational and physical therapy department.
Further review revealed that Resident #3 was transferred to the hospital Emergency Department due to complaints of knee pain.
All testing proved negative for injury.
The resident was readmitted to the facility on antibiotics for a urinary tract infection.
On 11/10/25 at 12:15 PM, S #2 conducted a telephone interview with the assigned CNA (CNA #3) who transferred Resident #3 without the assistance of a second staff member. CNA #3 stated that she was not aware that the resident required two staff members for transfers and that she should have checked the resident's plan of care before transferring them.
On 11/10/25 at 1:10 PM, during an interview with S #2, the RNMDSC confirmed that Resident #3 had been care-planned as dependent on two staff members for all transfers, effective from 1/18/24 to the present.
On 11/10/25 at 1:20 PM, the survey team discussed the above observations and concerns with the ED, AAIT, and the DON.
The DON confirmed that CNA #3 should have followed the resident's CP for a two-person transfer.
A review of the facility's Accident/Incident Report Policy that was provided by the DON, with a reviewed date of 7/2025, revealed that it was the facility's policy to document and investigate all incidents that involve residents, whether or not injury occurs.Procedure:.3.
The person completing the report will interview any witnesses to the event to determine what occurred.
Any witness (es) to the accident & incident (A&I) will give a written, signed statement indicating any knowledge or information they have pertaining to the incident.6.
All sections of the A&I Report are to be completed.These statements will be submitted to the Supervisor after entering the statement into electronic medical records.
A review of the facility's Fall Policy and Procedure that was provided by the DON, with a reviewed date of 7/2025, revealed that it was the facility's policy to document and investigate all falls that involve residents, whether or not injury occurs.Procedure:.3.
The person completing the report will interview any witnesses to the event to determine what occurred.
Any witness (es) to the A&I will give a written, signed statement indicating any knowledge or information they have pertaining to the incident.6.
All sections of the A&I Report are to be completed.These statements will be submitted to the Supervisor after entering the statement into electronic medical records.
A review of the facility's Care Planning Policy that was provided by the DON with a revised date of 1/2025, revealed that there was no information about CP update and revision.
No further information was provided by the ED.
NJAC 8:39-27.1 (a); 33.1(d)
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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.