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Complaint Investigation

Christian Health Care Center

February 25, 2026 · Wyckoff, NJ · 301 Sicomac Ave
Citations 1
CMS Rating 3/5
Beds 304
Provider ID 315376
Healthcare Facility
Christian Health Care Center
Wyckoff, NJ  ·  View full profile →
Inspection Summary

CHRISTIAN HEALTH CARE CENTER in WYCKOFF, NJ — inspection on February 25, 2026.

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

FF0658
Resident Assessment and Care Planning Deficiencies

abdominal wall directly into the stomach to insert a feeding tube) route every 8 hours as needed

The above order for ondansetron was transcribed to the Resident Medication Administration Record

A review of the PN, dated 2/15/26 at 11:58 AM, electronically signed by Registered Nurse #1 (RN #1), under action, keeping in mind that patient (also known as resident) vomited 11-7 shift after previous bolus (as reported by Registered Nurse #2 (RN #2).

Further review of the PN revealed the following documentations: -On 2/16/26 at 7:09 AM, electronically signed by RN #2, Resident had 1 x vomit episode at 6:20 AM. -On 2/16/26 at 11:50 PM, electronically signed by Licensed Practical Nurse (LPN), Patient c/o (complaint of) nausea: ondansetron HCL 8 mg tab PRN given with positive results. -On 2/19/26 at 2:54 PM, electronically signed by RN #3, under response: PRN Zofran (also known as ondansetron) given for nausea with relief.

Further review of the MR revealed that there was no documented evidence that the PRN ondansetron was administered on 2/15/26, 2/16/26 at 7:09 AM or as to why the med was not administered when the resident had c/o nausea or vomiting. In addition, there was no documented evidence that the RMAR was signed by nurses when the PRN ondansetron was administered on 2/16/26 at 11:50 PM and 2/19/26 at 2:54 PM according to the PN.

On 2/24/26 at 12:31 PM, the survey team met with the Licensed Nursing Home Administrator (LNHA), DON, and S #2 notified them of the above findings and concerns with regard to PRN ondansetron.

A review of the facility's Policy: Medication Administration that was provided by the DON, with an effective date of 1/26, revealed under policy, medications (meds) are administered by licensed nurses as ordered by the physician and in accordance with professional standards of practice.Policy Explanation and Compliance Guidelines: 11.

Review MAR to identify med to be administered.17.

Sign MAR after administered.

On 2/25/26 at 11:21 AM, the survey team met with the LNHA and DON in responses to the above concerns.

The DON stated that the ondansetron administered should have been signed by the nurse in the RMAR and should have followed the PO.

She also acknowledged that there should have been documentation as to why the PRN ondansetron was not administered and the non-pharmacological interventions were tried first prior to giving med.

NJAC 8:39-11.2(b); 29.2 (b)(d)

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 WYCKOFF, 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 CHRISTIAN HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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