Our Ladys Center For Rehabilitation And Healthcare

Inspection Results

Nursing Homes New Jersey Pleasantville Our Ladys Center For Rehabilitation And Healthcare

Our Ladys Center For Rehabilitation And Healthcare has been cited for a total of 48 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Our Ladys Center For Rehabilitation And Healthcare.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 375 nursing homes in New Jersey with a total of 10,274 deficiencies resulting in an average of 27.40 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

Learn more about:
How Nursing Home Inspections are Conducted SNF, CCRS, and ALFs Estate Planning

Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-06-01

Corrected:

2022-07-15

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-06-01

Corrected:

2022-07-15

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

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

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-05-06

Ensure staff are vaccinated for COVID-19

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

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

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-05-06

Ensure staff are vaccinated for COVID-19

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-09

Corrected:

2022-02-25

Prepare residents for a safe transfer or discharge from the nursing home.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-23

Corrected:

2021-12-30

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-23

Corrected:

2022-02-08

Prepare residents for a safe transfer or discharge from the nursing home.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-23

Corrected:

2021-12-30

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-23

Corrected:

2022-02-08

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-12-10

Corrected:

2020-01-09

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-12-10

Corrected:

2020-01-09

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Post nurse staffing information every day.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

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

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Keep all essential equipment working safely.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Post nurse staffing information every day.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

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

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Keep all essential equipment working safely.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-12

Corrected:

2018-12-12

Learn more about Our Ladys Center For Rehabilitation And Healthcare at the following resources

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Our Ladys Center For Rehabilitation And Healthcare

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