Deficiency Records for South Orange Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for South Orange Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-29 | 2023-08-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-29 | 2023-08-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-29 | 2023-08-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-27 | 2023-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-27 | 2022-12-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-27 | 2022-11-04 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-09-27 | 2022-11-04 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-27 | 2022-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-28 | 2021-11-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-11 | 2021-09-11 | N |
| Dispose of garbage and refuse properly. | Health | 2021-08-11 | 2021-09-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-10 | 2021-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-16 | 2020-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-16 | 2020-02-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-01-16 | 2020-02-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-01-15 | 2020-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-15 | 2020-02-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-15 | 2020-02-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-15 | 2020-02-17 | N |
