CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Hope Creek Nursing and Rehab
View the most recent health deficiencies and inspection results for Hope Creek Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hope Creek Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-13 | 2026-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-20 | 2026-03-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-22 | 2026-02-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-15 | 2025-10-17 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2025-08-22 | 2025-08-27 | Y |
| 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. | Health | 2025-08-22 | 2025-08-27 | Y |
| Assess the resident when there is a significant change in condition | Health | 2025-06-26 | 2025-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-26 | 2025-07-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-09 | 2025-04-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-01-28 | 2025-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-03 | 2024-12-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-31 | 2024-09-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-31 | 2024-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-31 | 2024-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-31 | 2024-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-31 | 2024-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-31 | 2024-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-31 | 2024-09-10 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-31 | 2024-09-10 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-31 | 2024-09-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-31 | 2024-09-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-31 | 2024-09-10 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-08-31 | 2024-09-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-31 | 2024-09-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-31 | 2024-09-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-31 | 2024-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-31 | 2024-09-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-08-31 | 2024-09-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-31 | 2024-09-10 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-08-31 | 2024-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-31 | 2024-09-10 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-07-02 | 2024-07-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-05 | 2024-04-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 2024-01-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-08 | 2023-11-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-12 | 2023-10-19 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-23 | 2023-09-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-08-23 | 2023-09-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-23 | 2023-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-23 | 2023-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-23 | 2023-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-23 | 2023-09-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-23 | 2023-09-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-23 | 2023-09-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-01 | 2022-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-01 | 2022-09-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-01 | 2022-09-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-01 | 2022-09-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Develop a communication plan. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-01 | 2022-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-01 | 2022-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-01 | 2022-08-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-01 | 2022-08-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-01 | 2022-08-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-01 | 2022-08-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-01 | 2022-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-01 | 2022-08-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-01 | 2022-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-01 | 2022-08-04 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-01 | 2022-08-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-01 | 2022-08-04 | 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 | 2022-07-01 | 2022-08-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-07-01 | 2022-08-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-07-01 | 2022-08-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-01 | 2022-08-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-01 | 2022-08-04 | N |
| 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. | Health | 2022-07-01 | 2022-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-01 | 2022-08-04 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-01 | 2022-08-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-01 | 2022-08-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-01 | 2022-08-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-07-01 | 2022-08-04 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-07-01 | 2022-08-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-01 | 2022-08-04 | N |