Deficiency Records for New Jersey Veterans Memorial Home Menlo
Updated as of April 01, 2024
A list of the most recent deficiencies for New Jersey Veterans Memorial Home Menlo. 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? |
|---|---|---|---|---|
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-08 | 2023-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-08 | 2023-01-11 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-08 | 2023-01-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-08 | 2022-12-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-08 | 2022-12-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-08 | 2022-11-02 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-09-08 | 2022-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-08 | 2022-11-02 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-09-08 | 2022-11-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-08 | 2022-11-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-08 | 2022-11-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-08 | 2022-11-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-08 | 2022-11-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-08 | 2022-11-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-08 | 2022-11-02 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-09-08 | 2022-11-02 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-08 | 2022-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-08 | 2022-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-08 | 2022-10-07 | 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 | 2022-09-08 | 2022-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-08 | 2022-10-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-08 | 2022-10-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-09-08 | 2022-10-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-08 | 2022-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-08 | 2022-10-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-27 | 2022-07-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-17 | 2021-08-12 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-16 | 2021-07-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-16 | 2021-07-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-03 | 2020-03-10 | 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 | 2020-03-03 | 2020-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-03 | 2020-03-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-03-03 | 2020-03-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-15 | 2019-02-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-15 | 2019-02-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-15 | 2019-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-15 | 2019-02-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-15 | 2019-02-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-15 | 2019-02-15 | 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 | 2019-01-15 | 2019-02-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-15 | 2019-02-15 | 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 | 2019-01-15 | 2019-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-15 | 2019-02-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-01-15 | 2019-02-15 | N |
