MEDFORD LEAS

MEDFORD, NJ · 24 beds · Non profit - Corporation

73 Trust Score
Grade: B LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • No fines or penalties on record

Quick Facts

★★★★☆
CMS Overall
★★★☆☆
Health Inspection
6
0.7x state avg
Deficiencies
$0
Fines (3-yr)
N/A
Staffing

Violation Timeline

February 24, 2025

18 deficiencyies
F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

F0838 Potential Harm Scope/Severity: E

Administration Deficiencies

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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

F0865 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

Have a plan that describes the process for conducting QAPI and QAA activities.

F0867 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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

F0838 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

F0865 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

Have a plan that describes the process for conducting QAPI and QAA activities.

F0867 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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

F0838 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

F0865 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

Have a plan that describes the process for conducting QAPI and QAA activities.

F0867 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

January 8, 2023

2 deficiencyies
F0640 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

See full violation history →

Staffing

N/A
RN hrs/res/day
N/A
LPN hrs/res/day
N/A
CNA hrs/res/day
N/A
Weekend hrs/res/day
N/A
Total nurse turnover
N/A
RN turnover

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Independent (not part of a chain)
  • LOFTUS, ABBY

    CORPORATE DIRECTOR

    Since since 05/18/2015

    Individual
  • VICKERS, JEREMY

    CORPORATE DIRECTOR

    Since since 10/11/2010

    Individual
  • DRISCOLL, HALEY

    CORPORATE OFFICER

    Since since 10/23/2013

    Individual
  • HALL, MARLENE

    CORPORATE OFFICER

    Since since 10/29/2020

    Individual
  • JOHNSON, MARIANNE

    CORPORATE OFFICER

    Since since 10/29/2020

    Individual
  • JONES, SCOTT

    CORPORATE OFFICER

    Since since 10/29/2020

    Individual
  • MELROY, FRANCIS

    CORPORATE OFFICER

    Since since 10/29/2020

    Individual
  • SYMCAK, DIANE

    CORPORATE OFFICER

    Since since 10/29/2020

    Individual
  • VICKERS, JEREMY

    W-2 MANAGING EMPLOYEE

    Since since 10/27/2010

    Individual

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