Promise Care Nj
Inspection 2024-05-24
· Recertification · no deficiencies cited · CMS source report (PDF)Inspection 2021-07-14
· Focused Infection Control, Other-Fed, Recertification · 13 deficiencies · CMS source report (PDF)The facility failed to ensure an effective, ongoing, data-driven quality assessment and performance improvement (QAPI) program, is maintained.
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The facility failed to ensure its infection control program adheres to acceptable standards of practice.
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The facility failed to ensure all patient's receive an individualized emergency plan as part of their comprehensive assessment.
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The facility failed to ensure services ordered by the physician are provided, as indicated in the plan of care.
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The facility failed to ensure its QAPI (quality assurance performance improvement) program measures, analyzes, and tracks quality indicators of performance.
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The facility failed to ensure performance improvement activities focused on high risk, high volume, or problem prone areas.
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The facility failed to ensure performance improvement activities, analyze adverse patient events, and implement preventive actions.
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The facility failed to ensure that performance improvement projects are conducted annually.
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The facility failed to ensure their infection prevention policies regarding manufacturer's instructions for use, are followed.
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The agency failed to ensure COVID-19 screening questions are completed prior to visitors entering the facility.
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The facility failed to ensure that the facility had a qualified day to day infection control nurse.
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The facility failed to ensure skilled professionals practice according to the facility's wound care policies and procedures.
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The facility failed to ensure patient care is provided according to the written plan of care established and reviewed by a physician.
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Inspection 2019-02-06
· Complaint · no deficiencies cited · CMS source report (PDF)Inspection 2018-08-03
· Recertification · 21 deficiencies · CMS source report (PDF)The facility failed to ensure that it maintained an effective, ongoing, data-driven quality assessment and performance improvement (QAPI) program.
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The facility failed to ensure that its infection control program adheres to acceptable standards of practice.
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The facility failed to ensure that its governing body assumes responsibility for the agency's overall management, operation, and provision of services.
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The facility failed to complete and/or conduct the required two exercises to test the emergency plan at least annually.
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The facility failed to ensure a written plan of care (POC) was provided to the patient upon admission.
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The facility failed to ensure that its QAPI (quality assurance performance improvement) program measures, analyzes, and tracks quality indicators of performance.
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The facility failed to ensure that performance improvement activities analyze adverse patient events and implement preventive actions.
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The facility failed to ensure that performance improvement projects are conducted annually.
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The facility failed to ensure that all staff adhere to acceptable standards of practice to prevent the transmission of infections and communicable diseases.
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The facility failed to ensure that its infection control program includes methods for surveillance, identification, prevention, and investigation of communicable diseases.
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The facility failed to ensure that all employees receive training in infection control practices in accordance with its policy.
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The facility failed to ensure that skilled professional assistants are supervised.
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The facility failed to ensure that all persons furnishing services to patients are licensed as applicable, in accordance with state licensing requirements.
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The facility failed to ensure that the governing body maintains responsibility for the agency's overall management, operation, and provision of services.
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The facility failed to implement the Home Health Aide (HHA) services agreement.
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The facility failed to ensure patient care services are provided in accordance with the plan of care.
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The facility failed to ensure all patient medications are reviewed in accordance with facility policy.
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The facility failed to coordinate care to meet the patient's needs.
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The facility failed to ensure that the home health aide (HHA) is supervised to provide care in a safe and effective manner.
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The agency failed to ensure that the Administrator employs qualified personnel.
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The facility failed to ensure that a qualified, pre-designated person assumes responsibilities for the administrator when he/she is unavailable.
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