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CANTERBURY AT CEDAR GROVE Inspection Report, Violations & Safety Grade (CEDAR GROVE, New Jersey)

398 POMPTON AVENUE, CEDAR GROVE, New Jersey 07009

Phone: 9732397600

CMS Overall:4/5

Overview & Bed Count

Certified Beds
180
Avg Residents/Day
158.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Essex
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew Jersey AvgDifference
RN Hours per Resident per Day0.370.70-0.33
Total Nurse Hours per Resident per Day3.123.90-0.78
CMS Staffing Rating3/53.2/5-
Nursing Staff Turnover39.8%39.3%-

Health Citation History

45 health citations on record

DateCategoryDescriptionSeverity
2025-12-23Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2025-12-23Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2025-12-23Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2025-12-23Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2025-12-23Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-11-21Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-05-08Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-12-16Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-09-17Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D – Moderate Harm Potential
2024-07-03Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.F – Moderate Harm Potential
2024-07-03Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-07-03Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.D – Moderate Harm Potential
2024-07-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-07-03Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-07-03Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-07-03Nursing and Physician Services DeficienciesObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D – Moderate Harm Potential
2024-07-03Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.D – Moderate Harm Potential
2024-07-03Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D – Moderate Harm Potential
2024-07-03Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-07-03Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-07-26Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.F – Moderate Harm Potential
2023-07-26Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2023-07-26Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2023-07-26Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.E – Moderate Harm Potential
2023-07-26Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2023-07-26Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2023-07-26Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2023-07-26Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E – Moderate Harm Potential
2023-07-26Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2023-07-26Nutrition and Dietary DeficienciesEnsure 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.E – Moderate Harm Potential
2023-07-26Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2023-07-26Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2023-07-26Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.E – Moderate Harm Potential
2023-07-26Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2023-07-26Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2023-07-26Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2023-07-26Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2023-07-26Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-07-26Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2023-07-26Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2023-07-26Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-07-26Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2023-07-26Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2023-07-26Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-07-26Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential

Fire Safety Citation History

23 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-23Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2025-12-23Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2025-12-23Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-12-23Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-12-23Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-12-23Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2025-12-23Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2024-07-03Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-07-03Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.F – Moderate Harm Potential
2024-07-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-07-03Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-07-03Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2024-07-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2024-07-03Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.F – Moderate Harm Potential
2024-07-03Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2024-07-03Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-07-03Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-07-03Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-07-03Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-07-26Egress DeficienciesInstall proper backup exit lighting.F – Moderate Harm Potential
2023-07-26Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-07-26Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2023-07-26Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential

Total Penalties & Fines

$9,661
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-03Fine$9,661-

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