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MOHAWK MEADOWS Inspection Report, Violations & Safety Grade (LAFAYETTE, New Jersey)

1 O'BRIEN LANE, LAFAYETTE, New Jersey 07848

Phone: 9733836200

CMS Overall:2/5

Overview & Bed Count

Certified Beds
159
Avg Residents/Day
141.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Sussex
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health1/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew Jersey AvgDifference
RN Hours per Resident per Day0.440.70-0.26
Total Nurse Hours per Resident per Day2.623.90-1.29
CMS Staffing Rating3/53.2/5-
Nursing Staff Turnover23.3%39.3%-

Health Citation History

21 health citations on record

DateCategoryDescriptionSeverity
2025-08-18Freedom 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
2025-08-18Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-08-18Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-11-19Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2024-11-19Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2024-11-19Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2024-11-19Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2024-11-19Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-11-19Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-11-19Resident 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
2023-11-21Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.L – Immediate Jeopardy
2023-11-21Infection Control DeficienciesProvide and implement an infection prevention and control program.L – Immediate Jeopardy
2023-11-21Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2023-07-17Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-07-17Resident 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
2023-07-17Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2023-07-17Pharmacy 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
2023-07-17Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2021-12-03Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2021-12-03Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2021-12-03Pharmacy 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

Fire Safety Citation History

33 fire safety citations on record

DateCategoryDescriptionSeverity
2024-11-19Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.F – Moderate Harm Potential
2024-11-19Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2024-11-19Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-11-19Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-11-19Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-11-19Gas, 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
2024-11-19Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-11-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2024-11-19Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2024-11-19Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-11-19Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2023-07-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-07-17Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2023-07-17Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2023-07-17Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2023-07-17Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2023-07-17Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2023-07-17Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2023-07-17Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2023-07-17Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.E – Moderate Harm Potential
2023-07-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2021-12-03Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2021-12-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2021-12-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2021-12-03Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2021-12-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$713,795
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2023-11-21Fine$713,795-
2023-11-21Payment Denial-8 days starting 2024-01-03

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