ASHBROOK CARE & REHABILITATION CENTER Inspection Report, Violations & Safety Grade (SCOTCH PLAINS, New Jersey)

1610 RARITAN ROAD, SCOTCH PLAINS, New Jersey 07076

Phone: 9088895500

CMS Overall:2/5

Overview & Bed Count

Certified Beds

114

Avg Residents/Day

86.5

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Union

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health2/5

Staffing3/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	New Jersey Avg	Difference
RN Hours per Resident per Day	0.49	0.70	-0.21
Total Nurse Hours per Resident per Day	3.39	3.90	-0.51
CMS Staffing Rating	3/5	3.2/5	-
Nursing Staff Turnover	24.2%	39.3%	-

Health Citation History

30 health citations on record

Date	Category	Description	Severity
2025-05-09	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J – Immediate Jeopardy
2025-05-09	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	J – Immediate Jeopardy
2025-05-09	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	J – Immediate Jeopardy
2025-05-09	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	J – Immediate Jeopardy
2025-05-09	Resident Rights Deficiencies	Honor 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.	F – Moderate Harm Potential
2025-05-09	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-05-09	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2025-05-09	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E – Moderate Harm Potential
2025-05-09	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E – Moderate Harm Potential
2025-05-09	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E – Moderate Harm Potential
2025-05-09	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D – Moderate Harm Potential
2023-12-15	Nursing and Physician Services Deficiencies	Have 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
2023-12-15	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	F – Moderate Harm Potential
2023-12-15	Resident Rights Deficiencies	Honor 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
2023-12-15	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	E – Moderate Harm Potential
2023-12-15	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E – Moderate Harm Potential
2023-12-15	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	E – Moderate Harm Potential
2023-12-15	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2023-12-15	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	E – Moderate Harm Potential
2023-12-15	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	E – Moderate Harm Potential
2023-12-15	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D – Moderate Harm Potential
2023-12-15	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2023-12-15	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D – Moderate Harm Potential
2023-12-15	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2023-12-15	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2023-12-15	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	D – Moderate Harm Potential
2023-12-15	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-12-15	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D – Moderate Harm Potential
2023-12-15	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	D – Moderate Harm Potential
2023-02-06	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential

Fire Safety Citation History

25 fire safety citations on record

Date	Category	Description	Severity
2025-05-09	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2025-05-09	Smoke Deficiencies	Install an approved automatic sprinkler system.	F – Moderate Harm Potential
2025-05-09	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2025-05-09	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	F – Moderate Harm Potential
2025-05-09	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-05-09	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2025-05-09	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	E – Moderate Harm Potential
2023-12-15	Egress Deficiencies	Have exits that are accessible at all times.	F – Moderate Harm Potential
2023-12-15	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	F – Moderate Harm Potential
2023-12-15	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2023-12-15	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	F – Moderate Harm Potential
2023-12-15	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2023-02-06	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	E – Moderate Harm Potential
2023-02-06	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2023-02-06	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2023-02-06	Smoke Deficiencies	Ensure 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
2023-02-06	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	E – Moderate Harm Potential
2023-02-06	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	E – Moderate Harm Potential
2023-02-06	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2023-02-06	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2023-02-06	Smoke Deficiencies	Have properly sized and located compartments to protect residents from smoke.	E – Moderate Harm Potential
2023-02-06	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2023-02-06	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	E – Moderate Harm Potential
2023-02-06	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D – Moderate Harm Potential
2023-02-06	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the installation and maintenance of electrical systems.	D – Moderate Harm Potential

Total Penalties & Fines

$58,247

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2025-05-09	Fine	$44,486	-
2023-10-30	Fine	$4,587	-
2023-10-23	Fine	$4,587	-
2023-10-17	Fine	$4,587	-

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