Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Community Extended Care Hospital Of Montclair during CMS and state inspections, most recent first.
Infection control was deficient when staff left multiple residents' Foley drainage bags touching the floor and kept unlabeled bedpans and urinals in shared bathrooms. CNAs confirmed the catheter bags were on the floor and were unsure which resident-owned unlabeled equipment belonged to which resident, while the IP stated drainage bags should not touch the floor and shared bathroom items should be labeled and stored in designated closets.
Expired salsa was found in the walk-in refrigerator with a use-by date that had passed. The TA stated it should have been removed for disposal, and the DS and RD stated food past the labeled date should not be stored in the refrigerator and can threaten resident safety. The facility P&P for leftover foods states they will be stored and served in a safe manner.
Two residents were affected by medication errors when an RN entered an anti-seizure medication order for the wrong patient during admission. One resident with a seizure disorder did not receive his prescribed Valproic Acid, while another resident without a clinical indication received multiple unnecessary doses. The facility lacked a written policy for the admission medication order process, and staff did not verify orders against hospital discharge records.
A resident's POA requested medical records, but the facility did not provide them within the required two working days as per policy. The delay was due to internal review protocols, and staff acknowledged the failure to meet the timeline for access to the records.
A resident with chronic respiratory failure and intact cognition experienced a violation of her rights when a CNA turned on the light in her room without permission, causing discomfort due to her sensitivity to bright light. The CNA admitted to not asking for permission, and the DON confirmed that the facility's Resident Rights Policy was not followed.
A resident requiring two-person assistance for repositioning and care was attended to by a CNA alone on two occasions, contrary to the care plan. The resident, with chronic respiratory failure and muscular dystrophy, felt unsafe during these incidents. The CNA was unaware of the two-person requirement, and the RN did not inform him of this necessity for residents in the subacute unit.
A resident with a history of falls was not adequately supervised, resulting in a third fall and injuries. Despite being assessed for fall risks, the resident was in a room farther from the nurses' station at the time of the incident. The facility's policy on safety and supervision was not followed, as the resident's wheelchair was reportedly not locked, contradicting staff claims.
A resident with paraplegia, seizures, and dysphagia was not supervised during lunchtime, contrary to the facility's policy and the Speech Therapist's recommendations for supervision due to aspiration risk. This lack of supervision potentially led to the resident being found unresponsive and transferred to a hospital. The Director of Nursing could not find documentation confirming supervision on the day of the incident.
Infection Control Deficiency: Catheter Bags on Floor and Unlabeled Shared Bathroom Equipment
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when staff failed to maintain urinary catheter drainage systems and failed to store resident care equipment in a way that prevented contamination. During observations, urinary catheter drainage bags for multiple residents were seen resting on the floor, including Resident 5, Resident 47, Resident 130, and Resident 52. Resident 5 had a Foley catheter ordered every shift and diagnoses including benign prostatic hyperplasia. Resident 47 and Resident 130 both had diagnoses including neuromuscular dysfunction of the bladder, and their physician's orders included closed system Foley catheters for neurogenic bladder. CNA staff confirmed the drainage bags were on the floor, and an LVN stated the urine drainage bag should not be touching the floor. The facility also had unlabeled resident care equipment in shared bathrooms. In Resident 36's shared bathroom, an unlabeled bedpan and unlabeled urinal were observed, and a CNA confirmed they were unlabeled and was unsure which resident they belonged to. In Resident 3's shared bathroom, an unlabeled bedpan was observed next to the toilet, and a CNA again confirmed it was unlabeled and did not know which resident it belonged to. The Infection Preventionist stated bedpans and urinals should be labeled with the resident's name and stored in the resident's designated closet, and that unlabeled items left in shared restrooms could lead to cross contamination.
Expired Salsa Stored in Walk-In Refrigerator
Penalty
Summary
Food items were not stored and used within labeled use-by dates when an opened salsa container dated 2/13/26 with a use-by date of 2/20/26 was found in the walk-in kitchen refrigerator on 2/22/26. During a concurrent observation and interview, the Trayline Aide stated the container should not have been in the walk-in refrigerator and should have been removed for disposal. The Dietary Supervisor later stated that food items past the date on the label should not have been stored in the walk-in refrigerator, and the Registered Dietician stated that food past the labeled date in the walk-in refrigerator can be a threat to resident safety. The facility policy titled LEFTOVER FOODS stated that leftover foods will be stored and served in a safe manner.
Medication Order Entry Errors Result in Missed and Unnecessary Medication Administration
Penalty
Summary
The facility failed to ensure that residents received medications as clinically indicated and were free from unnecessary medications for two out of four sampled residents. One resident, admitted with a history of seizures and acute kidney failure, did not receive his prescribed anti-seizure medication, Valproic Acid, because the order was not entered into his medication list upon admission. Instead, the medication order was mistakenly entered for another resident who did not have a clinical indication for Valproic Acid. The second resident, admitted with diagnoses of rhabdomyolysis and muscle weakness, received Valproic Acid in error. This resident was administered a total of nine doses of the medication over several days, despite having no clinical indication for its use. The error was confirmed through review of the medication administration records and interviews with facility staff, including the DON and the admitting RN, who acknowledged the mistake in entering the medication order for the wrong resident. The facility did not have a written policy and procedure for the admission process, including medication orders. The admitting RN stated she did not double-check the medication order against the hospital discharge records or confirm with the physician prior to entering the order. The pharmacist confirmed that pharmacy review of new admission medication orders does not typically include review of hospital discharge records, which is considered the facility's responsibility. As a result, one resident did not receive necessary medication for his condition, while another received unnecessary medication.
Failure to Provide Timely Access to Resident Medical Records
Penalty
Summary
The facility failed to provide timely access to a resident's medical records as required by its own policy. The Power of Attorney (POA) for a resident with a diagnosis including cerebral infarction requested the resident's medical records and completed the necessary release form on the same day. According to facility policy, copies of records should be made available within two working days of the request. However, the records were not made available until six days after the request, exceeding the facility's stated 48-hour timeframe. Interviews with the Medical Record Supervisor (MRS) and the Director of Nursing (DON) confirmed that the delay occurred because the facility followed an internal protocol requiring multiple reviews of the chart before release, which resulted in missing the policy deadline. The MRS acknowledged the delay and stated that following protocol did not justify failing to meet the required timeline. Documentation reviewed confirmed the request date, the date the records were provided, and the payment for the records, substantiating the delay in access.
Resident Rights Violation Due to Unauthorized Light Activation
Penalty
Summary
The facility failed to respect the rights of a resident when a Certified Nurse Assistant (CNA) turned on the light in the resident's room without her permission. This incident occurred on September 28, 2024, and involved a resident who was admitted with chronic respiratory failure, a tracheostomy, and dependence on respiratory support. The resident had intact cognitive functioning, as indicated by a Brief Interview for Mental Status score of 14. During an observation and interview on October 9, 2024, the resident expressed discomfort due to her sensitivity to bright light and stated that the CNA dismissed her concerns about her medical condition. The CNA confirmed during a phone interview that he turned on the light without asking for permission and acknowledged that he should have respected the resident's preference. The Director of Nursing (DON) reviewed the facility's Resident Rights Policy, which emphasizes the importance of treating residents with consideration, respect, and dignity, and ensuring reasonable accommodation of resident needs and preferences. The DON stated that the staff did not follow the policy, which led to the deficiency in respecting the resident's rights.
Failure to Implement Two-Person Assistance Care Plan
Penalty
Summary
The facility failed to implement the care plan for a resident who required two-person assistance for repositioning and care. On two separate occasions, a Certified Nursing Assistant (CNA) provided care alone, despite the care plan's requirement for two-person assistance. The resident, who had diagnoses including chronic respiratory failure and muscular dystrophy, expressed feeling unsafe during these incidents. The care plan, dated July 8, 2024, clearly indicated the need for maximum assistance from two caregivers for activities of daily living due to impaired physical mobility. The CNA involved stated that he was unaware of the two-person assistance requirement and did not ask for help during the incidents. A Registered Nurse (RN) confirmed that the CNA was not informed of the two-person assistance requirement for residents in the subacute unit. The facility's policy on care planning, reviewed during the investigation, emphasized that care plans should be based on comprehensive assessments and developed by an interdisciplinary team, with nursing assistants responsible for implementing the care plans.
Inadequate Supervision Leads to Resident Fall
Penalty
Summary
The facility failed to adhere to its safety and supervision policy for residents, resulting in a deficiency. Specifically, one resident, who had a history of falls, was not adequately supervised, leading to a third fall. This incident occurred despite the resident's previous falls within the facility, as noted in the post-fall risk assessments. The resident sustained injuries, including a red/purple discoloration on the left head area, swelling in the left hip, and pain in the left hip/leg. During an interview, the resident's granddaughter mentioned that the resident was in the hallway in front of her room when the fall occurred, and the wheelchair was not locked, contradicting staff claims. The Director of Nursing (DON) acknowledged that the resident was supposed to be located closer to the nurses' station for better supervision, but at the time of the fall, the resident was in a room farther away. The facility's policy on safety and supervision emphasizes that resident supervision should be based on individual needs and environmental hazards, which was not adequately followed in this case.
Failure to Supervise Resident During Mealtime
Penalty
Summary
The facility failed to implement its policy regarding the safety and supervision of residents, specifically during mealtime for one resident. This resident, who had a medical history including paraplegia, seizures, and dysphagia, was not supervised during lunchtime, which potentially led to a change in condition requiring transfer to a general acute hospital for evaluation and treatment. The resident was found unresponsive, necessitating the initiation of a code blue and subsequent hospital transfer. The Speech Therapist had recommended distant and close supervision during mealtime due to the resident's risk for aspiration, as documented in the evaluation and treatment plan. However, the Director of Nursing could not find any notes confirming supervision during the lunch on the day before the resident's transfer, although a note from the previous day indicated supervision was provided. The facility's policy emphasized that resident supervision should be based on individual assessed needs and environmental hazards, which was not adhered to in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Montclair
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Montclair Manor Care Center | 1 mi | ★★★★★ | 0 | 0 |
| Claremont Heights Post Acute | 1.8 mi | ★★★★★ | 24 | 0 |
| Claremont Manor Care Center | 2.6 mi | ★★★★★ | 18 | 0 |
| Heritage Park Nursing Center | 2.6 mi | ★★★★★ | 1 | 0 |
| Pilgrim Place Health Services Center | 2.6 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.