Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 Alameda Center For Rehabilitation And Healthcare during CMS and state inspections, most recent first.
Surveyors found that the facility did not ensure proper documentation of ADL care for several residents, with missing entries in POC flowsheets for personal hygiene and toileting across multiple shifts. Residents affected had a range of cognitive and physical needs, and staff interviews confirmed that documentation was required but not consistently completed as per facility policy.
Surveyors identified unclean and poorly maintained conditions in three unit pantries, including debris in microwaves and cabinets, damaged fixtures, and residue on walls and vents. LPNs and unit managers confirmed that housekeeping is responsible for cleaning, while maintenance handles repairs reported through an electronic system. The facility's policy requires housekeeping and maintenance to ensure a sanitary and comfortable environment.
A resident with a history of COPD and muscle weakness, who was observed with a palm guard and had a documented left hand contracture, was not accurately assessed in multiple MDS submissions. Despite therapy and physician documentation of the contracture, the condition was omitted from quarterly and annual MDS assessments. Staff interviews confirmed the contracture's presence and that it should have been included in the MDS.
A resident with a history of stroke and hemiplegia was observed using a sling for their left arm, but the care plan did not include this positioning device as an intervention. Both the LPN and DON confirmed the omission, despite facility policy requiring care plan updates as resident conditions change.
A resident with a history of stroke and hemiplegia was observed using a sling without a physician order. Review of records and confirmation from an LPN and the DON established that the resident was utilizing the orthotic device without the required order, and facility policy did not address this requirement.
Two residents received improper respiratory care, including the repeated storage of a nasal cannula exposed to air instead of in a bag, and the administration of oxygen therapy without a physician's order. Staff interviews confirmed that both practices were inconsistent with facility policy and professional standards.
A resident receiving IV antibiotics for bacteremia was given daptomycin and ceftaroline fosamil outside of the prescribed administration times on multiple occasions. Facility staff, including an LPN and the DON, acknowledged the expectation to administer medications within one hour of the scheduled time and to notify the provider if late, as outlined in facility policy. Despite this, the antibiotics were not administered as ordered.
An LPN failed to dispose of spilled aspirin and clopidogrel tablets using the designated Drug-Buster solution, instead discarding them in the trash. The LPN later acknowledged the correct procedure, and the DON confirmed the importance of proper medication disposal as outlined in facility policy.
Surveyors found that expired food items and unlabeled, undated outside food were stored in a pantry refrigerator. An LPN and unit manager confirmed that expired and improperly labeled food should not be stored, and interviews with the Dietary Director and DON indicated that nursing staff are responsible for ensuring food safety and compliance with facility policy. Facility policies require perishable foods to be labeled, dated, and discarded after three days, but these procedures were not followed.
A resident with diabetes and a recent surgical amputation did not receive physician-ordered wound care as scheduled because the order was not transcribed onto the MAR, resulting in a delay in treatment. The DON confirmed the omission, which was identified during a clinical meeting, and facility policy requires all physician orders to be entered into the electronic health record.
Failure to Document ADL Care Provided to Multiple Residents
Penalty
Summary
Surveyors identified that the facility failed to provide documented evidence of care for four residents, as required by policy. The deficiency was observed through missing signatures in the Point of Care (POC) flowsheets, which are used by Certified Nursing Assistants (CNAs) to document activities of daily living (ADLs) such as personal hygiene and toileting hygiene. The missing documentation occurred across multiple dates and shifts for each resident, indicating a pattern of incomplete record-keeping. The residents involved had varying medical conditions, including dementia, diabetes, muscle weakness, anxiety, chronic obstructive pulmonary disease, acute kidney failure, Alzheimer's disease, and heart failure. Their cognitive statuses ranged from severely impaired to intact, and their required levels of assistance with ADLs varied from supervision to total dependence. Despite these needs, the POC flowsheets for each resident showed numerous instances where care was not documented as provided, with blank entries for both personal hygiene and toileting hygiene across different shifts and months. Interviews with facility staff, including a CNA, the LPN Unit Manager, and the DON, confirmed that CNAs were responsible for documenting care in the POC system and that supervisory staff were expected to ensure documentation was completed each shift. The facility's own policy required that all services provided to residents be documented in the medical record, including the date and time of care. The lack of documentation for multiple residents and shifts was therefore not in accordance with facility policy or regulatory requirements.
Failure to Maintain Clean and Safe Pantry Environments
Penalty
Summary
The facility failed to maintain a homelike environment that was clean, safe, and sanitary in three of five unit pantries. During inspections, surveyors observed multiple cleanliness and maintenance issues: white debris inside a microwave, a damaged cabinet drawer, and an aluminum pan with white debris in one pantry; light brown debris on a wall next to a refrigerator in another; and powdery debris on a wall vent, black sticky residue on a wall, a loose rack, and brown dry debris inside cabinets in a third pantry. These observations were made in the presence of LPNs and unit managers, who acknowledged that such conditions should not exist and that housekeeping is responsible for daily cleaning of the pantries. Interviews with staff confirmed that housekeeping is tasked with cleaning pantry areas, while nursing staff are responsible for maintaining edible items in refrigerators and cabinets. Maintenance is responsible for repairs, which are to be reported by nursing staff through an electronic system. The facility's policy states that housekeeping and maintenance services are to be provided as necessary to maintain a sanitary, orderly, and comfortable environment. No information about residents' medical history or condition at the time of the deficiency was provided in the report.
Failure to Accurately Complete MDS Assessment for Resident with Contracture
Penalty
Summary
The facility failed to accurately complete the Minimum Data Set (MDS) for one resident, as evidenced by the omission of an upper extremity contracture in multiple MDS assessments. The resident, who had diagnoses including Chronic Obstructive Pulmonary Disease and generalized muscle weakness, was observed wearing a palm guard on the left hand. Medical records and physician orders indicated the presence of a left hand contracture, with therapy documentation identifying the contracture as early as August of the previous year. Despite this, quarterly and annual MDS assessments over the past year did not reflect the contracture. Interviews with facility staff, including the Acting Director of Rehabilitation and an LPN, confirmed the longstanding nature of the contracture and that it should have been documented in the MDS. The Director of MDS acknowledged that the contracture was not identified in the most recent MDS and stated that therapy notes should have been reviewed prior to submission. Facility policy requires accurate and timely completion of the MDS by the interdisciplinary team, including nursing and rehabilitation staff.
Failure to Revise Care Plan to Include Positioning Device
Penalty
Summary
The facility failed to revise a resident's comprehensive care plan to include the use of a positioning device, specifically a sling, for a resident with a history of cerebral vascular accident (stroke) and hemiplegia. The resident was observed ambulating with a cane and had their left arm in a sling, but the care plan effective on two separate dates did not document the use of the sling as an intervention. The resident was noted to be cognitively intact and had limited physical mobility, yet the care plan interventions did not reflect the use of the sling. Interviews with the LPN/Nurse Manager and the Director of Nursing confirmed that the resident utilized a sling and that it should have been included in the care plan. The facility's policy requires ongoing assessment and revision of care plans as residents' conditions change, but this was not followed in this case. The deficiency was identified through observation, interview, and record review, and was cited under NJAC 8:39-11.2.
Lack of Physician Order for Orthotic Device
Penalty
Summary
A deficiency was identified when a resident with a history of cerebral vascular accident and hemiplegia was observed ambulating with a cane and using a sling (orthotic device) on the left arm. Review of the resident's admission record and active physician orders revealed there was no physician order for the use of the sling. Interviews with the LPN/Nurse Manager and the Director of Nursing confirmed that the resident was utilizing the sling and that a physician order should have been in place for its use. The facility's policies did not address the requirement for a physician order for orthotic devices.
Failure to Provide Safe and Appropriate Respiratory Care
Penalty
Summary
The facility failed to provide specialized respiratory care in accordance with professional standards for two residents. For one resident, a nasal cannula used for oxygen therapy was repeatedly observed left unbagged and exposed to air on top of an oxygen concentrator, despite the resident stating it was only used at night. Both the Director of Nursing and the Infection Preventionist confirmed that unused nasal cannulas should be stored in a plastic bag to prevent contamination, but the facility's policy did not specify storage procedures for oxygen tubing when not in use. Additionally, another resident was observed using a nasal cannula for oxygen therapy without a corresponding physician's order in the electronic medical record. Interviews with nursing staff and the DON confirmed that a physician's order is required for oxygen administration, including details such as the reason, duration, dosage, and delivery method. The facility's policy also required verification of a physician's order prior to oxygen administration, but this was not followed for the resident in question.
Failure to Administer IV Antibiotics Within Prescribed Time Frames
Penalty
Summary
The facility failed to administer intravenous antibiotics in accordance with prescriber orders for a resident with bacteremia, as evidenced by multiple instances where daptomycin and ceftaroline fosamil were given outside of their scheduled administration times. Specifically, daptomycin was administered between 1 hour and 47 minutes late on several occasions, and ceftaroline fosamil was also administered more than an hour past the scheduled time on multiple dates. These deviations from the prescribed schedule were documented in the Medication Audit Report and confirmed through review of the resident's electronic medical record and care plan. Interviews with facility staff, including an LPN/Unit Manager and the Director of Nursing, revealed that staff were aware of the expectation to administer medications within one hour of the scheduled time and to notify the primary care provider if medications were given late. The facility's medication administration policy also required adherence to prescriber orders and specified that medication times should be based on resident need and optimal therapeutic effect, not staff convenience. Despite these policies and staff knowledge, the antibiotics were not administered within the required time frames.
Improper Disposal of Medications by LPN
Penalty
Summary
A deficiency was identified when a Licensed Practical Nurse (LPN) failed to properly dispose of medications in accordance with accepted professional principles and facility policy. During a medication pass, the LPN poured one tablet of aspirin 81 mg and one tablet of clopidogrel 75 mg, but the cup containing the tablets spilled, causing the tablets to land on top of the medication cart. The LPN then picked up the spilled tablets with her gloved hand, turned the glove inside-out, and disposed of it in the trash can, rather than using the designated medication disposal solution. When questioned by the surveyor, the LPN acknowledged the correct procedure was to use the Drug-Buster solution, which was available in the medication cart, but admitted to discarding the medications in the trash. The Director of Nursing confirmed that the Drug-Buster solution should be used for medication disposal, emphasizing its importance in preventing unauthorized access to medications. Review of facility policy indicated that nursing staff are responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner.
Failure to Properly Store and Label Food Items
Penalty
Summary
Surveyors observed that the facility failed to properly handle and store potentially hazardous food items in the Unit 4 pantry refrigerator. Specifically, a container of sour cream and a quart of half and half were found with expiration dates that had already passed. Additionally, six containers of food brought in from outside the facility were discovered without any labels or dates, including a plastic bag with an unidentified whitish substance and an open container of soup, both lacking open or use-by dates. These findings were made in the presence of facility staff, who acknowledged that expired food should not be stored and that outside food should be labeled and dated according to facility policy. Interviews with the Dietary Director and the Director of Nursing confirmed that nursing staff are responsible for maintaining pantry cleanliness, ensuring food is not expired, and verifying that outside food is properly labeled and dated. Facility policies reviewed by the surveyors require perishable foods to be checked and discarded after three days, and all food items to be labeled and dated according to manufacturer or facility guidelines. The observed failure to follow these procedures resulted in the deficiency cited under N.J.A.C 8:39-17.2 (g).
Failure to Transcribe and Initiate Physician-Ordered Wound Care
Penalty
Summary
The facility failed to follow acceptable standards of clinical practice by not implementing a physician's order for wound treatment as prescribed for a resident with diabetes mellitus and a recent surgical amputation. The physician ordered wound care for the resident's right leg and right foot, specifically for the 3rd, 4th, and 5th toe amputation sites, to begin on a specified date. However, the treatment was not transcribed onto the Medication Administration Record (MAR) as ordered, resulting in a delay in the initiation of the prescribed wound care. This deficiency was identified when the clinical staff discovered during a clinical meeting that the wound treatments had not been entered into the MAR as required. The Director of Nursing confirmed that the physician's orders for the wound treatment were missed, and the facility's own policies require that all physician orders be entered into the electronic health record by the nurse or therapist accepting or transcribing the order. The failure to transcribe and initiate the wound care as ordered constituted a lapse in meeting professional standards of quality.
What surveyors are citing around you — mapped
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What surveyors actually found near you
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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.
Illustrative
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Nursing homes near Perth Amboy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Spring Creek Healthcare Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Venetian Care & Rehabilitation Center, The | 2.1 mi | ★★★★★ | 25 | 0 |
| St Joseph's Home Al & Nc, Inc | 3.4 mi | ★★★★★ | 0 | 0 |
| New Jersey Veterans Memorial Home Menlo | 4.2 mi | ★★★★★ | 13 | 0 |
| Roosevelt Care Center | 4.3 mi | ★★★★★ | 3 | 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.