Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Childrens Specialized Hospital Mountainside during CMS and state inspections, most recent first.
An RN failed to maintain infection control during a med pass for a resident with anoxic brain injury, a G-tube, trach status, and a posterior neck pressure injury. The RN prepared meds with gloves, administered them by G-tube, discarded syringes, then continued using the same gloves to handle zinc oxide ointment and touch the resident’s dressed neck area before returning the ointment to the med cart. The DON acknowledged the breach.
The facility failed to store potentially hazardous foods properly, as observed by a surveyor. In the walk-in refrigerator, green beans were stored past their use-by date, and opened packages of salami and beef bacon lacked use-by dates. In the cheese refrigerator, opened packages of various cheeses were stored beyond the facility's policy of a five to seven-day shelf life. Additionally, an opened package of mixed grain cereal in the dry storage room was dated far beyond acceptable storage duration. The ADM acknowledged these items should have been discarded according to policy.
The facility failed to follow physician orders for medication administration, resulting in deficiencies for three residents. An LPN administered Prograf via a gastronomy tube without a physician's order for this route, despite the resident's swallowing issues. Two residents received Artificial Tears Lubricant Ophthalmic Ointment without specified dosing lengths, as the orders lacked this detail. The facility's medication management policy requires adherence to the five rights of medication administration, which was not followed in these cases.
The facility failed to document consents, declinations, and family education for CRAB testing during an outbreak, affecting 51 out of 54 residents. The APN obtained some consents via email and phone but deleted most emails, leaving only three as evidence. The medical team was responsible for obtaining consents, but the expectation to document them in medical records was not met, violating facility policies.
The facility failed to implement proper infection control measures for storing respiratory equipment, as ventilator connectors and tubing were found on the floor in a resident room. Staff interviews confirmed that the equipment should not be on the floor, and the facility lacked a policy on respiratory equipment storage.
Infection Control Breach During Medication Pass and Treatment Handling
Penalty
Summary
The facility failed to consistently maintain appropriate infection control practices during a medication pass involving a Registered Nurse and Resident #7 in room [ROOM NUMBER]. The RN was observed wearing gloves while preparing medications with a syringe, then administering all medications to the resident by G-tube. After the medications were given, the RN discarded the syringes and returned to the resident without changing gloves. Using the same gloves, the RN then handled a tube of zinc oxide from the medication cart and stated she would be giving the resident the zinc oxide treatment later when the resident was in bed. The RN also used her gloved hands while showing the surveyor the resident’s neck area, which was covered with a dressing, and then placed the zinc oxide back into the cart with the same gloves. Resident #7’s record showed diagnoses including anoxic brain injury, a posterior neck pressure injury, gastrostomy tube status, and tracheostomy status. The quarterly MDS dated 10/30/25 indicated a BIMS score of 0 out of 15, reflecting impaired cognition. The active medication order included zinc oxide 20% ointment to the neck area twice daily, and the care plan addressed compromised skin integrity with interventions including applying skin protectant as ordered. During interview, the RN stated she usually changed gloves between preparing medications and administering them, and acknowledged she should change gloves between preparing medications, administering them, and touching the resident’s treatment area. The DON acknowledged the infection control breach described by the surveyor.
Improper Storage of Potentially Hazardous Foods
Penalty
Summary
The facility failed to store potentially hazardous foods (PHF) in a manner that prevents foodborne illness. During an inspection, the surveyor observed several issues in the facility's food storage practices. In the walk-in refrigerator, a steam table pan containing green beans had a use-by date of 9/20/24, which was past the observed date of 9/24/24. Additionally, there were opened packages of sliced salami and un-sliced beef bacon without any use-by dates. In the reach-in cheese refrigerator, opened packages of un-sliced provolone, shredded mozzarella, and sliced yellow cheese were found with open dates ranging from 9/8/24 to 9/16/24, indicating they were stored beyond the facility's policy of a five to seven-day shelf life. In the dry storage room, an opened package of mixed grain cereal was found with an open date of 2/4/24, far exceeding the acceptable storage duration. The Assistant Dietary Manager (ADM) acknowledged that these items should have been stored appropriately and discarded according to the facility's policy, which mandates a shelf life of five days for prepared foods and seven days for other potentially hazardous foods. The policy also requires that all items be dated after opening. These observations were discussed with the Administrator, highlighting the facility's failure to adhere to its own food safety policies.
Medication Administration Deficiencies
Penalty
Summary
The facility failed to ensure that physician orders for medication administration were followed, leading to deficiencies in the care of three residents. For Resident 18, a Licensed Practical Nurse (LPN) administered Prograf, a medication intended to be given orally, through a gastronomy tube without a physician's order for this route. This occurred despite the resident's medical record indicating a history of vocal cord paralysis, developmental delay, and oral phase dysphagia, which could complicate oral administration. The resident's care plan noted impaired swallowing, and the physician's progress note mentioned that all medications were typically given through a gastronomy button except for Tacrolimus, which was taken orally most of the time. For Resident 44, a Registered Nurse (RN) administered Artificial Tears Lubricant Ophthalmic Ointment without a specified length of measurement for the dose, as the physician's order did not include this detail. This lack of clarity in dosing was observed during the medication administration process. Similarly, for Resident 2, an LPN allowed a family member to administer the same ophthalmic ointment without a specified dose length, as the physician's order also lacked this information. The family member had been administering the medication for years, but the order's omission of dosing specifics was not addressed. The facility's policy on medication management requires that orders for medication include the name, dosage, frequency, route of administration, and indication for use. Additionally, the policy mandates adherence to the five rights of medication administration: right patient, right medication, right dosage, right time, and right route. The deficiencies identified in the report highlight a failure to adhere to these standards, as evidenced by the improper administration routes and lack of dosing clarification for the medications involved.
Deficiency in Documenting Consents for CRAB Testing
Penalty
Summary
The facility was found to have a deficiency in documenting consents, declinations, and family education for CRAB testing during an active outbreak of the Multi-Drug Resistant Organism (MDRO) Carbapenem-Resistant Acinetobacter baumannii (CRAB). This issue was identified for 51 out of 54 residents. The Advanced Practice Nurse (APN) admitted to obtaining some consents through emails and phone calls but deleted most of the emails. Only three email communications were provided as evidence of consent. The APN also stated that there was no documentation of family education or attempts to obtain consent in the residents' medical records, and that consents were needed before each testing. Interviews with the Infection Preventionist (IP), Director of Nursing (DON), and Licensed Nursing Home Administrator (LNHA) revealed that the medical team, including the Medical Director and APN, was responsible for obtaining consents. The DON and LNHA both stated that the expectation was for consents to be documented in the residents' medical records. The facility's policies emphasized the importance of documentation, including informed consent, in the medical records. However, the facility failed to adhere to these policies, resulting in the deficiency.
Inadequate Storage of Respiratory Equipment
Penalty
Summary
The facility failed to implement appropriate infection control measures for the storage of respiratory equipment, specifically ventilator connectors and tubing. During a tour of a resident room on the North Wing of the facility, a surveyor observed ventilator connector and tubing on the floor. Interviews with the Registered Nurse (RN), Respiratory Therapist (RT), and Director of Nursing (DON) confirmed that the ventilator connector and tubing should not be on the floor. The RN and RT stated that the tubing is typically hung over the ventilator machine, while the DON mentioned that it should be stored in a basket next to the ventilator. The Licensed Nursing Home Administrator (LNHA) also confirmed that respiratory equipment should not be stored on the floor but was unable to provide a policy on respiratory equipment storage when requested by the surveyor. This lack of a policy indicates a gap in the facility's infection prevention and control program, as there was no formal guideline for staff to follow regarding the proper storage of respiratory equipment. This deficiency was identified for one of the six resident rooms observed for infection control.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,230 citations issued within 25 miles in the last 12 months — including the 19 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mountainside
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mountainside Skilled Nursing And Rehab | 0.8 mi | ★★★★★ | 2 | 0 |
| Continuing Care At Lantern Hill | 2.6 mi | ★★★★★ | 4 | 1 |
| Cranford Park Care | 3.2 mi | ★★★★★ | 12 | 0 |
| Complete Care At Westfield, Llc | 3.2 mi | ★★★★★ | 0 | 0 |
| Mcauley Hall Health Care Cente | 3.3 mi | ★★★★★ | 14 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Childrens Specialized Hospital Mountainside.
100% money-back within 48 hours.
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.