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 Continuing Care At Lantern Hill during CMS and state inspections, most recent first.
Medication Left at Bedside Instead of Being Administered: A resident with hemiplegia, aphasia, heart failure, and severe cognitive impairment had a dose of omeprazole found in a cup at the bedside instead of being observed as taken. The LPN stated she had not yet given any meds on her shift and acknowledged that meds should not be left at the bedside, while the MAR showed the dose had already been signed as administered.
Unclear oxygen order and missing oxygen documentation: A resident with hemiplegia, aphasia, heart failure, and severe cognitive impairment was observed receiving oxygen via NC, including at 2 LPM. The chart contained a PRN oxygen order and a later oxygen order to keep O2 saturation above 92%, but the later order did not list an LPM, the PRN order was not signed as administered, and the TAR did not document the oxygen rate. The LPN said the resident was using oxygen continuously, and the DON acknowledged the order should have been clarified.
An LPN administered IV antibiotics to two residents in error, giving each the other's prescribed medication due to failure to follow medication administration protocols, including the 5 Rights and required checks. One resident experienced an adverse drug reaction and required hospital admission, while the other was monitored without incident. The error was discovered after the infusions were completed, with staff noting that medication bags were clearly labeled but not properly verified before administration.
The facility failed to develop comprehensive care plans for residents, omitting critical information such as the use of splints, anticoagulant medications, and pressure ulcer care. Despite physician orders, these elements were not reflected in the care plans, as confirmed by the DON.
The facility failed to maintain proper kitchen sanitation practices, with expired and unlabeled food items found in storage areas, and unclean cooking equipment. The GMDS acknowledged the issues, citing a lack of adherence to labeling and storage policies.
A facility failed to document pain management assessments and the use of PRN pain medications for a resident with severe cognitive impairment and a femur fracture. Despite the resident's report of no pain, records lacked documentation of pain assessments and medication administration details. Staff interviews confirmed the absence of required documentation, contrary to the facility's Pain Management policy.
Medication Left at Bedside Instead of Being Administered
Penalty
Summary
The facility failed to follow standards of clinical practice when a medication was found left at the bedside of Resident #25 instead of being administered and observed as taken. On 1/12/26 at 8:30 AM, the surveyor observed the resident lying in bed with a clear medicine cup on the bedside table containing apple sauce sprinkled with a white pellet medication. The resident opened their eyes to the surveyor but gave no verbal response. The assigned LPN later stated she had not yet administered any medications to the resident on her shift and acknowledged that a nurse should ensure a medication is taken and should not leave medications at the bedside. Resident #25 had diagnoses including hemiplegia, aphasia, and heart failure, and a 12/12/25 MDS assessment indicated severe cognitive impairment with a BIMS score of 3 out of 15. The MAR showed an order for omeprazole 40 mg twice daily, scheduled for 6 AM and 4 PM, and the 6 AM dose on 1/12/26 was signed as administered. The surveyor and LPN observed the medication at the bedside, and the LPN removed it for disposal. The Clinical Manager stated that nurses knew medications were not to be left at the resident's bedside, and the facility policy and medication administration checklist described observing a resident swallow medications and documenting them after administration.
Unclear oxygen order and missing administration documentation
Penalty
Summary
The facility failed to clarify oxygen therapy orders for a resident with hemiplegia, aphasia, heart failure, and severe cognitive impairment. The resident was observed on two occasions lying in bed and receiving oxygen via nasal cannula attached to a concentrator; on one observation the concentrator was set at 2 LPM. The record showed a physician order dated 1/6/24 for oxygen at 2 LPM for oxygen saturation less than 90% as needed by shift, and another order dated 12/31/25 for oxygen via nasal cannula to keep oxygen saturation above 92%, but that order did not include an oxygen flow rate. Review of the January 2026 MAR showed the PRN oxygen order entry was unsigned as administered and blank for the month, while the TAR showed the 12/31/25 oxygen order was signed by nurses without documentation of the oxygen rate administered. During interview, the assigned LPN stated the resident had been using oxygen continuously and identified the 12/31/25 order as the continuous oxygen order, but acknowledged it did not indicate the LPM and could not explain why. The DON later acknowledged the oxygen order did not have a rate and should have been clarified. The facility policy provided addressed respiratory equipment orders but did not further address oxygen therapy orders or documentation of oxygen administration.
Significant Medication Error Due to Failure to Follow Medication Administration Protocols
Penalty
Summary
A significant medication error occurred when an LPN administered intravenous (IV) antibiotics to the wrong residents. Specifically, one resident with a physician's order for Meropenem for a heel wound infection received Zosyn, while another resident with an order for Zosyn for a toe infection received Meropenem. The error was discovered after the IV infusions were completed, with the medication bags clearly labeled with the respective residents' names and medications. The LPN reported issues with computer access and poor lighting at the time of administration, which contributed to the failure to follow the facility's medication administration procedures, including the required three checks and the 5 Rights of Medication Administration. The resident who received the incorrect medication (Zosyn instead of Meropenem) experienced adverse effects, including vomiting, flushed face, chills, and was subsequently transferred to the hospital, where they were admitted with a diagnosis of drug reaction, fever, and tachycardia. The other resident who received Meropenem instead of Zosyn was closely monitored and did not display any adverse effects. Both residents had complex medical histories, including osteomyelitis and other chronic conditions, and required assistance with activities of daily living. The error was immediately reported to the medical doctor, and the residents were monitored following the incident. The investigation revealed that the LPN did not adhere to established medication administration protocols, despite having completed competency checks and education on these procedures. The LPN prepared both residents' IV antibiotics at the nurse station desk due to computer issues and administered them without proper verification. The error was identified when the Clinical Manager responded to IV pump alarms and noticed the medications had been switched. Statements from staff confirmed that the LPN did not follow the required safety checks, leading to the administration of the wrong medications.
Removal Plan
- LPN #1 was found to administer the incorrect IV antibiotic medications to Resident #1 and Resident #2; MD was notified and both residents were closely monitored
- Nurse medication administration observation checklist was completed and LPN #1 demonstrated competency after medication error was found
- LPN #1 was suspended and terminated
- A 100% audit of all current residents that have physician order of IV antibiotics were reviewed by the assistant director of nursing (ADON) to validate the correct IV antibiotics orders and that IV medications were in the medication room
- Medication administration education began and IV competencies began for all nurses - all nursing staff must complete education and competencies before their next scheduled shift
- All newly hired nurses will be educated on proper medication administration including return demonstration during orientation
- A new process was created requiring two nurses to verify the correct IV medication before administering to residents
- Random audits were being conducted monitoring nurses who were administering IVs
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for several residents, leading to deficiencies in care. Resident #3, who had a left arm and hand contracture, was observed using a splint at night, but their care plan did not reflect this use. Despite a physician's order for the splint, the care plan was not updated to include this critical information, and the Licensed Practical Nurse (LPN) was unable to locate a care plan addressing the splint use. Resident #17, with severe cognitive impairment, was taking anticoagulant medication as per physician's orders, but this was not documented in their care plan. Similarly, Resident #11, also on anticoagulant medication, had no mention of this in their care plan. The Director of Nursing (DON) acknowledged the omission but did not provide an explanation for the lack of documentation. Resident #5, who was cognitively intact, had physician's orders for foam boots and a soft splint, yet these were not included in their care plan. Additionally, Resident #29, who had pressure ulcers, did not have a care plan addressing their wound care needs, despite the facility's policy requiring such documentation. The DON confirmed the absence of care plans for these issues, indicating a systemic failure to update and maintain accurate care plans for residents' needs.
Deficient Kitchen Sanitation Practices
Penalty
Summary
The facility failed to maintain proper kitchen sanitation practices, as observed by a surveyor during a kitchen tour. In the walk-in refrigerator, several items were found past their use-by dates, including a container of Bechamel sauce, cooked bacon, and an unlabeled tub of white liquid. Additionally, a tray of shrimp was defrosting without being covered or labeled, and raw asparagus was not labeled. The General Manager of Dining Services (GMDS) acknowledged these issues, stating that the items should have been discarded by the evening supervisor and confirmed the need for proper labeling with prepared and use-by dates. Further observations revealed multiple items stored higher than 18 inches from the ceiling in the walk-in freezer, and improperly wrapped or labeled items in the dry storage area, including an open bag of sourdough bread and a container of Worcestershire sauce past its use-by date. In the cooking area, ovens were found with cooked-on debris and sticky substances. During dining observations, an open container of cranberry juice past its use-by date was found, with the dietary aide unable to explain its presence. The facility's policies on labeling, cleaning, and storage were reviewed, highlighting the failure to adhere to established procedures.
Failure to Document Pain Management and PRN Medication Use
Penalty
Summary
The facility failed to maintain nursing professional standards by not accurately documenting pain management assessments and the administration of as-needed (PRN) pain medications for a resident. The resident, who had a severe cognitive impairment and a history of a left closed femur fracture, was observed by a surveyor and reported not being in pain. However, a review of the resident's medical records revealed a lack of documentation regarding pain assessments before and after the administration of pain medications, including Acetaminophen and Tramadol, which were prescribed for pain management. The surveyor's review of the facility's records showed that there was no documentation of pain assessments or the timing and indication of use for the PRN medications. Interviews with facility staff, including a Certified Nursing Assistant and a Licensed Practical Nurse/Unit Manager, confirmed the absence of pain assessment documentation. The Director of Nursing also acknowledged that the nursing staff did not complete any pain assessment documentation, which was contrary to the facility's Pain Management policy that required pain levels to be assessed and documented before and after administering analgesics.
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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 New Providence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Spring Grove Rehabilitation And Healthcare Center | 1.2 mi | ★★★★★ | 18 | 0 |
| Runnells Center For Rehabilitation & Healthcare | 1.8 mi | ★★★★★ | 11 | 1 |
| Autumn Lake Healthcare At Berkeley Heights | 2.1 mi | ★★★★★ | 8 | 0 |
| Childrens Specialized Hospital Mountainside | 2.6 mi | ★★★★★ | 2 | 0 |
| Mcauley Hall Health Care Cente | 2.9 mi | ★★★★★ | 14 | 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.