Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at De La Salle Hall during CMS and state inspections, most recent first.
Surveyors found the kitchen door repeatedly propped open to a hallway used by residents, staff, and visitors, even though a sign directed that it remain closed. Staff acknowledged the door should have been shut while food was being plated and trays were moved. Surveyors also found repeated gaps in the required logging of high-temp dishwasher water temps and 3-bay sink temp/sanitizer checks, with staff admitting some checks were done but not documented and one set of utensils had to be re-washed after being returned to the dirty dish area.
Failure to Complete Pre-Hire Reference Checks: The facility failed to follow its abuse policy by not completing reference checks before hiring 4 of 14 new employees, including an Activities staff member, a CNA, another Activities staff member, and an RN. The Business Office Manager stated reference checks should be done prior to hire, and the LNHA and DON acknowledged the missing checks. The facility policy required structured interviews, personal and employment reference checks, criminal background checks, and contact with applicable boards and registries.
A resident with macular degeneration, heart failure, hearing loss, moderate cognitive impairment, and a history of falls was identified as high risk for falls, but the care plan did not clearly retain the resident’s actual falls. Although progress notes documented multiple falls and the RN and DON acknowledged the falls should be reflected in the care plan, the actual fall entries were not readily visible because they had been resolved in the EMR.
A facility failed to document weekly weights for a resident with multiple diagnoses, including Parkinson's Disease and hypertension, as ordered by a physician. The DON confirmed the weights were not obtained weekly, and the RD was unaware of the weekly weight order. The facility's policy required weekly documentation, but the process was not consistently followed, leading to missing records on several dates.
Kitchen Door Left Open and Dishwashing Sanitation Logs Incomplete
Penalty
Summary
The facility failed to maintain proper kitchen sanitation practices by leaving the kitchen door open to a hallway used by residents, staff, and visitors, despite a posted sign indicating the door should be kept closed at all times. During the initial tour, a surveyor observed a staff member preparing food in the kitchen while the door was completely open and held open by a magnet. The cook acknowledged the door should have been closed and explained that food was being plated for dinner and trays were later taken to the units through that doorway. Surveyors also observed inconsistent monitoring and documentation of sanitation checks for the high-temp dishwashing machine and the 3-bay sink. Facility leaders stated that water temperatures and sanitizer levels were checked before dishwashing after meals, but the logs contained multiple blank spaces for both systems across March, April, and May 2026. In the presence of the DDS and Regional Director, staff acknowledged that some temperatures had been checked but not recorded, and in one instance the temperatures were entered in the wrong meal period on the log sheet. The DDS acknowledged that several required entries were missing for the dishwashing machine and the 3-bay sink. Additional observations showed the same issues continued on later dates. A rack of utensils was found next to the high-temp dishwasher, and a staff member acknowledged the utensils had been washed but the temperatures had not yet been logged. She also stated she had checked the 3-bay sink temperature and sanitizer level but had not documented them. She returned the utensils to the dirty dish area and acknowledged they needed to be re-washed. The Administrator later acknowledged the kitchen door had been observed open again and stated it had to remain closed because the kitchen is a hazardous area.
Failure to Complete Pre-Hire Reference Checks
Penalty
Summary
The facility failed to implement its abuse policy by not completing reference checks on newly hired employees before they started work. During the entrance conference, the surveyor requested all newly hired employee files for active and inactive employees from 12/31/24 to the current date, and a review of personnel files showed no evidence of a reference check prior to employment for 4 of 14 employees hired since the last recertification survey: an Activities Staff member with a date of hire of 3/19/25, a CNA with a date of hire of 10/19/25, another Activities Staff member with a date of hire of 3/21/25, and an RN with a date of hire of 12/23/25. The facility’s Business Office Manager stated she was responsible for employee reference checks and that the references should be completed prior to the date of hire. The LNHA and DON were informed of the concern and acknowledged that the reference checks were not completed, stating that reference checks should be completed prior to hire. The facility’s Abuse policy, revised 10/2022, stated that the facility would not knowingly employ any individual with a history of abusing other persons and that potential employees and volunteers shall be screened through structured interviews, personal and employment reference checks, criminal background checks, and contact with State licensing boards and registries, when applicable.
Incomplete Fall Documentation in Care Plan
Penalty
Summary
The facility failed to ensure that a resident’s care plan remained complete and documented the resident’s actual falls. Resident #7 was admitted with diagnoses including unspecified macular degeneration, heart failure, and unspecified hearing loss, and the annual MDS dated 11/21/25 indicated moderate cognitive impairment with a history of falls since admission. The comprehensive care plan identified the resident as high risk for falls related to confusion and macular degeneration, but it did not show the resident’s actual falls even though progress notes documented falls on 10/16/25, 12/31/25, and 1/14/26. The resident was observed in bed during the initial tour and stated they had fallen in the past but could not remember when. During interviews, the assigned RN stated a fall should be in the care plan and should include the date of the fall and interventions, but he could not locate the actual falls in the EMR. The DON also could not initially locate the falls on the care plan and stated the resident had a history of falls and should have an actual care plan for falls. She later showed that the falls had been entered and then resolved on 2/2/26, and stated the MDS coordinator takes things off the care plan after 6 months. The facility policy on assessing falls directed staff to review the resident’s care plan after a fall, and the care plan policy stated the comprehensive care plan should reflect currently recognized standards of practice and be based on data gathering and clinical decision making.
Failure to Document Weekly Weights as Ordered
Penalty
Summary
The facility failed to document weekly weights for a resident as ordered, which did not meet professional standards of practice. The resident, who was admitted with diagnoses including Parkinson's Disease, hypertension, generalized muscle weakness, and dysphagia, had a physician's order for weekly weights every Friday. However, the Treatment Administration Records (TAR) for September, October, November, and December 2024 showed that weights were not consistently documented on the specified dates. The Director of Nursing (DON) confirmed that the weights were not obtained as ordered, and the Registered Dietitian (RD) was unaware of the weekly weight order, indicating a lack of communication and adherence to the facility's policies. The facility's Weight Monitoring policy required that residents on weekly weights be weighed on the ordered day and that all weights be reported and documented in the resident's chart. Despite this, the review of the Weights and Vitals Summary revealed missing documentation for several dates. Interviews with the DON and a Licensed Practical Nurse (LPN) highlighted that the process involved signing off on the TAR and documenting under the weights tab in the electronic medical record (eMR), but this was not consistently done. The RD monitored the resident's weights monthly but was not informed of the weekly weight requirement, further contributing to the deficiency.
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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 Lincroft
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Redbank Center For Rehabilitation And Healing | 2.8 mi | ★★★★★ | 0 | 0 |
| Atrium At Navesink Harbor, The | 3.7 mi | ★★★★★ | 20 | 0 |
| Complete Care At Shrewsbury Llc | 4 mi | ★★★★★ | 15 | 0 |
| Careone At Holmdel | 4.1 mi | ★★★★★ | 0 | 0 |
| Shore Pointe Care Center | 4.9 mi | ★★★★★ | 1 | 1 |
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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 August 2026) and official state health department websites.