Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Florham Park Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
An LPN administered a split EDARBI tablet even though the tablet was unscored and the manufacturer stated it should not be cut, while another resident’s metoprolol orders with BP and HR hold parameters were given without documenting the required vitals in the e-MAR. A third resident’s PRN pain regimen was also not differentiated for mild, moderate, or severe pain, and pain meds were administered with recorded pain scales that did not match a structured PRN pain protocol.
The facility failed to ensure proper hand hygiene by two dietary aides and a CNA, risking cross-contamination. CNA1 used the ice machine without washing hands, while DA2 and DA1 did not perform hand hygiene after leaving and returning to the Bistro during meal preparation. The Dietary Manager and Infection Preventionist confirmed the breach of protocols.
The facility inaccurately coded the MDS for two residents, leading to deficiencies in care management. One resident's MDS failed to reflect the administration of antianxiety medication, despite receiving Lorazepam. Another resident's discharge was incorrectly documented as to an acute hospital instead of home. These errors were confirmed by the RN/CM.
Medication Administration and Documentation Deficiencies
Penalty
Summary
The facility failed to provide pharmaceutical services in accordance with professional standards in three separate instances involving medication administration, medication parameter documentation, and pain medication use. During observation of one resident receiving morning medications, an LPN prepared and administered EDARBI 40 mg by cutting an unscored tablet in half, even though the pharmacy label indicated 1/2 tablet by mouth once daily and the manufacturer’s specifications stated that EDARBI should not be crushed, chewed, or cut in half. The resident’s physician order did not authorize cutting the tablet, and the LPN stated she was unaware that EDARBI could not be cut in half and that she should have contacted the pharmacy when she saw the tablet was not scored. For another resident with diagnoses including chronic kidney disease, dependence on renal dialysis, and hypertension, the physician ordered Metoprolol Succinate ER 25 mg daily with hold parameters for low BP and low HR. Review of the e-MAR showed the medication was scheduled for 0900, but the record did not provide a drop-down or entry for documenting the resident’s BP or HR. From 02/22/26 through 03/11/26, nurses documented only that the medication was administered, and the resident’s vitals were not entered on multiple dates when the medication was given or held. An LPN acknowledged that the resident’s vitals were not being documented in the e-MAR and stated that the e-MAR should have contained a drop-down for documenting them. For a third resident with diagnoses including intervertebral disc disorder and anxiety disorder, the physician ordered PRN acetaminophen and PRN oxycodone/acetaminophen for pain management. The e-MAR showed multiple administrations of acetaminophen for pain levels recorded as 3 or 5, and oxycodone/acetaminophen for pain scales recorded as 8 or 9. When reviewed with an LPN, it was acknowledged that the resident’s PRN pain medications did not differentiate between mild, moderate, and severe pain. The facility’s pain assessment policy required assessment of pain intensity using a standardized pain scale and other pain characteristics, and the medication administration policy required verification of physician-ordered parameters prior to administration when indicated.
Failure in Hand Hygiene Protocols
Penalty
Summary
The facility failed to ensure proper hand hygiene was performed by two dietary aides and one Certified Nurse Aide (CNA), which could lead to cross-contamination. Observations revealed that CNA1 entered the Bistro, used the ice machine, and handled the ice scoop without performing hand hygiene before or after the task. Additionally, CNA1 acknowledged being trained on proper hand hygiene protocols and admitted that she should have asked a dietary aide to retrieve the ice for her. Further observations showed that Dietary Aide 2 (DA2) did not perform hand hygiene after placing placemats on a dining room table and returning to the Bistro to continue meal preparation. Similarly, Dietary Aide 1 (DA1) removed a knit cap, left the Bistro, and returned to prepare meal trays without washing her hands. Interviews with the Dietary Manager and Infection Preventionist confirmed that hand hygiene protocols were not followed, and only dietary staff should be in the Bistro during meal preparation. Both DA1 and DA2 admitted to not following proper hand hygiene protocols as per the facility's policy.
Inaccurate MDS Coding for Medications and Discharge
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for two residents, leading to deficiencies in the management of their care. For one resident, the MDS was incorrectly coded regarding the use of antianxiety medication. Despite the resident receiving Lorazepam for anxiety, the MDS indicated that no antianxiety medication was administered. This discrepancy was confirmed by the Registered Nurse/Case Manager (RN/CM), who acknowledged that the MDS should have been marked to reflect the administration of the medication, as per the guidelines in the Resident Assessment Instrument (RAI) manual. In another instance, the MDS for a second resident inaccurately documented the discharge destination. Although the resident was discharged to home, the MDS recorded the discharge as being to an acute hospital. This error was confirmed by the RN/CM, who admitted it was an entry mistake. The survey team discussed these issues with the facility's administration and clinical staff, but no additional information was provided to address the concerns.
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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 Florham Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Acres Rehabilitation And Healthcare | 1.3 mi | ★★★★★ | 9 | 0 |
| Cheshire Home | 1.5 mi | ★★★★★ | 8 | 0 |
| Careone At Hanover Township | 2.5 mi | ★★★★★ | 1 | 0 |
| Morristown Post Acute Rehab And Nursing Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Careone At Madison Avenue | 2.7 mi | ★★★★★ | 1 | 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.