Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Fountain Springs At Cape May Nursing & Rehab Cente during CMS and state inspections, most recent first.
The facility failed to maintain proper kitchen sanitation and food storage practices. Observations included undated and improperly stored food items, wet nesting of containers, and lack of an internal thermometer in the walk-in freezer. These deficiencies were noted during a survey, with the Food Service Director acknowledging the issues and removing affected items for re-cleaning and disposal.
The facility failed to complete Quarterly MDS assessments on time for 46 residents, with delays ranging from 32 to 117 days. The MDS Coordinator, responsible for two buildings, acknowledged the backlog. The facility's policy requires assessments to be completed within 92 days of the previous assessment, but this was not adhered to.
A facility failed to include a PICC line and Foley Catheter in a resident's care plan, despite the resident's medical needs for these devices. The resident had diagnoses including an infected sacral wound and a complicated UTI. Physician orders specified care for the catheters, but the care plan did not reflect these needs, as confirmed by the DON.
A facility failed to follow infection control measures for respiratory equipment for a resident with a history of heart failure and COPD. The resident's oxygen tubing was observed uncovered and not in use, despite a physician's order for continuous oxygen. Interviews revealed inconsistencies in policy understanding and implementation, with no documentation of the resident refusing oxygen. The facility's policy required oxygen devices to be covered when not in use, which was not adhered to.
Kitchen Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to maintain kitchen sanitation in a safe and consistent manner, as observed by the surveyor on multiple occasions. In the dry storage room, a previously opened bag of macaroni pasta was found wrapped in plastic wrap without any open or use-by date. Additionally, the surveyor noted wet nesting of plastic Cambro containers on the spice shelf, with a clear watery substance observed on the containers, indicating they were not air-dried before stacking. Similar wet nesting was observed with deep third pans on the pot/pan storage rack. These practices can lead to bacteria growth, as acknowledged by the Food Service Director (FSD), who removed the affected items for re-cleaning, sanitizing, and air drying. In the walk-in freezer, the surveyor found that while the temperature log was up to date and within acceptable parameters, there was no internal thermometer present to monitor the freezer temperature. Furthermore, several food items were improperly stored: a previously opened bag of frozen soft pretzels and a box of bacon were not properly dated or covered, with the bacon appearing dry and exposed to air. A box of fresh chorizo was also found with torn plastic, leaving the contents exposed and undated. These items were removed to the garbage by the cook. The facility's policies on date marking and dish cleaning were reviewed, revealing non-compliance with procedures meant to ensure food safety and sanitation.
Failure to Complete Quarterly MDS Assessments Timely
Penalty
Summary
The facility failed to complete the Quarterly Minimum Data Set (MDS) assessments in a timely manner for 46 out of 49 residents reviewed. The MDS is a resident assessment tool used to facilitate the management of care, and the Quarterly Assessment is considered timely if the Assessment Reference Date (ARD) is within 92 days after the ARD of the previous MDS, with completion no later than 14 days after the ARD. The report details that the facility did not meet these requirements, with assessments being overdue by a range of 32 to 117 days for various residents. The MDS Coordinator (MDSC), who has been in the role for three years, acknowledged that the MDS assessments were behind schedule. The MDSC was responsible for completing assessments in two buildings, which contributed to the delay. The facility's policy on MDS 3.0 Completion, implemented on October 15, 2024, specifies that Quarterly Assessments should be completed using an ARD no greater than 92 days from the most recent prior quarterly or comprehensive assessment. The deficiency was identified through interviews, record reviews, and a review of facility documentation and the CMS Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual. The MDSC admitted to the survey team that she was aware of the backlog and the need to assist the other building, which impacted the timely completion of the assessments.
Failure to Include PICC and Foley Catheter in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident who required a Foley Catheter and a Peripherally Inserted Central Catheter (PICC) for antibiotic delivery. During an initial tour, the resident was observed with a PICC line in the left upper arm and a Foley Catheter. However, a review of the resident's care plan dated 10/3/2024 revealed that it did not include focus areas addressing the presence of the PICC line and Foley Catheter, which are critical components of the resident's care needs. The resident's medical records indicated diagnoses including an infected sacral wound with wound botulism, possible osteomyelitis, a complicated urinary tract infection, and dementia. Physician orders detailed specific care requirements for the Foley Catheter and PICC line, such as maintaining enhanced barrier precautions, catheter care every shift, and monitoring the PICC line for infection. Despite these detailed orders, the care plan lacked the necessary focus areas to address these medical devices, as confirmed by the Director of Nursing during an interview with the surveyor.
Failure to Implement Infection Control Measures for Respiratory Equipment
Penalty
Summary
The facility failed to implement proper infection control measures for the handling and storage of respiratory equipment for a resident. During an initial tour, a surveyor observed a resident with oxygen tubing draped uncovered on top of an oxygen concentrator and over the strap of a portable oxygen tank attached to the resident's wheelchair. The oxygen concentrator was turned off, and the resident was not using oxygen at the time, despite having a physician's order for continuous oxygen use. The resident, who had a history of heart failure, chronic obstructive pulmonary disease, and lung cancer, was waiting for a ride to a doctor's appointment. The facility's policy required oxygen delivery devices to be covered in a plastic bag when not in use, which was not adhered to in this instance. Interviews with the Registered Nurse/Unit Manager and the Director of Nursing revealed inconsistencies in the understanding and implementation of the facility's policy regarding oxygen use and storage. The RN/UM was unsure of the policy details and stated that oxygen tubing should be stored in a bag and changed weekly. The DON confirmed that if a resident is alert and oriented and removes the oxygen, it should be documented in the care plan. However, there was no documentation indicating that the resident refused oxygen, and the DON confirmed that the oxygen should have been on if not documented otherwise. A review of the facility's policy on oxygen administration highlighted the requirement for infection control measures, including keeping delivery devices covered when not in use, which was not followed in this case.
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 34 citations issued within 25 miles in the last 12 months — including the 2 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 Cape May Court House
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Lake Healthcare At Oceanview | 4.1 mi | ★★★★★ | 1 | 0 |
| Crest Haven Nursing And Rehabilitation Center | 4.6 mi | ★★★★★ | 2 | 0 |
| Complete Care At Court House, Llc | 5.8 mi | ★★★★★ | 1 | 0 |
| United Methodist Communities At The Shores | 11.5 mi | ★★★★★ | 9 | 0 |
| North Cape Center | 15.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Fountain Springs At Cape May Nursing & Rehab Cente.
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.