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 Merwick Care & Rehab Center, Llc during CMS and state inspections, most recent first.
A resident receiving IV vancomycin and ertapenem for a sacral pressure ulcer with cellulitis was discharged with a midline catheter in place even though there was no PO to keep it in place or remove it. The LPN who completed the discharge said she did not perform a head-to-toe assessment and did not know the resident had the midline. Staff later went to the resident’s home to remove the catheter, and the DON, UM, NS, and physician all stated the resident should not have been discharged with IV access without a PO.
Failure to report and investigate discharge with IV access in place: A resident with intact cognition and a midline for IV antibiotics was discharged after completing treatment, but the discharge record did not include an order to keep or remove the line. Staff later learned the resident had gone home with the midline still in place, and interviews showed the nurse who discharged the resident did not know it was present. Facility leaders stated the event warranted an IR, but none was completed.
Inaccurate Documentation of Midline Removal After Discharge: A resident with multiple medical diagnoses, including heart failure and breast cancer, was discharged with a midline catheter and later had it removed at home by facility staff. The DON and an LPN confirmed that the progress note did not accurately reflect the home removal, and the record failed to document the actual care provided.
Three residents with various medical conditions had care plans that did not accurately reflect their physician-ordered diets, including missing details about vegetarian, chopped, and pureed diets. These discrepancies were confirmed by the RD and DON, who both stated that care plans should match physician orders to ensure proper care.
Discharge With Midline Catheter Without Physician Order
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice when the resident was discharged with a midline catheter in place without a physician order to keep it in place, and the catheter was later removed at the resident’s home without a physician order to remove it. The resident had diagnoses including pleural effusion, heart failure, type 2 diabetes mellitus, breast cancer, and an elevated white blood cell count, and had intact cognition with a BIMS score of 15 out of 15. The resident was being treated for a sacral pressure ulcer with slough and cellulitis, and an infectious disease NP recommended IV vancomycin and ertapenem for 7 days. The record showed physician orders for placement of a midline and for IV ertapenem and vancomycin, and the resident received the ordered antibiotics through the midline. On the day of discharge, the physician documented that the resident was scheduled to go home and that prescriptions and discharge instructions were reviewed. However, the order summary did not include an order for the midline to remain in place or an order to remove it. A late-entry nursing note documented that the midline catheter was removed from the resident’s right upper extremity after the resident had already been prepared for discharge and left the facility by medical transport with a family member. Staff interviews confirmed that the discharge process should include a full assessment, education of the resident and family, and removal of IV access prior to discharge unless otherwise ordered. The LPN who discharged the resident stated she did not perform a head-to-toe assessment and did not know the resident had a midline in place at discharge. The UM, NS, DON, and physician all stated that residents should not be discharged home with IV access without a physician order and that there was no order to keep the midline in place or remove it at discharge. The LPN and NS stated they later went to the resident’s home to remove the midline after discharge.
Failure to Report and Investigate Discharge With Midline Catheter in Place
Penalty
Summary
The facility failed to complete an incident report and thoroughly investigate after a resident was discharged with a midline catheter still in place. The resident had been admitted with diagnoses including pleural effusion, heart failure, type 2 diabetes mellitus, breast cancer, and an elevated white blood cell count, and had intact cognition with a BIMS score of 15 out of 15. The resident also had a sacral pressure ulcer with slough and cellulitis, for which an infectious disease NP recommended IV vancomycin and ertapenem, and a midline was ordered for antibiotic therapy. The record showed the resident completed the prescribed IV antibiotics before discharge, but the discharge orders did not include an order for the midline to remain in place or to be removed. A late-entry nursing note documented that the midline catheter was removed from the resident’s right upper extremity and that the resident then left the facility by medical transport with a family member. However, staff interviews showed the nurse who discharged the resident did not know the midline was still in place at discharge, and a family member later called the facility to report that the resident had gone home with IV access in place. Facility staff stated that the issue should have been reported and documented through an incident report, but no incident report was completed. The unit manager, nursing supervisor, and DON each stated that the resident should not have been discharged with IV access in place without proper physician orders, and that the event warranted an incident report. The DON also stated she was not aware of the discharge issue or the home visit to remove the IV access until the survey date, and the facility policy required accidents or incidents to be investigated and reported.
Inaccurate Documentation of Midline Removal After Discharge
Penalty
Summary
The facility failed to ensure that the medical record accurately documented care provided to a resident who was discharged home with a midline catheter and had it removed in the resident’s home the next day by facility staff. Resident #2 had diagnoses including pleural effusion, heart failure, type 2 diabetes mellitus, malignant neoplasm of the breast, and an elevated white blood cell count. The resident’s discharge MDS showed intact cognition with a BIMS score of 15 out of 15. A late-entry progress note by an LPN documented that the midline was removed from the resident’s right upper extremity without complication and that the site was clean, dry, and intact before discharge, with the resident leaving the facility by medical transport accompanied by a family member. During interview, the DON stated she learned on the survey date that the resident had been discharged with the midline in place without a physician order to keep it, without home care arranged for the midline, and that facility staff went to the resident’s home the next day to remove it. The DON reviewed the late-entry progress note and confirmed it did not reflect that the midline was removed in the resident’s home. The LPN stated she did not know the resident had a midline at discharge, that the NS informed her of the issue, and that she and the NS went to the resident’s home to remove it. The LPN also stated the progress note did not reflect what happened. Facility policy required documentation of the date and time of IV device removal and required documentation to be objective, complete, and accurate.
Care Plans Did Not Reflect Physician-Ordered Diets
Penalty
Summary
The facility failed to ensure that the individualized comprehensive care plans accurately reflected the current physician-ordered diets for three residents. For one resident with severe cognitive impairment and multiple diagnoses, the care plan listed a regular diet instead of the physician-ordered vegetarian diet. Another resident, who was cognitively intact and had chronic conditions, had a care plan that did not specify the required chopped texture diet as ordered by the physician, instead listing a regular texture. A third resident with severe cognitive impairment and neurological diagnoses had a care plan that did not reflect the physician-ordered pureed texture, instead listing a ground texture. These discrepancies were confirmed through record reviews and staff interviews. The Registered Dietician acknowledged responsibility for creating accurate nutritional care plans and confirmed that the care plans did not match the physician orders for the affected residents. The Director of Nursing also confirmed that care plans should match physician orders and emphasized the importance of accuracy to prevent adverse outcomes. The facility's policy requires that care plans describe the services to be furnished to attain or maintain the resident's highest practicable well-being.
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 516 citations issued within 25 miles in the last 12 months — including the 18 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 Plainsboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carnegie Post Acute Care At Princeton Llc | 1.4 mi | ★★★★★ | 1 | 0 |
| Complete Care At Park Place Llc | 3.3 mi | ★★★★★ | 16 | 0 |
| Stonebridge At Montgomery Health Care Center | 5.3 mi | ★★★★★ | 0 | 0 |
| The Elms Rehab And Healthcare Center Of Cranbury | 6.1 mi | ★★★★★ | 15 | 1 |
| Avalon Rehabilitation And Healthcare Center | 6.3 mi | ★★★★★ | 19 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Merwick Care & Rehab Center, Llc.
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.