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 Oaks At Denville, The during CMS and state inspections, most recent first.
An uncertified agency CNA impersonated another worker and provided direct care to 16 residents on two nursing units, including bathing, toileting, feeding assistance, dressing, and mechanical lift transfers. The issue was discovered after the DON and Staffing Coordinator confirmed the person working under the agency name was not the actual CNA and had used a sibling’s identity to gain access and work in the facility.
The facility failed to maintain proper kitchen sanitation practices, as observed by surveyors. Uncovered and unlabeled food items were found in the kitchenettes on the 4th and 2nd floors, contrary to the facility's policy requiring labeling and dating of leftovers. The Unit Manager acknowledged the oversight, and the DON confirmed that unlabeled foods were discarded.
The facility failed to update care plans for two residents, one with severe cognitive impairment and another on dialysis with fluid restrictions. The care plan for a resident on anti-anxiety medication was not revised to reflect medication changes, while another resident's noncompliance with fluid restrictions was not documented. These oversights were confirmed through observations, record reviews, and staff interviews.
The facility failed to monitor and document the effects of psychoactive medications for three residents, leading to deficiencies in care. One resident had an increased dosage of Quetiapine without routine monitoring, while another received amitriptyline without documentation of target behaviors or side effects. A third resident was prescribed multiple psychotropic medications without consistent evaluation. The care plans lacked specific target behaviors and non-pharmacological interventions, and the facility's documentation practices were insufficient.
A resident with a skin tear received wound care that compromised their dignity when an RN wrote directly on the surgical tape applied to the wound. The facility's policy requires residents to be treated with dignity and respect, which was not followed in this instance.
A facility was cited for a repeat deficiency when an RN failed to lock a medication cart after gathering supplies for wound care on a resident. The facility's policy requires all medication compartments to be locked when not in use, but the RN admitted to forgetting to secure the cart. The DON confirmed that medication carts should always be locked when unattended.
The facility failed to issue the required SNF ABN forms to two residents who remained in the facility after their Medicare Part A coverage ended. The social worker responsible admitted to not sending the forms and acknowledged the need to review new ABN forms. The facility's administration was informed, but no further information was provided.
Uncertified Agency CNA Impersonated Another Worker and Provided Resident Care
Penalty
Summary
The facility failed to ensure that a person providing direct resident care as a CNA was actually certified and had the competencies and skill set needed to provide care safely. A staff member identified in the report as UP #1 worked as an agency CNA on two nursing units and provided direct care to residents before being discovered to be impersonating another individual who was listed as Agency CNA #1. The report states that UP #1 was not certified and was posing as the agency CNA while working at the facility. The impersonator worked three shifts and provided direct care to sixteen residents. The care documented included bathing, mobility and ambulation assistance, feeding assistance, toileting, showering, dressing, meal tray setup, supervision with bathing, and transfers using both mechanical lift and stand lift equipment. The residents affected were on two nursing units, and the report identifies that the staff member rendered care to residents during both day and evening shifts. The discovery occurred when the Staffing Coordinator contacted the phone number listed for the agency CNA and reached the actual Agency CNA #1, who said she was out on disability and not working. The Staffing Coordinator then learned that the person who had worked at the facility had used the sister's identity and that the facility could not find a second matching license in the state registry. Police were called, and upon questioning it was determined that UP #1 was not certified and had been posing as the agency CNA.
Improper Kitchen Sanitation Practices
Penalty
Summary
The facility failed to maintain proper kitchen sanitation practices, which was observed during a survey. On the 4th floor kitchenette, a surveyor noted an uncovered individual cheesecake without a use-by date, an open jar of molasses lacking an open/use-by label, and a paper cup with an undated brown frozen substance in freezer #2. Similarly, on the 2nd floor kitchenette, a zip lock bag of sliced pickles and a red cup with an oatmeal-like substance were found without labels and use-by dates. The Unit Manager acknowledged that all items in the refrigerators and freezers should be covered and labeled with open and use-by dates, but could not explain why the items were not labeled. The facility's policy, reviewed in October 2024, mandates that all leftovers be labeled, dated, and used within three days or discarded. The Director of Nursing confirmed that all refrigerators and freezers in the kitchenettes were checked, and any unlabeled foods were discarded. However, the facility did not provide further pertinent information during the exit conference.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to revise the comprehensive care plans for two residents, leading to deficiencies in their care management. Resident #35, who has severe cognitive impairment and is on anti-anxiety medication, had a care plan that was not updated to reflect the discontinuation of Risperidone and the initiation of Xanax. Despite the change in medication, the care plan continued to list Risperidone as a risk factor, without acknowledging the new medication regimen. This oversight was confirmed through observation, record review, and an interview with the Unit Manager/Registered Nurse, who did not provide further information on the matter. Similarly, Resident #13, who is on dialysis and has a fluid restriction due to chronic kidney disease, had a care plan that did not address their noncompliance with the fluid restriction. The resident was observed with a cup of water and admitted to not adhering to the restriction, a fact known to the Certified Nursing Assistant and the Director of Nursing. Despite this, the care plan did not reflect the resident's noncompliance, which is a critical aspect of their care needs. The facility's policy requires care plans to reflect residents' expressed wishes and risk factors, but this was not adhered to in these cases.
Inadequate Monitoring of Psychoactive Medications
Penalty
Summary
The facility failed to consistently monitor, document, and evaluate the ongoing benefits of continued use of psychoactive medications for three residents. Resident #3, who was admitted with diagnoses including unspecified dementia and mood disturbance, had an increase in Quetiapine dosage without routine monitoring of the psychotropic medication's effects. The care plan did not specify target behaviors or non-pharmacological interventions, and the Unit Manager/Registered Nurse confirmed that side effects were only documented if observed, with no documentation of targeted behavior monitoring. Resident #4, admitted with sepsis and diabetes mellitus, received amitriptyline for depression. The January 2025 Medication Administration Record (MAR) lacked documentation of target behaviors and potential side effects. The care plan did not include specific target behaviors or non-pharmacological interventions to address depression symptoms. The facility's documentation practices were insufficient, as confirmed by the Unit Manager/Registered Nurse. Resident #35, with severe cognitive impairment and multiple diagnoses, was prescribed several psychotropic medications. There was no consistent monitoring or evaluation of the medications' effects from February 2024 to January 2025. The care plan did not reflect specific target behaviors or non-pharmacological interventions. The Director of Nursing and Licensed Nursing Home Administrator acknowledged the lack of documentation for side effects and targeted behavior monitoring, which was not aligned with the facility's policy on monitoring psychoactive medication use.
Failure to Maintain Resident Dignity During Wound Care
Penalty
Summary
The facility failed to treat a resident with dignity and respect during wound care, as observed by a surveyor. The incident involved a resident who had a skin tear prior to admission and was receiving wound care treatment for their right elbow. The resident was cognitively intact, as indicated by a BIMS score of 13 out of 15. During the wound care procedure, a Registered Nurse (RN) wrote the date and her initials directly on the surgical tape that was already applied to the resident's wound site. This action was questioned by the surveyor, who asked if it provided the resident with dignity and respect. The facility's policy on dignity, which was revised in January 2024, states that residents should always be treated with dignity and respect, and demeaning practices are prohibited. The Director of Nursing (DON) acknowledged that the RN did not follow the correct procedure for initialing and dating a resident's wound. The incident was discussed with the survey team, but no further pertinent information was provided by the facility during the exit conference.
Medication Cart Security Deficiency
Penalty
Summary
The facility was found to have a deficiency related to the improper securing of medications within a medication cart. During an observation on January 28, 2025, a surveyor witnessed a Registered Nurse (RN) providing wound care to a resident. The RN was observed gathering medications from a medication cart located outside the resident's room. After collecting the necessary medications and supplies, the RN closed the drawer of the medication cart but failed to lock it before walking away. When questioned by the surveyor, the RN acknowledged the oversight, admitting that they forgot to lock the cart, which was a mistake on their part. The facility's policy on the storage of medications, revised on May 1, 2017, clearly states that compartments containing drugs and biologicals must be locked when not in use, and carts used to transport such items should not be left unattended if open or potentially accessible to others. During a meeting with the survey team, the Director of Nursing (DON) confirmed that medication carts should always be locked whenever a nurse steps away. Despite this policy, the facility failed to ensure compliance, resulting in a repeat deficiency citation under NJAC 8:39-29.4(a)(d)(h), 29.7(a).
Failure to Issue SNF ABN Forms to Residents
Penalty
Summary
The facility failed to issue the required Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) to two residents who were discharged from Medicare Part A coverage but remained in the facility. Resident #8's last documented covered day from Medicare Part A service was on 1/18/25, and Resident #41's was on 12/24/24. In both cases, the SNF Beneficiary Notification Review forms, filled out by the facility's Director of Social Services (DSS), indicated that the SNF ABN was not provided to the residents. There was no additional documentation about the communication of these forms to the residents or their representatives. The social worker responsible for sending the notices of Medicare non-coverage forms admitted to the surveyor that the SNF ABN forms were not issued when residents remained in the facility after Medicare A's last covered day service. She acknowledged her responsibility to send the ABN forms to the residents and their families and stated that she was aware of new ABN forms that needed to be reviewed. The facility's Licensed Nursing Home Administrator, Director of Nursing, and Assistant Director of Nursing were informed of these concerns, but no additional information was provided.
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What surveyors actually found near you
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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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A prioritized, do-first checklist
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Nursing homes near Denville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fallsview Nursing And Rehabilitation Center | 2.5 mi | ★★★★★ | 1 | 0 |
| Careone At Parsippany | 4.1 mi | ★★★★★ | 14 | 0 |
| Troy Hills Center | 4.7 mi | ★★★★★ | 3 | 0 |
| Excel Care At Dover | 4.9 mi | ★★★★★ | 4 | 1 |
| Morris View Healthcare Center | 5.2 mi | ★★★★★ | 20 | 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 July 2026) and official state health department websites.