Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Park Crescent Healthcare & Rehabilitation Center during CMS and state inspections, most recent first.
Physician monthly orders were not signed and dated for multiple residents. Record review showed several residents had missing physician signatures in the EMR or had not had monthly orders signed for extended periods, and staff stated that documentation was kept electronically and the physician was expected to sign orders in the computer.
Missed and Late Physician Face-to-Face Visits: The facility failed to ensure timely physician face-to-face visits and progress note documentation for multiple residents. Several residents had no MD notes for months, while others had notes entered as late entries long after the effective dates. Affected residents included individuals with diagnoses such as AFib, CVA-related hemiplegia, COPD, and dementia with BIMS scores ranging from severe to moderate cognitive impairment. Staff stated physicians were expected to document in the eMR, but no explanation was provided for the missing documentation.
A resident with severely impaired cognition and diagnoses including epileptic seizures and unspecified lack of expected normal physiological development in childhood was observed in the dayroom with torn shorts, exposed brief, and clothing that exposed the abdomen. The resident was also observed with uneven footwear and with fingernails and toenails about 1/4 inch long, including black debris under one toenail. An LPN stated family was responsible for nail care and could not recall when family was last at the facility, while the facility policy required residents to be treated with respect for dignity and individuality and nails to be kept clean and trimmed weekly.
A facility failed to keep call devices within reach for two residents. One resident with severe cognitive impairment and dependence for daily activities had the call light placed behind the bedside table, while another resident with dementia and impaired vision had the call light hanging on the outlet and later found on the floor. Staff stated the call bell should be within the resident’s reach, and the care plans for both residents included keeping the call bell in reach.
Survey Reports Not Readily Accessible to Residents and Visitors The facility failed to keep the most recent 3 years of survey reports readily accessible in a prominent area without residents or visitors having to ask staff. A surveyor found the binder stored at the nursing station/behind the desk area, and an LPN was unaware the reports had to be available without staff assistance. Signage on another floor directed people to the lobby, but 7 residents at a resident council meeting were unaware of the binder’s location and said they would not normally go to the lobby except to enter or exit the building.
A facility failed to maintain two resident rooms in a clean, sanitary, and homelike condition. In one room, the surveyor observed long wall scratches exposing sheet rock, scratches on the window sill, and a broken piece on the dresser drawer. In another room, the surveyor observed a long area of exposed sheet rock from the bathroom door to the handwashing sink. The concerns were discussed with the Administrator and DON.
A resident with schizophrenia had a PASARR Level 1 screen that incorrectly stated there was no major mental illness, despite the admission record, MDS, psych notes, care plan, and MAR showing schizophrenia and routine antipsychotic use. The SW stated the PASARR should be updated because the resident has schizophrenia, and the facility policy assigned the SW responsibility for reviewing the Level 1 screening for accuracy.
Physician Monthly Orders Not Signed and Dated
Penalty
Summary
The facility failed to ensure that residents' primary physicians signed and dated monthly physician orders for 9 of 33 residents reviewed, including Residents #3, 6, 9, 14, 17, 65, 76, 87, and 180. The deficiency was identified through interview and record review and was noted to have occurred over an extended period. In the hybrid medical records, Resident #6's physician last signed monthly orders on 7/5/24, Resident #14's on 9/4/23, Resident #76's on 2/20/25, Resident #87's on 1/28/25, and Resident #180's on 1/28/25. In the electronic medical records, Resident #3 did not have electronically signed monthly physician orders from March through June 2025, Resident #9 did not have electronically signed monthly physician orders for May 2025, Resident #17 did not have electronically signed monthly physician orders for May and June 2025, and Resident #65 did not have electronically signed monthly physician orders for May 2025. During interviews on 8/18/2025, an LPN stated the physician usually signed orders electronically and that documents were in the computer system, and an LPN/UM stated there was no physical chart anymore and that everything was documented electronically, with the physician expected to sign monthly orders in the computer.
Missed and Late Physician Face-to-Face Visits
Penalty
Summary
The facility failed to assure that the physician responsible for supervising resident care conducted face-to-face visits and documented progress notes at least every 60 days for 10 of 33 residents reviewed. The report identified residents with no physician notes for over 6 months, including Residents #6, #76, #87, and #180. The facility policy stated that the attending physician must visit at least every 30 days for the first 90 days after admission and then at least every 60 days thereafter, with visits considered timely if they occur no later than 10 days after the required date. For Resident #3, the surveyor observed the resident in bed and unable to answer questions. The eMR showed the resident had diagnoses including unspecified atrial fibrillation and a quarterly MDS with a BIMS score of 0, indicating severe cognitive impairment. The physician progress notes showed that MD #1 did not conduct face-to-face visits from January through June 2025. For Resident #4, the surveyor observed the resident in bed, awake, alert, and able to answer in simple English. The resident’s record showed diagnoses including hemiplegia and hemiparesis following cerebrovascular disease, and a quarterly MDS with a BIMS score of 12, indicating moderately impaired cognition. The physician progress notes showed that MD #1 did not conduct face-to-face visits from January through July 2025. For Resident #9, the resident was observed asleep in bed, and the record showed dementia with psychotic disturbance and a BIMS score of 0. The eMR also showed multiple physician progress notes entered as late entries, with effective dates from January through May 2025 but created dates in February and July 2025, indicating the notes were not documented on the effective date. Additional residents reviewed had similar documentation gaps. Resident #12, who had diagnoses including hemiplegia and hemiparesis following cerebral infarction and a BIMS score of 8, had physician progress notes with effective dates in April and May 2025 but created dates in July 2025. Resident #17, observed out of bed in a wheelchair and unable to answer questions, had COPD and a BIMS score of 0, and MD #2 did not conduct face-to-face visits from January through July 2025. Resident #65, observed asleep in bed, had dementia and a BIMS score of 3, and MD #1’s progress notes were entered as late documentation with effective dates from March through May 2025 but created dates in June 2025. The LPN stated that physicians should document in the computer every time they visit, the LPN/UM stated the physicians were expected to document in the computer system, and the DON stated, "It is what it is" regarding the progress notes.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to maintain the dignity of Resident #182. On 8/12/25, the resident was observed in a geri-chair in the dayroom with no socks on both feet, torn and ripped shorts, and an exposed adult brief while other residents and activity staff were present. The surveyor also observed the resident’s fingernails to be curved and about 1/4 inch long past the fingertips, and the toenails to be about 1/4 inch long past the toes, with black-colored debris under the left big toenail. On 8/14/25, the resident was again observed in the dayroom with one sock and shoe on the right foot and no sock or shoe on the left foot. The resident was wearing short shorts with the adult brief exposed, and the shirt was tight and bunched up, exposing the abdomen. The fingernails and toenails were again observed to be about 1/4 inch long past the fingertips and toes, with black-colored debris under the left big toenail. The resident’s record showed diagnoses including epileptic seizures and unspecified lack of expected normal physiological development in childhood, and the quarterly MDS dated 7/1/25 indicated severely impaired cognition. The LPN assigned to the resident stated the resident was not compliant with nail clipping and that family was responsible for nail care, though the LPN could not recall when family was last at the facility. The facility policy stated residents should be treated with respect for their dignity and individuality, and CNA standard of care stated nails were to be maintained clean and trimmed weekly.
Call Devices Not Kept Within Residents’ Reach
Penalty
Summary
The facility failed to ensure resident call devices were readily accessible for 2 residents. Resident #3 was observed in bed awake, with the call light located behind the bedside table. The resident had diagnoses including unspecified atrial fibrillation, and the recent MDS showed a BIMS score of 0 out of 15, indicating severe cognitive impairment. The resident was also documented as dependent on staff for daily living activities, and the care plan addressed fall risk related to impaired mobility with interventions that included keeping the call bell in reach and encouraging its use. Resident #137 was observed sitting in bed awake and alert, with the call light hanging on the call light outlet and the resident stating he did not know where it was located. Later, the call light was found on the floor during a medication pass and was placed on top of the bed by the LPN, who stated it should be within the resident's reach and that a clip should secure it to the bed. The resident had diagnoses including unspecified dementia, severe cognitive impairment with a BIMS score of 0 out of 15, and required partial or moderate assistance with daily living activities. The care plan addressed fall risk related to cognitive impairment and impaired vision, with interventions including keeping the call bell in reach and encouraging its use.
Survey Reports Not Readily Accessible to Residents and Visitors
Penalty
Summary
The facility failed to ensure that the most recent 3 years of inspection reports were readily accessible in a prominent area for residents and visitors without having to ask staff. During observation on 8/14/2025, a surveyor saw signage by the 3rd floor elevator stating that the survey report was inside the nursing station, then asked a 3rd floor unit nurse about the binder’s location; the nurse checked the nursing station desk and an area behind the desk used as a charting room before finding the binder on a shelf, and stated she was unaware the survey reports needed to be accessible without asking staff. The surveyor also observed signage outside the 2nd floor elevator indicating the survey reports were in the lobby. During a resident group meeting on 8/18/2025 with the resident council president and 6 other residents, all 7 residents were unaware of the location of the survey report binders and stated they would not normally go to the lobby except to enter or exit the building. The concern was discussed with the Administrator and DON on 8/18/25.
Resident Rooms Not Maintained in Clean, Homelike Condition
Penalty
Summary
The facility failed to maintain the residents' living environment in a clean, sanitary, and homelike manner for two resident rooms on the 3rd floor, Room 330 and Room 332. During an initial tour, the surveyor observed in one room three areas with approximately 6-foot-long linear scratches on the wall between the bathroom door and the sink that exposed sheet rock, three scratches on the right side of the window sill, and an approximately 10-inch broken piece on the upper dresser drawer. In the other room, the surveyor observed an approximately 6-foot-long linear area of exposed sheet rock from the bathroom door to the handwashing sink. The surveyor discussed these concerns with the Administrator and the DON.
PASARR Screening Not Accurately Completed for Resident with Schizophrenia
Penalty
Summary
The facility failed to ensure that a PASARR Level 1 screening was completed accurately for one resident with a diagnosis of schizophrenia. The resident was observed out of bed in a wheelchair and able to answer questions. Record review showed an admission record listing schizophrenia as a diagnosis, an annual MDS with a BIMS score of 8 indicating moderately impaired cognition, and documentation that the resident was receiving routine antipsychotic medication, including Risperdal 1 mg at bedtime and risperidone 0.5 mg in the morning. Further review showed psychology progress notes documenting continued use of Risperdal for schizophrenia and a care plan focused on psychotropic medications related to schizophrenia. The PASARR Level 1 screen form on file, however, stated in the mental illness section that the resident had no diagnosis or evidence of major mental illness limited to schizophrenia disorders and was negative. The Social Worker stated the PASARR should be updated because the resident has schizophrenia, and the facility policy identified the Social Worker as responsible for reviewing the Level 1 screening for accuracy.
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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 East Orange
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Orange Park | 0.7 mi | ★★★★★ | 13 | 0 |
| Grove Park Healthcare And Rehabilitation Center | 0.9 mi | ★★★★★ | 11 | 1 |
| Job Haines Home For Aged People | 1 mi | ★★★★★ | 0 | 0 |
| Alaris Health At St Marys | 1.4 mi | ★★★★★ | 2 | 0 |
| Brookhaven Health Care Center | 1.9 mi | ★★★★★ | 9 | 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.