Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Shady Lane Gloucester Co Home during CMS and state inspections, most recent first.
Failure to include bilateral foot braces in the care plan for a resident with spondylosis with radiculopathy, low back pain, right hip pain, and muscle wasting/atrophy. The resident had intact cognition, stated they did not like to wear the braces but would wear them occasionally, and the braces were observed on the floor during the surveyor's tour. The ICCP did not include the braces despite a PO for staff assistance with donning/doffing and a limit of no more than 3 hours of brace use daily; the RN/UM, DON, and OT all confirmed the braces should have been included.
The facility failed to report an unwitnessed fall that resulted in multiple fractures to a resident's right foot to the NJDOH and the State Ombudsman. The incident occurred when the resident attempted to sit on the side of the bed while the CNA went to retrieve a mechanical lift. Upon returning, the CNA found the resident on the floor with the right leg and foot under the body. The facility's policy mandates reporting such incidents, but this was not followed.
The facility failed to ensure medications were dated upon opening and secured inside the medication cart. An LPN left a Bingo card containing Tramadol unattended and outside the narcotic drawer. Additionally, open Humalog and Lantus Flexpens were found undated in the medication cart, contrary to facility policy and manufacturer's recommendations.
The facility failed to ensure proper hand hygiene and disinfection during wound care and medication administration. An LPN did not perform hand hygiene between glove changes and did not disinfect scissors used for wound care. Another LPN administered nasal spray without wiping the applicator and stored it without a protective cap. Both instances were against the facility's infection control policies.
Failure to Include Bilateral Foot Braces in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan that identified bilateral foot braces for Resident #29, who was admitted with diagnoses including spondylosis with radiculopathy, low back pain, right hip pain, and muscle wasting and atrophy. The resident's most recent quarterly MDS dated 4/2/2025 showed a BIMS score of 13 out of 15, indicating intact cognition. During the initial tour, the surveyor observed the resident with eyes closed and the foot braces on the floor near the window. When interviewed, the resident stated they did not like to wear the braces but would wear them occasionally. Review of the resident's ICCP showed that bilateral foot braces were not included, despite a physician order dated 6/17/2025 directing staff to assist with putting on and removing braces and shoes and limiting brace use to no more than three hours daily. The RN/UM stated that foot braces should be included in the care plan and that the MDS Coordinator or OT would update it, while the DON confirmed the care plan did not include the braces and stated that any LPN or RN could have updated it. The OT also stated the resident was admitted with braces and they should have been included in the care plan. The facility policy stated that information from all three shifts should contribute to a complete interdisciplinary care plan addressing the resident's 24-hour needs.
Failure to Report Unwitnessed Fall Resulting in Fractures
Penalty
Summary
The facility failed to report an unwitnessed fall that resulted in multiple fractures to the right foot of a resident to the New Jersey Department of Health (NJDOH) and the State Ombudsman. The incident occurred when the resident attempted to sit on the side of the bed while the Certified Nursing Assistant (CNA) went to retrieve a mechanical lift. Upon returning, the CNA found the resident on the floor with the right leg and foot under the body, and the resident reported hearing their leg snap twice. The facility's policy on Incident and Accident Report/Falls, which was reviewed in March 2024, mandates that incidents or accidents, including unwitnessed falls that result in bodily injury, must be reported to the appropriate authorities. However, this policy was not followed in this case. During an interview with the Licensed Nursing Home Administrator (LNHA) and the Director of Nursing (DON), it was confirmed that the unwitnessed fall resulting in multiple fractures was not reported to the NJDOH or the Ombudsman. The DON explained that a reportable event would include a fall with a major injury like a fracture if staff failed to follow the policy, such as using a mechanical lift without two staff members. Despite this understanding, the facility did not report the incident involving the resident's fall and subsequent fractures. The LNHA also confirmed that there was no specific policy for staff to follow regarding reportable events, other than the general Incident and Accident Report/Falls policy provided.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure medications were dated upon opening and all medications were secured inside the medication cart. An LPN was observed leaving a Bingo card of medication unattended on top of the medication cart while washing hands in a resident's bathroom, without maintaining a line of sight. The Bingo card contained Tramadol, a controlled substance, which was not stored in the narcotic drawer as required. The LPN later admitted that the Tramadol was discontinued and intended to remove it from the narcotic drawer, but the medication was still active according to the Physician Order Sheet for the resident. Additionally, the surveyor found an open Humalog Flexpen and a Lantus Flexpen Insulin in the medication cart that were not dated upon opening. The facility's policy requires all stock medications to be dated upon opening, and the manufacturer's recommendations state that these insulins should be discarded 28 days after first use. The LPN responsible for the medication cart confirmed that the insulins should have been dated. The facility's Medication Management policy also mandates that medications should be locked when staff are not on the cart and not left on top of the medication cart or at the resident's bedside.
Infection Control Deficiencies in Wound Care and Medication Administration
Penalty
Summary
The facility failed to ensure that all staff used appropriate hand hygiene and proper disinfection while providing wound care to a resident and adhered to infection control practices during medication administration. Specifically, a Licensed Practical Nurse (LPN) did not perform hand hygiene between glove changes while treating a resident with a left heel wound. The LPN also failed to disinfect scissors used during the wound care procedure. The resident, who had a bone infection and pressure ulcer, was on enhanced barrier precautions and required daily dressing changes. The LPN admitted to not performing hand hygiene between glove changes and not disinfecting the scissors before use, which was confirmed by the Director of Nursing (DON) as a breach of protocol. Additionally, the surveyor observed another instance of non-compliance with infection control practices during medication administration. An LPN administered Fluticasone Propionate nasal spray without wiping the nasal applicator before and after use and stored the nasal spray without a protective cap. The LPN admitted to not receiving in-service training on administering nasal spray and acknowledged the need to wipe the applicator to prevent the spread of germs. The Registered Nurse Educator confirmed that no in-service training had been provided on this matter and stated that the LPN should have requested a new nasal spray from the pharmacy if the cap was missing. The facility's policies on dressing changes and infection control were reviewed and indicated that hand hygiene should be performed before and after patient contact, between glove changes, and that instruments like scissors should be disinfected before use. The policies also required annual in-service training on infection control issues, including hand hygiene and standard precautions. The facility failed to adhere to these policies, resulting in the observed deficiencies.
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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 Clarksboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Atlas Rehabilitation & Healthcare At West Deptfor | 2.2 mi | ★★★★★ | 14 | 0 |
| Advanced Subacute Rehabilitation Center At Sewell | 4.4 mi | ★★★★★ | 2 | 0 |
| Atlas Post Acute At Woodbury Country Club | 4.6 mi | ★★★★★ | 1 | 0 |
| United Methodist Communities At Pitman | 6.1 mi | ★★★★★ | 4 | 0 |
| Deptford Center For Rehabilitation And Healthcare | 6.1 mi | ★★★★★ | 13 | 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.