THE GARDENS AT MONROE HEALTHCARE AND REHABILITATION

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Gardens at Monroe Healthcare and Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Clinically Complex

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New Jersey are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/19/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 05/19/2011 Correction Date: 07/19/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/07/2009 Correction Date: 10/07/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 08/07/2009 Correction Date: 08/07/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/07/2009 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/08/2010 Correction Date: 07/31/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 06/08/2010 Correction Date: 07/31/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 06/08/2010 Correction Date: 01/01/1900
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 05/19/2011 Correction Date: 07/19/2011
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/19/2011 Correction Date: 07/19/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/19/2011 Correction Date: 06/30/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/19/2011 Correction Date: 06/30/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 05/19/2011 Correction Date: 01/01/1900

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/07/2009 Correction Date: 10/07/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/08/2010 Correction Date: 07/01/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 05/19/2011 Correction Date: 07/19/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/07/2009 Correction Date: 10/07/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/07/2009 Correction Date: 10/07/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/08/2010 Correction Date: 07/31/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 05/19/2011 Correction Date: 06/30/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/07/2009 Correction Date: 10/07/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/07/2009 Correction Date: 10/07/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/08/2010 Correction Date: 07/31/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/07/2009 Correction Date: 10/07/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/19/2011 Correction Date: 06/15/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/19/2011 Correction Date: 06/30/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/07/2009 Correction Date: 09/30/2009

The table below lists incident reports by the nursing staff or administration for The Gardens at Monroe Healthcare and Rehabilitation, as well as complaints by residents or their family in the previous three years.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Complaint Filed: 11/19/2010 Correction Date: 01/01/1900

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/01/2008 Correction Date: 12/01/2008

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that The Gardens at Monroe Healthcare and Rehabilitation had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/19/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/07/2009 Correction Date: 09/01/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 05/19/2011 Correction Date: 07/19/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 08/07/2009 Correction Date: 09/30/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/07/2009 Correction Date: 09/01/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/07/2009 Correction Date: 09/30/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/07/2009 Correction Date: 09/01/2009