CNA Hours Below State and National Averages

The Center for Medicare & Medicaid Services (CMS) describes Certified Nursing Assistants (CNAs) as working under the direction of a licensed nurse to assist nursing home residents with activities of daily living, such as grooming, dressing, eating and hygiene. According to data released by CMS as of December 2, 2014, Care One at East Brunswick had CNA hours per resident day below both the state and the national averages. Studies have shown a relationship between direct care staffing and quality of care in nursing homes.

Further, the most recently available data released by CMS shows that nearly half of Care One’s New Jersey nursing home facilities for which data was reported had CNA hours per resident per day below both the state and the national average.

Higher than Average Rates of Pressure Ulcers (Bed Sores)

CMS’ data as of December 2, 2014 reported that Care One at East Brunswick’s percentage of long-stay, high-risk residents with pressure ulcers (bed stores) was 73% higher than the national average. Bed sores can cause pain and infection.

Overall Rating & Health Inspection Rating

CMS has rated Care One at East Brunswick at a below average overall rating of 2 out of 5 stars and a much below average health inspection rating of 1 out of 5 stars.

Deficiencies at the Home

The Statement of Deficiencies and Plan of Correction (Statement and Plan) published by CMS on June 16, 2014 listed 13 deficiencies at Care One at East Brunswick, which is above both the state and the national averages for deficiencies. Among the deficiencies cited, CMS “determined that the facility failed to ensure that residents consistently received their Restorative Nursing program (RNP) as recommended by the Physical and Occupational Therapists.” The Statement and Plan also stated “the facility was aware of staffing problems related to its RNP but failed to identify, develop, and implement appropriate corrective plans to consistently provide a restorative ambulation program.”

Moreover, The Statement and Plan cited Care One at East Brunswick for its failure to “provide evidence of need for an antipsychotic medication.” The Food and Drug Administration has warned that antipsychotic drugs are associated with an increased risk of death when used in elderly patients with dementia.

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