Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Atrium At Navesink Harbor, The during CMS and state inspections, most recent first.
The facility failed to store food properly and maintain a sanitary kitchen environment. Observations included a wet food processor lid, debris on flour and sugar bins, and a dirty meat slicer. Additionally, unsanitary conditions were found in the server kitchen, with dried substances on soda dispensers and open ice cream container lids.
The facility failed to maintain AED kits and emergency supplies, with expired defibrillator pads found on two floors. An LPN confirmed the expired pads, and the Emergency Cart Daily Checklist was not properly followed. Additional expired items were found, and the facility's policy requiring monthly checks was not adhered to.
The facility failed to consistently offer pneumococcal vaccines to residents, as evidenced by two cases where documentation was missing or inaccurate. One resident's immunization status was not up to date, and the facility could not provide evidence of vaccination. Another resident, with respiratory issues, had no documentation of the pneumococcal vaccine being offered or declined, despite being cognitively intact and reporting prior vaccination. The facility's policy required assessment and offering of the vaccine upon admission, which was not followed.
The facility failed to maintain the dignity of a resident during a dining observation when a CNA ignored a request for pineapple chunks, refusing to communicate directly with the resident. Additionally, a resident with a urinary catheter was observed with an uncovered collection bag in contact with the floor, visible to others, compromising dignity and infection control. The LPN and Infection Preventionist confirmed the need for the bag to be covered and off the floor.
The facility failed to complete a criminal background check before an Activities Aide began working, resulting in the employee working 32 hours without clearance. Interviews with staff confirmed the oversight, and no email confirmation of clearance was provided, contrary to facility policy.
A facility failed to prevent potential contamination by allowing a urinary drainage bag and tubing to come into direct contact with the floor. A resident with a suprapubic catheter was observed with the drainage bag and tubing on the floor, contrary to facility policy. The LPN, CNA, and RN Infection Preventionist acknowledged the improper placement, which could lead to infection.
A resident with dementia and a hip fracture did not receive adequate pain management due to the facility's failure to create a comprehensive care plan and act on a physician's recommendation. The resident's pain was not consistently monitored, and a misunderstanding led to the discontinuation of shift-to-shift pain assessments. Despite having orders for pain medications, the facility did not address pain management in the care plan, resulting in insufficient pain control.
A resident with moderate cognitive impairment and a hip fracture was administered Midodrine outside the prescribed parameters for managing low blood pressure. The medication was given despite systolic blood pressure readings exceeding the hold threshold, and the resident's care plan lacked interventions for monitoring blood pressure. The facility had no policy for administering medications with parameters, and the Consultant Pharmacist missed the irregularities, with only two of three nurses receiving a graded medication pass observation.
Unsanitary Food Storage and Kitchen Conditions
Penalty
Summary
The facility failed to store food in a manner that prevents food-borne illness and did not maintain the kitchen environment and equipment in a sanitary manner. During an initial tour of the kitchen, the surveyor observed several issues, including a large commercial food processor stored with a wet lid, which the Food Service Director (FSD) acknowledged should not have been left wet. Additionally, crumb debris was found on bins storing bulk flour and sugar, and debris was noted on the base of a can opener affixed to a stainless steel table. A large meat slicer, identified as clean by the FSD, was covered in plastic but had debris by the slicer blade and on its base, with a blue-handled food scoop stored on the base. In a follow-up observation, further unsanitary conditions were noted in the server kitchen area. The surveyor found a dried brown substance on two of the four dispensing tubes from the soda drink dispensers and a brown substance on the floor beneath the drink dispenser boxes. Inside the box ice cream freezer, six out of ten lids on the ice cream containers were found open. The FSD confirmed that the server kitchen area should have been clean and that the ice cream lids should have been closed.
Expired AED Kits and Emergency Supplies
Penalty
Summary
The facility failed to maintain Automated External Defibrillator (AED) kits and other emergency items prior to their expiration date, as observed by surveyors. Two expired AED kits were identified on the second and third floors, each containing defibrillator pads that had expired. During an inspection, a Licensed Practical Nurse (LPN) confirmed the presence of an expired AED pad on the third floor and acknowledged that it was the only AED machine available on that floor. The Emergency Cart Daily Checklist, which was supposed to ensure that all emergency supplies were available and not expired, was reviewed and found to have been checked daily, except for one instance where oxygen was not marked as checked. The LPN stated that the shift nurse was responsible for checking the emergency supplies. Further inspection revealed additional expired items in the AED room, including test strips, glucose, and resuscitator bags. The Registered Nurse/Infection Preventionist (RN/IP) and the Registered Nurse/Charge Nurse (RN/CN) were informed of the expired items and confirmed the oversight. The RN/CN stated that the AED pads should not have been expired as the AED machine would not function properly with expired pads. The Licensed Nursing Home Administrator later stated that the AED pads were not part of the checklist, and it was uncertain if the nurses checked the expiration dates on the AED pads. The facility's policy required monthly checks of the AED units, including the pad expiration date, but this was not adhered to, leading to the deficiency.
Failure to Consistently Offer Pneumococcal Vaccines
Penalty
Summary
The facility failed to consistently offer pneumococcal vaccines to residents, as evidenced by the cases of two residents. For one resident, the surveyor could not locate documentation supporting the administration of the pneumococcal vaccine in either the paper or electronic medical records. The resident's immunization status was not up to date according to the Comprehensive Minimum Data Set (MDS) assessment, and no reason was provided for the lack of vaccination. The facility's administration was unable to provide evidence of the resident's pneumococcal vaccination. In the case of another resident, the surveyor observed the resident using a nasal cannula for supplemental oxygen due to acute and chronic respiratory failure. The resident's immunization record did not include information about the pneumococcal vaccination. Although the resident was cognitively intact and had informed staff of receiving the vaccine upon admission four years ago, there was no documentation of the type or date of vaccination. The Quarterly Minimum Data Set (qMDS) inaccurately reflected that the resident's pneumococcal vaccination was up to date, and there was no documentation of the vaccine being offered, declined, or any education provided. The RN/Infection Preventionist acknowledged the lack of documentation and stated that the resident's pneumococcal vaccination status was not up to date. The facility's policy required residents to be assessed for vaccine eligibility upon admission and offered the vaccine within thirty days unless contraindicated or previously vaccinated. However, the facility failed to adhere to this policy, as evidenced by the missing documentation and inaccurate records in the cases reviewed.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to maintain the dignity of an unsampled resident during a dining observation. A Certified Nursing Aide (CNA) was observed ignoring a resident's request for pineapple chunks with their meal. The CNA, present during the request, did not address the resident directly and instead informed the surveyor that the resident was aware that dessert is served after the meal. The CNA refused to communicate directly with the resident and walked away without addressing the resident's request, which was later deemed unacceptable by the Director of Nursing. Additionally, the facility failed to ensure the dignity of a resident with a urinary catheter. The resident was observed with an uncovered urinary catheter collection bag in direct contact with the floor, visible from the hallway and to the roommate due to an open privacy curtain. The resident, who had severe cognitive impairment, was also seen in a wheelchair with the catheter bag partially covered and still in contact with the floor. The LPN and the Infection Preventionist confirmed the importance of keeping the catheter bag covered and off the floor to prevent contamination and maintain the resident's dignity.
Failure to Complete Pre-Employment Background Check
Penalty
Summary
The facility failed to implement its abuse policy by not ensuring that criminal background checks were completed before the start date of employment for new hires. This deficiency was identified in the case of an Activities Aide, who was hired and began working before the completion of their background check. The employee was hired on 5/13/24, but the background check was not completed until 5/17/24. Despite this, the employee worked a total of 32 hours from 5/13/24 to 5/17/24, as evidenced by their timecard and the signed Employee Acknowledgement Form. Interviews with facility staff, including the Human Resource and Information System home office staff, the Director of Activities, the Director of Nursing, and the Licensed Nursing Home Administrator, confirmed the oversight. The HRIS staff acknowledged the missing documents, and the Director of Activities and Director of Nursing both stated that an email from HR should confirm when an employee is cleared to start work. However, no such email was provided for this employee. The facility's policy requires a criminal background check as a condition of employment, but this was not adhered to in this instance.
Improper Placement of Urinary Drainage Bag and Tubing
Penalty
Summary
The facility failed to ensure that a urinary drainage collection bag and drainage tubing were not in direct contact with the floor, which could lead to potential contamination. This deficiency was observed in a resident who was using a urinary catheter. The facility's policy on Indwelling Urinary Catheter Insertion/Maintenance clearly stated that both the drainage tubing and bag must be kept from touching the floor. However, during observations, the surveyor noted that the urinary drainage tube and bag were lying directly on the floor while the resident was in bed and later in a wheelchair in the activity day room. The resident involved had a medical history that included chronic kidney disease, unspecified mood disorder, and urinary retention, and had a suprapubic catheter insertion. Despite the facility's policy and the resident's care plan goal to prevent cross-contamination, the urinary drainage bag was not maintained properly. The LPN and CNA responsible for the resident's care acknowledged the improper placement of the urine collection bag and tubing, which was confirmed by the RN Infection Preventionist, who stated that the bag and tubing must be off the floor to prevent infection.
Inadequate Pain Management and Care Planning
Penalty
Summary
The facility failed to provide a comprehensive patient-centered care plan for a resident requiring pain management, and did not act upon a pain management physician's recommendation in a timely manner. The resident, who had a history of unspecified dementia, generalized muscle weakness, and a nondisplaced intertrochanteric fracture of the left femur, was observed complaining of pain. Despite having orders for various pain medications, the resident's care plan lacked goals or interventions for pain management, including preferences, triggers, and non-pharmacological interventions. The facility's documentation practices were inadequate, as the resident's pain was charted by exception, and there was no shift-to-shift pain monitoring after a certain date. The RN/CN confirmed that the resident should have had a care plan for pain, especially given the resident's cognitive impairment and history of pain during movement. The discontinuation of shift-to-shift pain assessment was based on a consultant pharmacist's recommendation, which was misunderstood to mean stopping pain assessment altogether, rather than just removing documentation from electronic records. Additionally, a pain management consultant's report recommended adjusting the resident's pain medication for better control, but this recommendation was not acted upon within the expected 24-hour timeframe. The RN/UM was unable to explain how the consult was missed, and there was no evidence that the attending physician was notified. The facility's policy required that pain management be addressed in the resident care plan, but this was not done, leading to inadequate pain management for the resident.
Failure to Administer Midodrine According to Physician Orders
Penalty
Summary
The facility failed to administer medications used to manage low blood pressure in accordance with physician orders for a resident with moderate cognitive impairment and a history of a hip fracture. The resident was prescribed Midodrine with specific parameters to hold the medication if the systolic blood pressure (SBP) exceeded 120. However, the medication was administered outside these parameters on multiple occasions in August and September 2024, with recorded SBP readings of 132, 136, 122, and 137, among others. The resident's comprehensive care plan did not include interventions to monitor blood pressure, contributing to the oversight. The deficiency was further compounded by the lack of a facility policy on administering medications with parameters and the failure of the Consultant Pharmacist to identify and address the irregularities in medication administration. Additionally, only two out of the three nurses who administered Midodrine outside the prescribed parameters received a graded medication pass observation, indicating a lapse in monitoring and evaluation of nursing staff performance in medication administration.
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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 Red Bank
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Shrewsbury Llc | 0.5 mi | — | 15 | 0 |
| Redbank Center For Rehabilitation And Healing | 1.2 mi | — | 0 | 0 |
| De La Salle Hall | 3.7 mi | — | 1 | 0 |
| Shore Pointe Care Center | 4.1 mi | — | 1 | 1 |
| Careone At Middletown | 4.4 mi | — | 0 | 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 August 2026) and official state health department websites.