Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
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 Careone At Parsippany during CMS and state inspections, most recent first.
Surveyors identified that the facility failed to properly document and communicate required information during acute transfers and discharges for two residents. In one case, NTACF forms lacked resident representative details and did not include bed-hold or reserve payment information. In another case, a discharge summary was missing the resident or representative's signature, lacked evidence of communication, and contained outdated vital signs, with no physician discharge order documented.
A resident with multiple chronic conditions and diabetic foot ulcers did not receive care in accordance with professional standards when repeated recommendations from the wound care consultant for physician follow-up, including consideration of antibiotics and a bone scan, were not documented as communicated to or acted upon by the primary physician. Nursing staff noted changes in the wound's condition, but there was no evidence of required physician notification or follow-up in the medical record, contrary to facility policy.
A facility failed to maintain proper kitchen sanitation practices, as a chef was observed performing hand hygiene incorrectly by scrubbing hands for less than the required 15 seconds. The facility's policy specifies a minimum of 15 seconds for hand scrubbing, but the chef only scrubbed for 12 and 8 seconds in two separate instances.
A facility failed to accurately code the MDS for a resident, incorrectly documenting the discharge status as to an acute hospital instead of home. The error was acknowledged by the MDS Coordinator and confirmed by the facility's clinical staff. The resident had a medical history including pneumonitis and diabetes.
A facility failed to initiate a baseline care plan for a resident admitted with a stage 2 pressure ulcer. Despite the resident's severe cognitive impairments and documented pressure ulcer, the care plan did not address this condition. The Director of Nursing acknowledged the oversight, which was contrary to the facility's care plan policy.
The facility failed to clarify medication administration routes for a resident who was NPO, did not document a nursing assessment for a resident transferred for surgery, and neglected to document colostomy care for another resident. These deficiencies were acknowledged by the nursing staff, indicating lapses in adhering to standard procedures and documentation requirements.
A facility failed to consistently assess and document post-dialysis care for a resident with End Stage Renal Disease, as evidenced by incomplete records in the Hemodialysis Communication binder. Despite the care plan's requirement for coordination with the dialysis center, numerous instances of incomplete documentation were found from May to August 2024. Interviews with the RN Supervisor and DON confirmed the oversight, and the DON acknowledged the use of outdated forms lacking necessary sections.
The facility failed to administer medications on time and did not notify the physician for a resident with Depression and Sepsis. Gabapentin and Vancomycin were administered late on multiple occasions, and there was no documentation of notifying the primary care physician or evidence of harm to the resident.
Deficient Documentation and Notification During Transfers and Discharges
Penalty
Summary
The facility failed to ensure proper documentation and notification regarding acute transfers and discharge procedures for two residents. For one resident who experienced unplanned transfers to an acute hospital, the Notice of Transfer to Acute Care Facility (NTACF) forms did not include required information about the resident representative (RR), such as contact details and confirmation of notification. Additionally, there was no documentation that the RR was informed about the facility's bed-hold policy or reserve payment, as required by both facility policy and state regulations. The Director of Nursing (DON) and Director of Admissions (DA) confirmed that these omissions occurred, and the forms were not fully completed, including missing the billing rate information. For another resident who was discharged, the discharge summary lacked the signature of the resident or RR, and there was no evidence that the discharge summary or instructions were communicated to them. The discharge summary also contained outdated vital signs, with the last recorded measurements taken several hours before the actual discharge time. Furthermore, there was no documented physician order for the discharge, and the facility's policy requiring assessment and documentation of the resident's condition at discharge was not followed. These deficiencies were identified through interviews and record reviews conducted by surveyors, who found that the facility did not adhere to its own policies or regulatory requirements regarding notification, documentation, and communication with residents and their representatives during transfers and discharges.
Failure to Communicate and Document Physician Notification for Wound Care Recommendations
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice and the facility's own policies and procedures regarding wound care. The resident in question had multiple diagnoses, including type 2 diabetes mellitus, peripheral vascular disease, hypertension, heart failure, difficulty walking, and generalized muscle weakness. The resident was cognitively intact and had been assessed as having diabetic foot ulcers. Over the course of several weeks, wound care consultant (WCC) notes documented ongoing issues with the resident's left and right plantar heel ulcers, including changes in wound size, presence of odor, and recommendations for further interventions such as antibiotics and a bone scan. Despite repeated recommendations from the WCC to consult with the primary physician regarding possible antibiotics and a bone scan, there was no documentation in the medical record indicating that these recommendations were communicated to or acted upon by the primary physician. Progress notes from nursing staff indicated awareness of changes in the wound's condition, such as worsening appearance and odor, and stated that the Assistant Director of Nursing (ADON) and WCC would be notified. However, there was no follow-up documentation confirming that the physician was informed or that the recommended interventions were considered or implemented. Interviews with facility staff, including the ADON, LPN, and Director of Nursing (DON), revealed that the expected protocol was to notify the physician and document such communication in the electronic medical record when a wound worsened or when the WCC made recommendations. Upon review, the DON and LNHA were unable to find any incident reports, physician progress notes, or documentation of physician notification regarding the WCC's recommendations for the resident's wounds. This lack of documentation and follow-up constituted a failure to provide care in accordance with professional standards and the facility's policies.
Improper Hand Hygiene Observed in Kitchen
Penalty
Summary
The facility failed to maintain proper kitchen sanitation practices, which could potentially lead to foodborne illness. During a follow-up tour of the kitchen, a surveyor observed a chef performing hand hygiene incorrectly. The chef scrubbed their hands with soap for only 12 seconds during one instance and 8 seconds during another, instead of the required 15 seconds as per the facility's handwashing policy. The chef acknowledged the mistake, believing they had scrubbed for 20 seconds. The facility's handwashing policy, revised in October 2023, specifies that hands should be scrubbed for at least 15 seconds, covering all surfaces of the hands and fingers. Despite reviewing these concerns with the Licensed Nursing Home Administrator, Director of Nursing, and Regional Clinical Nurse, no further information was provided to the surveyor.
MDS Coding Error for Resident Discharge
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for a resident, leading to a deficiency in the management of care. The surveyor found that the Discharge Assessment MDS for a resident incorrectly indicated that the resident was discharged to an acute hospital, while the nursing/clinical progress notes documented that the resident was discharged home. The MDS Coordinator admitted to making a mistake in coding the discharge status, which was confirmed during an interview with the surveyor. The resident involved had a medical history that included pneumonitis, Lyme disease, chronic obstructive pulmonary disease, and type 2 diabetes mellitus. The error in coding was identified during a review of the resident's closed medical chart and was acknowledged by the facility's Regional Clinical Nurse, Licensed Nursing Home Administrator, and Director of Nursing. The facility's policy requires that any person completing any portion of the MDS assessment certifies the accuracy of their work, which was not adhered to in this instance.
Failure to Initiate Baseline Care Plan for Pressure Ulcer
Penalty
Summary
The facility failed to initiate a baseline care plan for a resident who was admitted with a stage 2 pressure ulcer. The resident, who had been admitted with several diagnoses including Nontraumatic Intracerebral Hemorrhage, Acute Respiratory Failure, and Dysphagia, was found to have severely impaired decision-making skills and memory problems. Despite these conditions, the resident's interdisciplinary person-centered comprehensive care plan did not identify the presence of a pressure ulcer upon admission. The deficiency was identified during a review of the resident's medical records and confirmed through an interview with the Director of Nursing, who acknowledged the omission. The facility's policy on care plans, which requires interventions to be derived from a comprehensive assessment, was not followed in this case. The care plan failed to address the pressure ulcer, which was documented in the admission nursing assessment, indicating a lapse in the facility's adherence to its own policies and procedures.
Deficiencies in Medication Administration, Documentation, and Colostomy Care
Penalty
Summary
The facility failed to clarify a physician's order for medication administration for a resident who was NPO (nothing by mouth). Resident #22, who had a PEG-tube for feeding, was observed to have incorrect medication routes documented in their medical records. The medications were ordered to be given by mouth, despite the resident's NPO status. This discrepancy was acknowledged by the nursing staff, indicating a failure to ensure that the medication administration route was appropriate for the resident's condition. In another instance, the facility did not document a nursing assessment for Resident #64, who was transferred to the hospital for a scheduled surgical procedure. The medical records lacked documentation of a full body assessment, vital signs, and communication with the resident's family regarding the transfer. The absence of these records suggests a failure to adhere to standard procedures for documenting resident care and communication during hospital transfers. Additionally, the facility failed to document colostomy care for Resident #262 as per the physician's orders. The medical records did not reflect the required documentation of colostomy care and output every shift, as mandated by the facility's policy. This oversight was confirmed by the nursing staff, who acknowledged that the documentation should have been recorded in the electronic Treatment Administration Record (eTAR).
Incomplete Documentation of Post-Dialysis Care
Penalty
Summary
The facility failed to ensure consistent assessment, documentation, and monitoring of a resident undergoing hemodialysis. The deficiency was identified for a resident with diagnoses including End Stage Renal Disease, Diabetes, and Dementia, who attended dialysis sessions three times a week. The resident's care plan required coordination with the dialysis center and adjustments in medication as needed. However, the facility's documentation practices were found lacking, as evidenced by incomplete post-treatment records in the Hemodialysis Communication binder. The surveyor's review of the communication records from May to August 2024 revealed numerous instances of incomplete documentation, particularly in the post-dialysis treatment section. Interviews with the RN Supervisor and the DON confirmed that the nursing staff failed to consistently fill out the necessary communication sheets. The DON acknowledged the oversight and noted that older forms lacking the post-dialysis section were initially used, prompting a change in documentation forms. Despite this, the facility's policy required thorough documentation and assessment post-dialysis, which was not adhered to in this case.
Failure to Administer Medications on Time and Notify Physician
Penalty
Summary
The facility failed to administer medications in accordance with the acceptable standard of nursing practice and did not follow the facility policy on Medication Administration and Physician Services for one resident. Resident #2, who was admitted with diagnoses including Depression and Sepsis, had orders for Gabapentin and Vancomycin. The medications were not administered at the scheduled times on multiple occasions in May 2023. Specifically, Gabapentin was administered late on several days, and Vancomycin was also given late on three occasions. There was no documentation indicating that the resident's primary care physician was notified about the late administration of these medications, nor was there any evidence of harm to the resident from the late administration in the progress notes reviewed from May 1 to May 16, 2023. During interviews, a registered nurse stated that if medications were not administered on time, the nurse would document the delay and notify the doctor. However, this procedure was not followed in the case of Resident #2. The Director of Nursing confirmed that medications should be administered according to the schedule and that any deviations should be documented and reported to the physician. The facility's policy on administering medication, dated May 21, 2019, also stipulated that medications should be administered within one hour of their prescribed time and that any deviations should be documented and reported. This policy was not adhered to in the case of Resident #2, leading to the identified deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 825 citations issued within 25 miles in the last 12 months — including the 13 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Parsippany Troy Hill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Troy Hills Center | 1 mi | — | 3 | 0 |
| Careone At Hanover Township | 3.1 mi | — | 1 | 0 |
| Livia Health And Senior Living | 3.4 mi | — | 9 | 0 |
| Oaks At Denville, The | 4.1 mi | — | 0 | 0 |
| Fallsview Nursing And Rehabilitation Center | 4.2 mi | — | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Careone At Parsippany.
100% money-back within 48 hours.
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.