Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 Crest Pointe Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident reported poor cleanliness in the common shower rooms, and surveyors observed soiled items such as a full trash bin, used bandage, gloves, wet towel, worn socks, and dirty linens left on the floors of two units. Staff interviews and review of job descriptions confirmed that CNAs and housekeeping were responsible for cleaning and removing items after use, but these procedures were not followed, resulting in unclean conditions.
Two residents with mental health conditions experienced verbal abuse in a facility. One resident with PTSD reported inappropriate sexual comments from a CNA, which were not immediately investigated. Another resident with anxiety and ankylosing spondylitis was scolded by a UM/LPN for requesting ADL assistance, leading to increased anxiety. Both incidents were not promptly addressed, violating the facility's abuse policies.
A facility's LNHA failed to implement abuse policies, resulting in two Immediate Jeopardy situations. One resident with PTSD reported inappropriate sexual comments by a CNA, which was mishandled as a grievance. Another resident with anxiety was verbally abused by a UM/LPN, with delayed investigation. Both incidents were not promptly addressed, posing serious threats to resident safety.
The facility failed to ensure non-certified NAs did not work beyond 120 days without certification, affecting five NAs. The LNHA and DON were unaware of the regulatory requirements, and the HR person was new and unfamiliar with the timeframe. NAs worked with resident care assignments past the allowed timeframe, despite having completed schooling and passed tests, due to delays in state background checks and licensing.
The facility failed to report allegations of abuse involving two residents to the NJDOH within the required timeframe. One resident reported inappropriate sexual comments from a CNA, while another resident experienced verbal abuse and neglect after Medicaid discharge. The facility did not adhere to its abuse prevention and reporting policies, resulting in a deficiency citation.
The facility failed to investigate allegations of verbal sexual abuse and verbal abuse involving two residents. One resident reported inappropriate comments by a CNA, and another felt neglected and verbally abused by an LPN after Medicaid discharge. The facility did not follow its abuse prevention and grievance policies, lacking thorough investigations and documentation.
The facility failed to ensure staff were trained to properly assess hemodialysis access sites for two residents, leading to incomplete checks for bruit and thrill. Despite physician orders to check these sites every shift, documentation showed inconsistencies, and staff were unaware of the need to palpate for the thrill. The DON acknowledged the oversight, confirming staff only checked for bruit.
The facility failed to accurately complete DEA 222 forms for narcotic medications, with four out of ten forms missing required information in Part 5. The DON acknowledged the oversight, and the facility's policy lacked guidance on completing these forms.
The facility failed to store potentially hazardous food in a sanitary manner, as observed by a surveyor during a kitchen tour. Food and beverage boxes were found directly on the floor in the dry storage area, contrary to the facility's policy requiring food to be kept at least six inches off the floor. The Food Service Director acknowledged the oversight, and the Regional FSD confirmed the correct procedure.
A resident with multiple health conditions received wound care from an LPN who failed to perform proper hand hygiene between glove changes, as observed by a surveyor. The LPN acknowledged the oversight, and the DON confirmed the facility's hand hygiene policy, which emphasizes its importance in preventing infections.
Failure to Maintain Clean and Homelike Shower Room Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment in the common shower rooms on two units, as evidenced by direct observations and resident and staff interviews. A resident reported that the shower rooms were poorly cleaned, rating them four out of ten for cleanliness, and stated that staff shortages in housekeeping contributed to the issue. During a facility tour, surveyors observed a full trash bin, a soiled adhesive bandage, disposable medical gloves, and a wet towel left in the Oceanside Unit shower room. In the Bayside Unit shower room, worn socks and a pile of used towels and washcloths were found on the floor. These findings were confirmed by the Housekeeping and Laundry Director (HLD), who described the cleaning schedule but acknowledged the presence of these items during the inspection. Interviews with housekeeping and nursing staff revealed that it was routine for housekeepers to sweep and mop the shower rooms early in the morning and for CNAs to remove dirty linens and ensure nothing was left behind after resident showers. The Unit Manager and LNHA both stated that it was the expectation for CNAs, housekeepers, and unit managers to keep the shower rooms clean and to remove care items promptly. Review of job descriptions and facility policy confirmed that staff were responsible for maintaining cleanliness and proper disposal of items in the shower rooms, but these procedures were not followed, resulting in the observed deficiencies.
Failure to Protect Residents from Verbal Abuse
Penalty
Summary
The facility failed to protect residents from verbal abuse, as evidenced by two separate incidents involving residents with mental health diagnoses. In the first incident, a resident with PTSD, anxiety, and depression reported that a CNA made inappropriate sexual comments, which were witnessed by other staff members. Despite the resident's discomfort and the potential exacerbation of their PTSD, the incident was initially handled as a grievance rather than an abuse allegation, and the CNA continued to work for several shifts without suspension or investigation. In the second incident, another resident with depression, anxiety, and ankylosing spondylitis experienced a verbal altercation with a UM/LPN. The resident was scolded and yelled at for requesting assistance with ADLs, leading to increased anxiety and fear. Although the incident was reported to the BOM, the investigation was delayed by two weeks, during which time the resident continued to feel fearful and unsupported. Both incidents highlight the facility's failure to adhere to its abuse policies and procedures, which require immediate reporting and investigation of abuse allegations. The lack of timely action and investigation posed a likelihood of serious harm to the residents involved, as their mental health conditions were negatively impacted by the incidents.
Removal Plan
- Staff education on the facility abuse policy
- Suspension of CNA
- Suspension of the Social Worker
- Suspension of the Nursing Aide
- Suspension of the Director of Therapy
- Suspension of the Certified Occupational Therapy Assistant
- Suspension of the Unit Manager/Licensed Practical Nurse
- Suspension of the Rehab Director
Failure to Implement Abuse Policies Leads to Immediate Jeopardy
Penalty
Summary
The facility's Licensed Nursing Home Administrator (LNHA) failed to ensure the implementation of abuse policies and procedures, resulting in two Immediate Jeopardy (IJ) situations. The first incident involved a resident with PTSD, anxiety, and depression, who reported that a Certified Nursing Aide (CNA) made inappropriate sexual comments. This incident was witnessed by a Nursing Aide and the Rehabilitation Director, but was handled as a grievance rather than an abuse allegation. The LNHA, who was the Grievance Officer, was aware of the incident but did not initiate an investigation, allowing the CNA to continue working for twelve additional shifts. The second incident involved another resident with depression, anxiety, and ankylosing spondylitis, who experienced a verbal altercation with a Unit Manager/Licensed Practical Nurse (UM/LPN). The resident was scolded and yelled at for requesting assistance with activities of daily living, causing increased anxiety and fear. Although the Business Office Manager reported the incident to the LNHA immediately, an investigation was not initiated until two weeks later, during which time the UM/LPN continued to work ten shifts with residents, including the affected resident. The facility's failure to investigate and report these incidents in a timely manner, as required by their policies and federal regulations, posed a serious and immediate threat to resident safety and well-being. The LNHA's lack of action and oversight in both cases resulted in significant emotional harm to the residents involved, highlighting deficiencies in the facility's abuse prevention and grievance handling processes.
Removal Plan
- Suspend the LNHA.
- Appoint the Regional LNHA as the facility's administrator.
- Inservice the Regional LNHA on the facility's policies.
Facility Fails to Ensure Timely Certification of Nursing Aides
Penalty
Summary
The facility failed to ensure that non-certified Nursing Aides (NAs) did not continue to work beyond 120 days without certification, affecting five NAs. During a survey, it was discovered that the facility did not have a system in place to track the certification status of NAs, leading to NAs working with resident care assignments past the allowed timeframe. The Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON) were unaware of the specific regulatory requirements, and the Human Resource (HR) person was new and unfamiliar with the timeframe NAs could work without certification. The surveyor's review of the facility's records revealed that five NAs had worked beyond the 120-day limit without certification, with some having their own resident care assignments. Interviews with the NAs confirmed that they were waiting on state background checks and licensing, despite having completed their schooling and passed the necessary tests. The HR/Staffing Coordinator acknowledged the oversight and confirmed that NAs were allowed to have their own assignments after completing a certain amount of training, but should not have continued past 120 days without certification.
Failure to Report Abuse Allegations Timely
Penalty
Summary
The facility failed to report allegations of abuse involving two residents to the New Jersey State Department of Health (NJDOH) within the required two-hour timeframe. The first incident involved a resident who reported that a Certified Nursing Aide (CNA) made inappropriate sexual comments towards them. Despite the resident's report to the administration, the Licensed Nursing Home Administrator (LNHA), Director of Nursing (DON), or Assistant Director of Nursing (ADON) did not initially address the incident with the resident. The grievance was documented, but the investigation was not thorough, and the incident was not reported to the NJDOH until the surveyor's involvement. The second incident involved another resident who reported verbal abuse and neglect after being discharged from Medicaid services. The resident claimed that a Unit Manager/Licensed Practical Nurse (UM/LPN) instructed staff not to assist them with activities of daily living, which led to increased physical pain and emotional distress. The Business Office Manager (BOM) was informed of the incident by the resident's representative and reported it to the LNHA. However, the LNHA did not take immediate action to investigate or report the incident to the NJDOH. Both incidents highlight the facility's failure to adhere to its abuse prevention and reporting policies. The facility's policies require immediate reporting of abuse allegations to the appropriate authorities, but in these cases, the facility did not comply with the required protocols. The lack of timely reporting and investigation of these allegations resulted in a deficiency citation for the facility.
Failure to Investigate Allegations of Abuse
Penalty
Summary
The facility failed to implement its abuse policy to thoroughly investigate allegations of verbal sexual abuse and verbal abuse involving two residents. Resident #79 reported that a Certified Nursing Aide (CNA #1) made inappropriate sexual comments, which made the resident uncomfortable. Despite the resident's report to the administration, there was no thorough investigation, and the resident was not interviewed by the Licensed Nursing Home Administrator (LNHA), Director of Nursing (DON), or Assistant Director of Nursing (ADON) until after the surveyor's inquiry. The grievance process was initiated by the Social Worker (SW), but it lacked comprehensive documentation, including statements from the resident, witnesses, and CNA #1. In another incident, Resident #60 reported feeling neglected and verbally abused by the Unit Manager/Licensed Practical Nurse (UM/LPN) after being discharged from Medicaid services. The resident expressed that the UM/LPN was angry and scolded them for asking for help with activities of daily living (ADLs), which led to increased anxiety and emotional harm. The Business Office Manager (BOM) was informed of the incident and reported it to the LNHA, but no formal investigation was conducted, and the resident's concerns were not addressed. The facility's policies on abuse prevention and grievance handling were not followed, as evidenced by the lack of thorough investigations and documentation. The LNHA and SW failed to gather necessary statements and evidence, and the facility did not protect the residents from potential abuse. The deficiencies highlight a failure to adhere to established protocols for investigating and addressing allegations of abuse, leaving residents vulnerable and their concerns unaddressed.
Inadequate Training and Assessment of Hemodialysis Access Sites
Penalty
Summary
The facility failed to ensure that staff were adequately trained to assess and document the care of hemodialysis access sites for residents requiring such services. This deficiency was identified for two residents who were receiving hemodialysis treatment. The staff did not properly assess the atrio-ventricular (AV) fistula for both bruit and thrill, which are critical indicators of adequate blood flow and potential complications at the access site. The surveyor observed that the staff only checked for the bruit and not the thrill, which is a palpable sensation that must be felt, not heard. Resident #50, who had a fully intact cognition, reported that the nurses at the facility did not check the hemodialysis site, and this was confirmed by the surveyor's observations and interviews with the staff. The physician's orders required the site to be checked every shift for bleeding, signs of infection, and the presence of bruit and thrill. However, documentation revealed inconsistencies, with some days lacking records of these checks, and on one occasion, the nurse documented the absence of both bruit and thrill. The Licensed Practical Nurse (LPN) responsible for Resident #50's care admitted to not palpating for the thrill and could not recall receiving specific training on the care of dialysis access sites. Similarly, for Resident #4, the staff also failed to palpate for the thrill, as confirmed by the surveyor's observation of another LPN's demonstration. The LPN was unaware that the thrill must be palpated and believed it could be assessed with a stethoscope. The facility's policy on the care of AV fistulas and grafts required palpation for the thrill, but the staff did not adhere to this procedure. The Director of Nursing acknowledged the oversight in the presence of the survey team, confirming that the staff only checked for the bruit and not the thrill.
Incomplete DEA 222 Forms for Narcotic Medications
Penalty
Summary
The facility failed to ensure accurate ordering and receiving of narcotic medications on the required Federal narcotic acquisition forms (DEA 222 forms). During a review of the facility's DEA 222 forms, it was found that four out of ten forms provided were incomplete. Specifically, Part 5 of the forms, which requires the purchaser to fill out the number of packages received and the date received for each line item, was not completed upon receipt of the medications from the provider pharmacy. The forms in question were numbered 231430013, 231430014, 231430015, and 231430016. The Director of Nursing (DON) acknowledged the oversight during a review with the surveyor and admitted that Part 5 should have been completed as instructed on the reverse of the DEA 222 form. The facility's Medication Labeling and Storage policy, revised in February 2023, did not include information related to the completion of the DEA 222 forms, contributing to the deficiency.
Improper Food Storage in Kitchen
Penalty
Summary
The facility failed to ensure that potentially hazardous food was stored in a sanitary manner. During a kitchen tour, the surveyor observed five stacks of boxes containing food and beverages stored directly on the floor in the dry storage area. These included a case of fruit cup salad, a case of pear juice, a case of coffee, a case of diced pears, two cases of cranberry juice, and a case of ketchup. The Food Service Director (FSD) acknowledged that the food had just been delivered and that mats are usually placed on the floor first, admitting that food should not be stored directly on the floor. The Regional FSD confirmed that the boxes should have been placed on a mat or pallet. The facility's Food Receiving and Storage policy, revised in November 2022, states that food in designated dry storage areas should be kept at least six inches off the floor unless packaged for case lot handling, such as on dollies, pallets, racks, and skids. The surveyor informed the Regional Licensed Nursing Home Administrator (LNHA), who was acting as the facility administrator, of these findings in the presence of the Director of Nursing and the survey team.
Deficient Hand Hygiene During Wound Care
Penalty
Summary
The facility failed to perform proper hand hygiene during wound care for a resident, leading to a deficiency in infection prevention and control. The incident involved a resident with multiple diagnoses, including type 2 diabetes mellitus, chronic pain, end-stage renal disease, and dependence on renal dialysis. The resident was observed in bed, and the surveyor reviewed the medical record, which included a physician's order for wound care on the resident's left great toe. During the wound care procedure, an LPN was observed not performing hand hygiene between glove changes. The LPN initially washed her hands and donned PPE before starting the wound care. However, after removing the dressing and gloves, the LPN did not perform hand hygiene before donning new gloves. This pattern continued throughout the procedure, including when applying ointment and dressing the wound, as well as when applying numbing cream to the resident's hemodialysis injection area. Interviews with the LPN and the DON confirmed the deficiency in hand hygiene practices. The LPN acknowledged the need for hand hygiene between glove changes, and the DON reiterated the facility's policy on proper handwashing techniques. The facility's hand hygiene policy emphasized the importance of hand hygiene in preventing healthcare-associated infections, requiring hand hygiene before and after glove use, and detailed the correct procedure for washing hands.
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What surveyors actually found near you
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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 Pt Pleasant
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Brick Llc | 3.6 mi | — | 14 | 0 |
| Willow Springs Rehabilitation And Healthcare Ctr | 3.9 mi | — | 14 | 0 |
| Complete Care At Laurelton, Llc | 3.9 mi | — | 1 | 1 |
| Sunnyside Manor | 4.7 mi | — | 3 | 0 |
| Preferred Care At Wall | 5.7 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.