Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Deptford Center For Rehabilitation And Healthcare during CMS and state inspections, most recent first.
A resident with multiple chronic conditions received a physician-ordered dose of levothyroxine, but the LPN who administered the medication failed to sign the MAR at the time of administration. The omission was discovered during a review, and the MAR was signed weeks later, contrary to facility policy and professional standards, as confirmed by the DON.
A resident with GERD and anxiety disorder did not receive a physician-ordered gastric emptying scan after the initial appointment was unsuccessful due to vomiting. Communication failures between nursing and medical records staff led to the test not being rescheduled, and the nurse practitioner was not informed of the missed procedure, resulting in the resident not receiving the required diagnostic care.
A resident with a history of aggressive behavior was involved in multiple incidents of abuse against four other residents, all of whom were at high risk for experiencing abuse due to cognitive impairments. Despite these incidents, the facility's investigations did not substantiate abuse, citing the events as isolated and unavoidable due to the resident's psychiatric diagnosis and recurrent UTIs. Staff interviews revealed a lack of understanding that resident-to-resident abuse could occur.
The facility failed to report the results of abuse and neglect investigations to the State Survey Agency (SSA) within the required five working days for multiple residents. Although initial allegations were reported within the required two-hour timeframe, the investigation results were not submitted within the five-day period. The facility's policy did not specify this requirement, and interviews revealed a lack of evidence for submission, with emails being deleted after 30 days.
Failure to Timely Document Medication Administration
Penalty
Summary
A deficiency was identified when a physician-ordered medication for a resident was not signed as administered at the time of administration, contrary to professional standards of practice. The resident, who had diagnoses including acute right heart failure, diabetes, major depressive disorder, and muscle weakness, was cognitively intact according to a recent assessment. The medication in question was levothyroxine sodium, ordered to be given orally each morning for hypothyroidism. Review of the Medication Administration Record (MAR) for September revealed that the administration entry for a specific morning dose was left blank. Further investigation showed that the MAR was later signed for this dose several weeks after the scheduled administration date, as confirmed by the Medication Admin Audit Report. The LPN responsible for administering the medication stated during interview that she had given the medication but forgot to sign the MAR at the time. Facility policy requires that the individual administering medication must initial the MAR immediately after giving each medication and before administering the next. The DON confirmed that the expectation is for medication administration to be documented at the time of administration.
Failure to Reschedule and Complete Ordered Diagnostic Procedure
Penalty
Summary
The facility failed to provide care in accordance with physician orders for one resident who required a gastric emptying scan. The resident, who had diagnoses of gastroesophageal reflux disease (GERD) and anxiety disorder, was scheduled for a gastric emptying scan following a gastroenterology appointment. On the day of the scheduled scan, the resident vomited prior to the procedure, resulting in the test not being completed. Although the resident and staff were aware that the test needed to be rescheduled, there was no documentation that the medical staff had been notified or that the appointment was rescheduled. Interviews with staff revealed a breakdown in communication between nursing and the medical records department. The LPN involved could not recall if she had alerted the medical records staff to reschedule the test, and the medical records person stated she was not notified that the test was not completed, assuming it had been done. The nurse practitioner was also unaware that the scan had not been completed or rescheduled. As a result, the resident did not receive the ordered diagnostic procedure, contrary to facility policy and physician orders.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect four residents from abuse perpetrated by another resident, identified as R5, who had a history of aggressive behaviors. R5, who was cognitively intact with a BIMS score of 13, was involved in multiple incidents of resident-to-resident abuse. These incidents included physical altercations with residents R6, R9, R25, and R30, all of whom had varying degrees of cognitive impairment and were at high risk for experiencing abuse. Despite these incidents, the facility's investigations concluded that the abuse could not be substantiated, citing the events as isolated and unavoidable due to R5's psychiatric diagnosis and recurrent UTIs. The first incident involved R5 hitting R6 on the shoulder, which was witnessed by staff. R6, who had severe memory impairment due to dementia, was at high risk for abuse. The second incident involved R5 punching R9 on the leg, with R9 reporting the incident to staff. R9 was cognitively intact but experienced delusions. In both cases, the facility's investigation deemed the events as isolated and not predictable, thus not substantiating abuse. Further incidents included R5 stabbing R25 with an ink pen, causing skin tears, and grabbing R30's arm, resulting in a scratch. Both R25 and R30 were severely cognitively impaired and at high risk for abuse. Despite these physical altercations, the facility's investigations consistently concluded that the incidents were isolated and unavoidable due to R5's psychiatric conditions. Interviews with staff, including the Unit Manager, CNAs, and the DON, revealed a lack of understanding that resident-to-resident abuse could occur, with the DON specifically stating that abuse was not substantiated as staff did not instigate the incidents.
Failure to Timely Report Investigation Results to SSA
Penalty
Summary
The facility failed to report the results of abuse and neglect investigations to the State Survey Agency (SSA) within the required five working days for 10 out of 13 residents reviewed for abuse. This deficiency was identified through interviews, document reviews, and examination of facility policies. The incidents involved various residents with different medical conditions, including vascular dementia, schizophrenia, Alzheimer's disease, lung cancer, and depression. In each case, the initial allegations were reported to the SSA within the required two-hour timeframe, but the results of the investigations were not submitted within the five-day period. For instance, one resident with vascular dementia alleged that a Licensed Practical Nurse (LPN) choked her. The facility suspended the LPN pending investigation and reported the allegation to the SSA within two hours. However, there was no evidence that the investigation results were submitted within five days. Similarly, another resident's family reported rough handling by a Certified Nursing Assistant (CNA), which was also reported timely, but the investigation results were not submitted as required. The facility's policy on abuse, dated December 2022, mandates the prevention and reporting of abuse, neglect, and mistreatment, assigning the responsibility of investigation and reporting to the Administrator and Director of Nursing. However, the policy did not specify the requirement to submit investigation results to the SSA within five business days, contributing to the deficiency. Interviews with the Director of Nursing and the Administrator revealed a lack of evidence for the submission of the final investigation reports, with emails being deleted after 30 days, further complicating compliance with reporting requirements.
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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 Deptford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Atlas Post Acute At Woodbury Country Club | 1.8 mi | — | 1 | 0 |
| Elmwood Hills Healthcare Center Llc | 3.1 mi | — | 1 | 1 |
| Advanced Subacute Rehabilitation Center At Sewell | 3.8 mi | — | 2 | 0 |
| Laurel Manor Healthcare And Rehabilitation Center | 5.2 mi | — | 1 | 0 |
| Shady Lane Gloucester Co Home | 6.1 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.