Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Health Center At Galloway, The during CMS and state inspections, most recent first.
A resident with multiple comorbidities, including recent pneumonia, thrombocytopenia risk, and renal issues, had weekly CBC/BMP labs ordered. One set of labs showed a critically low platelet count and significantly worsened renal function. The overnight LPN received the critical values and sent a text to the physician instead of establishing direct voice contact, then later texted about another resident. The physician only saw and responded to the second text and stated he never saw the message about the critical platelet count. No direct call was made, no new orders were obtained, and the critical results were not effectively communicated for approximately three days. The issue came to light when the resident’s representative questioned the labs during a care plan meeting, prompting a unit manager to call the physician, who then reviewed the results and ordered transfer to the ER. Interviews and policy review showed that facility expectations and protocols required emergent, direct phone communication and escalation for critical labs, which did not occur in this case, resulting in delayed care and treatment.
A resident with severe cognitive impairment and neurological conditions alleged abuse, prompting an investigation by facility staff. While initial steps such as reviewing logs and conducting a physical assessment were completed, required witness statements were not included in the investigation documentation provided to the surveyor, contrary to facility policy and training.
A resident admitted with intermittent oxygen use did not have a physician's order for oxygen administration, despite related orders for tubing changes and pulse oximetry monitoring. Staff interviews confirmed the lack of an order and care plan documentation for oxygen use, in violation of facility policy and professional standards.
A resident with multiple medical conditions was allowed to have a sick cat, which had undergone chemotherapy, visit and stay in their room without proper physician orders, care plan documentation, or immunization records for the animal. The cat was observed on the resident's bed with evidence of feces and urine stains, and staff interviews revealed inconsistent enforcement of the facility's pet policy and infection control procedures.
The facility did not ensure RN coverage for at least 8 consecutive hours a day, 7 days a week, as required. On six specific days, there was no RN coverage for the required hours. The DON acknowledged the requirement for 8-hour RN coverage daily. The facility's policy indicates efforts to fill open shifts and monitor staffing daily.
Surveyors found deficiencies in kitchen sanitation and food safety at the facility. Temperature logs for refrigeration units were incomplete, and food items lacked proper labeling. Improper storage of kitchenware and inconsistencies in food labeling policies were observed. Additionally, there were lapses in recording food temperatures during meal service, which the FSD and DM acknowledged as crucial for preventing foodborne illnesses.
The facility failed to document unusual incidents in resident progress notes, including a fracture, a verbal altercation between two residents, and an alleged verbal abuse incident. The lack of documentation violated the facility's policy requiring all services, progress, and changes in condition to be recorded in the medical record.
A facility failed to maintain resident dignity when a staff member was observed standing while feeding a resident in a wheelchair during a meal. The resident required moderate assistance with eating due to dementia and malnutrition. The facility's policy requires staff to be seated at eye level to ensure dignity, which was not followed in this instance.
The facility failed to report an injury of unknown origin and an allegation of staff-to-resident abuse to the NJDOH in a timely manner. A resident with a history of osteoporosis reported hip pain, and an x-ray revealed a fracture, but the cause was undocumented and unreported. Another resident alleged verbal abuse by a CNA, but the incident was not reported until the following day. The facility's policies lacked specific timeframes for reporting, leading to deficiencies in adherence to regulations.
The facility failed to implement comprehensive care plans for two residents, one receiving IV antibiotics through a PICC line and another with PTSD. The care plans did not address the PICC line management or the PTSD diagnosis, despite facility policy requiring comprehensive, person-centered care plans with measurable objectives.
A facility failed to follow up on a psychiatry recommendation to discontinue an antipsychotic medication for a resident with dementia and traumatic hemorrhage. The resident's behavior was not monitored, and a care plan for the antipsychotic use was not developed. Despite a recommendation to discontinue quetiapine, there was no documentation of physician notification. Interviews with staff revealed inconsistencies in policy adherence, and facility policies emphasized the need for comprehensive care plans and monitoring.
Failure to Promptly Communicate Critical Lab Results Leading to Delayed Hospital Transfer
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a resident’s critical laboratory results were promptly and effectively communicated to the attending physician, resulting in a three‑day delay in physician notification and subsequent transfer to the hospital. The resident had multiple significant diagnoses, including acute respiratory failure, heart failure, COPD, type 2 diabetes, and a history of low platelet counts, and had recently completed antibiotics for pneumonia. The resident’s care plan identified risk for bleeding and bruising related to Plavix use, with an intervention to obtain labs as ordered and report abnormal results to the physician as soon as possible. Weekly CBC and BMP labs were ordered, and on 12/8 the resident’s platelets were already low at 59 K/CU.MM, with the physician’s subsequent progress notes referencing trending labs. On 12/15, a CBC and BMP were collected and later reported with critical abnormalities, including a platelet count of 20 K/CU.MM, elevated creatinine of 1.99 mg/dl, sodium of 130 mmol/L, and an eGFR of 27. A nursing progress note dated 12/16 documented that the lab called with critically low platelets (20) and that the physician was notified with no new orders, but the physician later stated he was not called about these labs at that time. Instead, the overnight LPN sent a text message to the physician around 1:28 AM reporting the critical platelet count and asking for orders, and then sent a second text at 5:26 AM about another resident’s dark red urine. The physician responded at 6:23 AM with two brief texts, “Noted” and “Hold Eliquis,” which he and the facility later clarified were in response to the second resident’s issue; he stated he never saw the earlier text about the critical platelet count, and no direct voice communication occurred regarding the critical labs. Over the next two days, there was no documented direct physician notification or follow‑up regarding the critical platelet count and worsening renal function, and no new orders were obtained based on those results. The overnight LPN reported that she assumed the physician’s text responses applied to both residents and endorsed to day shift that the critical labs had been communicated and that there were no new orders, expecting the physician to see the resident. The physician later confirmed that he only became aware of the critical labs when a unit manager called him on 12/18 after the resident’s responsible party questioned the lab results and lack of physician contact during a care plan meeting. Upon reviewing the labs at that time, the physician instructed that the resident be sent to the ER for evaluation due to the drop in platelet count and abnormal blood counts. The resident was transferred with the stated reason of a drop in platelet count and was subsequently admitted to the hospital with septic shock and pneumonia. Facility leadership, the physician, the medical director, and multiple nurses acknowledged that critical labs were expected to be communicated emergently by direct phone call, not solely by text, and that in this case there was a delay in care and treatment due to the failure to promptly and effectively notify the physician of the critical results. Interviews with the physician, medical director, DON, ADON/IP, and nursing staff further established that facility policy and expectations required direct voice communication for critical results, with escalation to the medical director if the attending physician did not respond within a specified time. The physician stated that critical labs must be called in emergently and that, had he been made aware immediately, he would at least have considered additional lab surveillance, escalation of care, or hospital evaluation. After later reviewing the chart, he noted that the substantial decline in renal function, which was not included in the initial text, would also have prompted emergency intervention. The medical director reported that he had previously educated staff that critical results, including labs, radiology, and ultrasounds, must be communicated by phone rather than text because texts are short and can create confusion. The facility’s own policies on lab/diagnostic results and acute condition changes required prompt physician notification, direct voice communication for urgent results, and contacting the medical director if the attending physician did not respond, but these standards were not followed in the handling of this resident’s critical laboratory findings. The resident’s responsible party reported learning during a care plan meeting that lab results had been available for three days without a physician call, and the physician confirmed he had not been notified until contacted by the unit manager on the day of transfer. The LNHA later stated he could not locate a formal investigation specific to the critical lab delay, while the ADON/IP stated she had reviewed the medical record and text messages as part of a review of acute discharges and acknowledged a delay in care. The DON also acknowledged a delay in treatment. Overall, the sequence of events shows that the facility did not ensure that critical lab results obtained on 12/15 were immediately and effectively conveyed to the physician, contrary to professional standards of practice, facility policy, and the resident’s care plan interventions, resulting in a three‑day delay in physician notification and transfer for evaluation and treatment.
Failure to Document Complete Abuse Investigation
Penalty
Summary
The facility failed to maintain an accurately documented and complete investigation in accordance with accepted professional standards following an allegation of abuse made by a resident. The incident involved a resident with severe cognitive impairment, as indicated by a BIMS score of 5, and multiple neurological diagnoses including cerebral infarction, hemiplegia, and hemiparesis. The resident alleged that someone had raped them, describing the perpetrator as a short black male wearing tan, seen outside the window of their second-floor room. The facility's initial investigation included a review of the visitor log and staff schedule, which did not match the description, and a physical assessment of the resident. However, the investigation documentation submitted to the surveyor did not include any witness statements at the time of review. Interviews with facility leadership confirmed that obtaining witness statements is a required part of the abuse investigation process, as outlined in facility policy and training materials. Despite this, no witness statements were provided to the surveyor during the initial documentation request. The Assistant LNHA acknowledged that witness statements are essential and indicated they would continue searching for them. The surveyor did not receive any additional documentation, including witness statements, before exiting the facility. The absence of these statements constituted a failure to follow established investigative procedures for abuse allegations.
Failure to Obtain Physician's Order for Oxygen Administration
Penalty
Summary
The facility failed to obtain a physician's order for the administration of oxygen for a resident who was admitted with intermittent oxygen use. Review of the resident's medical record showed that while there were orders for changing oxygen tubing, conducting a 6-minute rest/walk test on room air, and monitoring pulse oximetry every shift, there was no physician's order for the actual administration of oxygen. Additionally, the resident's care plan did not reflect that the resident was receiving oxygen. Interviews with facility staff, including the social worker, LPN, unit manager, DON, and ADON, confirmed that the resident used oxygen intermittently and that there was no corresponding physician's order or care plan entry for oxygen administration during the period it was used. Facility policy requires verification of a physician's order prior to oxygen administration and review of the care plan for any special needs related to oxygen use. Staff interviews further revealed that the expectation was to ensure a physician's order was in place for any resident receiving oxygen and to update or discontinue the order as appropriate. The absence of a physician's order and care plan documentation for oxygen use was acknowledged by the DON and ADON, confirming the deficiency in following professional standards and facility policy.
Failure to Follow Infection Control Guidelines for Resident's Visiting Sick Cat
Penalty
Summary
The facility failed to follow infection control guidelines regarding a resident who had a sick cat visiting and staying in their room. The resident, who was cognitively intact and had multiple medical diagnoses including spondylosis, dysphagia, sepsis, and muscle weakness, did not have a physician order or care plan entry for pet therapy or pet presence at bedside. Documentation showed that the cat, which had undergone chemotherapy, was present on the resident's bed and had left feces and urine stains. The facility's policy required that animals be monitored to prevent the spread of infection and that personal pet visits be approved by the resident's physician and primary care nurse, but these steps were not followed. No immunization records for the cat were available, and the cat's presence and condition were not properly managed according to policy. Interviews with staff revealed inconsistent knowledge and enforcement of the pet policy. The administrator acknowledged that the cat was allowed to stay with the resident under certain conditions, such as being kept in a crate and not having a litter box in the room, but these conditions were not consistently enforced. Staff were not able to provide required documentation for the cat, and there was evidence of noncompliance with infection control protocols, including the presence of animal waste in the resident's room. The facility's infection prevention and control program policies were not adhered to in this instance.
Failure to Maintain RN Coverage for Required Hours
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, as required. This deficiency was identified during a review of the Nurse Staffing Reports for specific weeks, revealing that there was no RN coverage for 8 consecutive hours on six specific days. The days without adequate RN coverage were 11/05/2023, 11/08/2023, 11/11/2023, 12/31/2023, 01/01/2024, and 01/06/2024. During an interview, the Director of Nursing (DON) confirmed that the facility should have an RN on duty for a minimum of 8 hours per day. The facility's policy, revised in October 2017, states that efforts are made to fill open shifts and call-outs using incentive programs and agency staffing, and that staffing is monitored daily.
Deficiencies in Kitchen Sanitation and Food Safety
Penalty
Summary
The facility failed to maintain proper kitchen sanitation and food safety standards, as observed by surveyors. Temperature logs for the walk-in refrigerator and freezer were incomplete, with no recorded temperatures on specific dates. Additionally, frozen hamburger patties and nutritional supplements were found without proper labeling or dates, and dessert plates and kitchenware were improperly stored, exposing them to potential contamination. The Food Service Director (FSD) acknowledged these issues, attributing the lack of temperature recordings to an aide's absence. Further observations in the resident pantries revealed inadequate monitoring of freezer temperatures and inconsistencies in food labeling and storage policies. The 3rd Floor pantry had a refrigerator with an unidentified substance and improperly labeled resident food items. The facility's policy on food brought by family members was inconsistent with posted signage, leading to confusion about the appropriate use-by dates. The District Manager (DM) admitted the need for a consistent policy and acknowledged the lack of freezer temperature monitoring. The surveyors also found significant lapses in recording food temperatures during meal service, with multiple instances of missing temperature logs for hot and cold foods. The FSD and DM recognized the importance of monitoring food temperatures to prevent foodborne illnesses. Facility policies outlined procedures for food preparation, storage, and labeling, but these were not consistently followed, leading to the observed deficiencies.
Failure to Document Unusual Incidents in Resident Progress Notes
Penalty
Summary
The facility nursing staff failed to document unusual incidents in the progress notes for several residents, leading to a deficiency in meeting professional standards of quality. For Resident #13, there was no documentation in the Electronic Medical Record (EMR) regarding a fracture found on an x-ray, despite a physician order for a bilateral hip x-ray and an orthopedic evaluation. The Director of Nursing (DON) was unaware of how the fracture occurred and acknowledged that it should have been reported to the New Jersey Department of Health (NJDOH). The facility's policy on charting and documentation requires that all services provided, progress toward care plan goals, and any changes in the resident's condition be documented, which was not adhered to in this case. In another incident, a Facility Reported Event (FRE) involving a verbal altercation between two residents, Resident #5 and Resident #48, was not documented in the progress notes. The nurse, LPN #3, was unaware of the altercation and described the facility's process for reporting such incidents, which includes separating the residents, notifying management, and entering a risk management report in the medical record. However, the progress notes for both residents did not reflect any documentation of the incident, despite the facility's policy requiring documentation of events, incidents, or accidents involving residents. Additionally, an alleged verbal abuse incident involving Resident #257 and a Certified Nursing Aide (CNA #1) was not documented in the progress notes. The resident alleged that the CNA spoke to them in an aggressive manner, but there was no documentation of the incident in the EMR. The Certified Social Worker (CSW) confirmed that such encounters should be documented in the social service progress notes, but this was not done. The DON acknowledged that a summary of the alleged incident should have been documented in the resident's progress notes, as per the facility's policy.
Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
The facility failed to maintain resident dignity during meal assistance on one of its nursing units. A staff member was observed standing while feeding a resident, who was seated in a wheelchair, during a lunch meal. The staff member, identified as an LPN, did not attempt to sit at eye level with the resident, which is contrary to the facility's policy. The resident, who required partial/moderate assistance with eating due to conditions including dementia and moderate calorie-protein malnutrition, was fed from a standing position throughout the meal. During an interview with the facility administration, including the DON and LNHA, it was confirmed that the facility's practice is for staff to be seated at eye level when assisting residents with meals, as it is considered a dignity issue. The facility's policy on meal assistance, revised in March 2022, explicitly states that residents who cannot feed themselves should be assisted with attention to safety, comfort, and dignity, specifically noting that staff should not stand over residents while assisting them with meals.
Failure to Timely Report Injury and Abuse Allegations
Penalty
Summary
The facility failed to report an injury of unknown origin and an allegation of staff-to-resident abuse to the New Jersey Department of Health (NJDOH) in a timely manner for two residents. Resident #13, who had a history of HIV, chronic pain syndrome, and osteoporosis, reported hip pain but denied any falls. An x-ray revealed a fracture of the right distal femur, but there was no documentation explaining the cause of the injury. The Director of Nursing (DON) acknowledged the injury as of unknown origin and admitted it should have been reported to the NJDOH. The Licensed Nursing Home Administrator (LNHA) confirmed that the report was made only after the surveyor's inquiry, indicating a communication failure among the staff. In another incident, Resident #257 alleged verbal abuse by a Certified Nursing Assistant (CNA #1) during the night shift. The resident claimed that the CNA spoke aggressively after being asked to lower their voice. The incident was not reported to the DON until the following morning, resulting in a delay in addressing the alleged abuse. The facility's policy requires immediate reporting of such incidents, but the delay was attributed to a presumed lapse in communication. The facility's policies on reporting abuse, neglect, and injuries of unknown origin were reviewed, revealing that they lacked specific timeframes for reporting. The policies stated that any suspicion of abuse or injury must be reported immediately to the administrator and relevant authorities. However, the incidents involving Resident #13 and Resident #257 were not reported within the required timeframes, highlighting deficiencies in the facility's adherence to its own policies and state regulations.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for two residents, leading to deficiencies in addressing their medical and nursing needs. Resident #86, who was receiving an intravenous antibiotic through a PICC line for an infection, did not have a care plan that included the management of the PICC line and the antibiotic treatment. This oversight was confirmed during an interview with the Director of Nursing, who acknowledged that the care plan should have included these elements. The absence of a care plan for the PICC line and antibiotic administration was identified during a review of the resident's records and physician orders. Similarly, Resident #99, who was admitted with a diagnosis of PTSD, depression, and anxiety disorder, did not have a care plan addressing PTSD. Despite being medicated for PTSD and exhibiting anxiety during an interview, the care plan failed to reflect this diagnosis. The Licensed Nursing Home Administrator and Director of Nursing agreed that PTSD should have been care planned. The LPN responsible for developing care plans admitted to not having experience with PTSD and acknowledged the oversight. The facility's policy on comprehensive person-centered care plans emphasizes the inclusion of measurable objectives and timeframes to meet residents' needs, which was not adhered to in these cases.
Failure to Discontinue Antipsychotic Medication and Monitor Resident
Penalty
Summary
The facility failed to follow up on a psychiatry recommendation to discontinue an antipsychotic medication for a resident, failed to monitor the resident's behavior for the use of the antipsychotic, and failed to develop a care plan for the use of the antipsychotic. This deficiency was identified for a resident who was admitted with diagnoses including traumatic hemorrhage of the cerebrum and unspecified dementia without behavioral disturbance. The resident was observed multiple times without exhibiting any behaviors that would necessitate the use of an antipsychotic medication. The resident's Electronic Medical Record (EMR) revealed a physician order for quetiapine fumarate, an antipsychotic medication, to be given at bedtime for altered mental status. However, the Medication Administration Record (MAR) for several months did not include monitoring for behaviors or the use of quetiapine. A psychiatric progress note recommended discontinuing the medication, but there was no documentation that the physician was notified of this recommendation. Additionally, the resident's care plan did not include care and monitoring for the use of quetiapine. Interviews with facility staff, including an LPN and the Director of Nursing (DON), revealed inconsistencies in the facility's policy regarding follow-up on consultant recommendations and monitoring of psychotropic medications. The LPN was not familiar with care plans, and the DON confirmed that there should be behavior monitoring documented in the EMAR and a care plan for residents on quetiapine. Facility policies reviewed by the surveyor indicated that non-immediate notification situations should be communicated to the physician at the next routine communication, and comprehensive, person-centered care plans should be developed and implemented for each resident.
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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 Galloway Township
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Royal Suites Health Care & Rehabilitation | 0.2 mi | — | 0 | 0 |
| Atlas Healthcare At Seashore Gardens | 0.4 mi | — | 0 | 0 |
| Preferred Care At Absecon | 3.3 mi | — | 0 | 0 |
| Excel Care At Egg Harbor | 4.5 mi | — | 1 | 0 |
| Meadowview Nursing And Rehabilitation Center | 6.6 mi | — | 0 | 0 |
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