Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 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 Roosevelt Care Center At Old Bridge during CMS and state inspections, most recent first.
A resident with severe cognitive impairment was found with unexplained facial bruising, but the LTC facility failed to report the injury to the NJDOH as required. Despite staff acknowledging the need for immediate reporting of such incidents, the investigation did not rule out abuse, and the incident was not reported. The facility's policy mandates reporting injuries of unknown origin to relevant authorities, but this was not followed in this case.
A resident with dementia and anxiety disorder was observed multiple times without heel booties, despite a physician's order and care plan requiring them at all times to prevent skin breakdown. Facility staff misunderstood the order, applying booties only when the resident was in bed, contrary to the care plan and facility policy on pressure injury prevention.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin to the New Jersey Department of Health (NJDOH) for a resident reviewed for accidents. The resident, who was severely cognitively impaired with a BIMS score of two, was observed with a red linear mark on the cheek and discoloration on the bridge of the nose. The resident's care plan noted behaviors such as bumping into furniture and crawling under beds, which could potentially lead to skin impairments. Despite these observations, the facility did not report the incident to the NJDOH as required. Interviews with staff, including LPNs, the Risk Manager, the DON, and the LNHA, revealed that the facility's policy required immediate reporting of injuries of unknown origin. The staff acknowledged that the incident should have been reported within two hours if it involved abuse or within 24 hours if it did not. However, the investigation conducted by the facility did not rule out abuse, and the incident was not reported to the NJDOH. The facility's policy on abuse, neglect, exploitation, or misappropriation required all reports of resident abuse, including injuries of unknown origin, to be reported to local, state, and federal agencies. The policy defined 'immediately' as within two hours for serious bodily injury or within 24 hours for other allegations. Despite this policy, the facility failed to report the incident involving the resident's unexplained facial bruising, which was not witnessed by staff, to the NJDOH.
Failure to Consistently Apply Heel Booties for Resident
Penalty
Summary
The facility failed to ensure that heel booties were consistently applied to a resident to prevent skin breakdown, as observed by a surveyor. The resident, who was admitted with diagnoses including unspecified dementia and anxiety disorder, was observed multiple times sitting in a reclining chair without heel booties, despite a physician's order for bilateral heel booties every shift. The resident's care plan also indicated that heel booties should be worn at all times to protect against skin integrity issues. Interviews with facility staff, including a CNA, LPN, RN/Clinical Coordinator, and the DON, revealed a misunderstanding of the physician's order and care plan. The CNA stated that heel booties were only applied when the resident was in bed, while the LPN and RN/CC initially interpreted the order as applying only during bed rest. However, upon review, the RN/CC and DON acknowledged that the order and care plan required heel booties to be worn at all times, including when the resident was in a recliner. The facility's policy on pressure injury prevention emphasized the implementation of evidence-based interventions according to physician orders, which was not adhered to in this case.
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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 Old Bridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Reformed Church Home | 1.7 mi | — | 0 | 0 |
| Preferred Care At Old Bridge, Llc | 2.4 mi | — | 2 | 0 |
| Autumn Lake Healthcare At Old Bridge | 3.7 mi | — | 15 | 0 |
| Excel Care At Manalapan | 3.8 mi | — | 4 | 0 |
| Meadowbrook Respiratory And Nursing Center | 4.9 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.