Unauthorized Use of LTC Kitchen for ALF Meals
Summary
The facility failed to maintain kitchen services designated for its residents by using the Long Term Care (LTC) kitchen to prepare meals for residents of the Assisted Living Facilities (ALF) located on the Third Floor and Courtyard Floor. This was determined based on observations and staff interviews. During an interview, the Dietary Supervisor confirmed that the LTC kitchen was being used for ALF meal preparation. Additionally, the Nursing Home Administrator acknowledged that the facility did not obtain the necessary waivers or exceptions from the State Licensing Agency to allow the LTC kitchen to serve ALF residents, as required by regulations.
Plan Of Correction
In 2009, an exemption request was granted for the Personal care home, The Arbors to reside in the same building as St. Barnabas Nursing Home. Request submitted to the department of Health on February 14, 2025 for the Kitchen to prepare foods for the Personal Care Home and St. Barnabas Nursing Home as a second Waiver/exemption is required. Administrative Staff and Maintenance supervisor educated on requested waiver/exemption noted in PA 3060. QAPI will be completed to ensure the waiver/exemption is received from the Department of Health. Results will be reported in the QAPI meeting.
Penalty
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release June 24, 2026) and official state health department websites — never guesswork.
Trusted by long-term care providers and associations.
