TRT - Testosterone Replacement Therapy in Andover, NJ

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 HRT For Men Andover, NJ

What is Testosterone?

Testosterone is a crucial hormone for men and plays an important role throughout the male lifespan. Most of a male's testosterone is produced through the testicles. Also called the male sex hormone, testosterone starts playing its part during puberty.

When a male goes through puberty, testosterone helps males develop:

  • Facial Hair
  • Body Hair
  • Deeper Voice
  • Muscle Strength
  • Increased Libido
  • Muscle Density

As boys turn to men and men grow older, testosterone levels deplete naturally. Sometimes, events like injuries and chronic health conditions like diabetes can lower testosterone levels. Unfortunately, when a man loses too much T, it results in hypogonadism. When this happens, the testosterone must be replaced, or the male will suffer from symptoms like muscle loss, low libido, and even depression.

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How Does TRT Work?

TRT is exactly what it sounds like: a treatment option for men that replaces testosterone so that your body regulates hormones properly and restores balance to your life. Also called androgen replacement therapy, TRT alleviates the symptoms that men experience with low T.

Originally lab-synthesized in 1935, testosterone has grown in popularity since it was produced. Today, TRT and other testosterone treatments are among the most popular prescriptions in the U.S.

Without getting too deep into the science, TRT works by giving your body the essential testosterone it needs to function correctly. As the primary androgen for both males and females, testosterone impacts many of the body's natural processes – especially those needed for overall health. For example, men with low T are more prone to serious problems like cardiovascular disease and even type-2 diabetes.

When your body quits making enough testosterone, it causes your health to suffer until a solution is presented. That's where TRT and anti-aging medicine for men can help. TRT helps balance your hormones and replenish your depleted testosterone. With time, your body will begin to heal, and many symptoms like low libido and irritability begin to diminish.

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What Causes Low T?

For men, aging is the biggest contributor to lower testosterone levels, though there are other causes like obesity, drug abuse, testicular injuries, and certain prescribed medications. Sometimes, long-term health conditions like AIDS, cirrhosis of the liver, and kidney disease can lower testosterone levels.

When a man's testosterone levels drop significantly, it alters his body's ratio of estrogen and testosterone. Lower testosterone levels cause more abdominal fat, which in turn results in increased aromatase, which converts even more testosterone into estrogen.

If you're concerned that you might have low T, you're not alone. Millions of men in the U.S. feel the same way. The best way to find out if your testosterone is low is to get your levels tested.

For sustainable testosterone replacement therapy benefits, you must consult with hormone doctors and experts like those you can find at Global Life Rejuvenation. That way, you can find the root cause of your hormone problems, and our team can craft a personalized HRT plan tailored to your needs.

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Low Sex Drive

One of the most common reasons that men choose TRT is because they have lost that "spark" with their partner. It's not easy for a man to hear that they're not performing like they used to. Intimacy is a powerful part of any relationship. When a once-healthy sex life dwindles, it can cause serious relationship issues.

The good news is that low libido doesn't have to be a permanent problem. TRT and anti-aging medicines help revert hormone levels back into their normal range. When this happens, many men have a more enjoyable life full of intimacy and sex drive.

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Inability to Achieve and Maintain an Erection

Weak erections – it's an uncomfortable subject for many men in the U.S. to talk about. It's even worse to experience first-hand. You're in the midst of an intimate moment, and you can't do your part. Despite being perfectly normal, many men put blame and shame upon themselves when they can't achieve an erection. And while the inability to perform sexually can be caused by poor diet, obesity, and chronic health conditions, low testosterone is often a contributing factor.

Fortunately, weak erections are a treatable condition. The best way to regain your confidence and ability in bed is to speak with your doctor. Once any underlying conditions are discovered, options like TRT may be the best course of treatment.

Hair Loss

 Hormone Replacement  Andover, NJ

Loss of Strength and Muscle Mass

Do you find it harder and harder to work out and lift weights in the gym? Are you having problems lifting heavy items that you once had no problem lifting?

Recent studies show that when men are inactive, they lose .5% of muscle strength every year, from ages 25 to 60. After 60, muscle loss doubles every decade. While some muscle loss is common as men age, a significant portion can be tied to low testosterone levels. When a man's T levels drop, so does his muscle mass.

Testosterone is a much-needed component used in gaining and retaining muscle mass. That's why many doctors prescribe TRT Andover, NJ, for men having problems with strength. One recent study found that men who increased their testosterone levels using TRT gained as much as 2.5 pounds of muscle mass.

Whether your gym performance is lacking, or you can't lift heavy items like you used to, don't blame it all on age. You could be suffering from hypogonadism.

Testosterone Replacement Therapy Andover, NJ

Hair Loss

If you're like millions of other men in their late 20s and 30s, dealing with hair loss is a reality you don't want to face. Closely related to testosterone decline and hormone imbalances, hair loss is distressing for many men. This common symptom is often related to a derivative of testosterone called DHT. Excess amounts of DHT cause hair follicles to halt their production, causing follicles to die.

Because hair located at the front and crown is more sensitive to DHT, it grows slower than other follicles and eventually stops growing permanently. Thankfully, TRT and anti-aging treatments for men in Andover, NJ, is now available to address hair loss for good.

While it's true that you can't change your genes, you can change the effects of low testosterone on your body. Whether you're suffering from thinning hair or hair loss across your entire head, TRT and other hormone therapies can stop hair loss and even reverse the process.

 TRT For Men Andover, NJ

Gynecomastia

Also called "man boobs," gynecomastia is essentially the enlargement of male breast tissue. This increase in fatty tissue is often caused by hormonal imbalances and an increase in estrogen. For men, estrogen levels are elevated during andropause. Also called male menopause, andropause usually happens because of a lack of testosterone.

If you're a man between the ages of 40 and 55, and you're embarrassed by having large breasts, don't lose hope. TRT is a safe, effective way to eliminate the underlying cause of gynecomastia without invasive surgery. With a custom HRT and fitness program, you can bring your testosterone and estrogen levels back to normal before you know it.

 HRT For Men Andover, NJ

Decreased Energy

Decreased energy was once considered a normal part of aging. Today, many doctors know better. Advances in technology and our understanding of testosterone show that low T and lack of energy often go hand-in-hand.

If you're struggling to enjoy activities like playing with your kids or hiking in a park due to lack of energy, it could be a sign of low T. Of course, getting tired is perfectly normal for any man. But if you're suffering from continual fatigue, a lack of enjoyment, or a decrease in energy, it might be time to speak with a doctor.

Whether you're having a tough time getting through your day or can't finish activities you used to love, TRT could help.

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Lack of Sleep

A study from 2011 showed that men who lose a week's worth of sleep can experience lowered testosterone levels – as much as 15%, according to experts. Additional research into the topic found almost 15% of workers only get five hours of sleep (or less) per night. These findings suggest that sleep loss negatively impacts T levels and wellbeing.

The bottom line is that men who have trouble sleeping often suffer from lower testosterone levels as a result. If you find yourself exhausted at the end of the day but toss and turn all night long, you might have low T.

TRT and anti-aging medicines can restore your T levels back to normal, which can help you sleep better with proper diet and exercise.

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Depression

You're feeling down about everything, and there's no solid explanation for why you're in such a crummy mood. Your daily life is great and full of success, but you can't help but feel unexcited and unmotivated. If you're experiencing symptoms like these, you may be depressed – and it may stem from low testosterone.

A research study from Munich found that men with depression also commonly had low testosterone levels. This same study also found that depressed men had cortisol levels that were 67% higher than other men. Because higher cortisol levels lead to lower levels of testosterone, the chances of severe depression increase.

Depression is a very real disorder and should always be diagnosed and treated by your doctor. One treatment option gaining in popularity is TRT for depression. Studies show that when TRT is used to restore hormone levels, men enjoy a lighter, more improved mood. That's great news for men who are depressed and have not had success with other treatments like anti-depression medicines, which alter the brain's chemistry.

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Inability to Concentrate

Ask anyone over the age of 50 how their memory is, and they'll tell you it wasn't what it used to be. Memory loss and lack of concentration occur naturally as we age – these aren't always signs of dementia or Alzheimer's.

However, what many men consider a symptom of age may be caused by low testosterone. A 2006 study found that males with low T levels performed poorly on cognitive skill tests. These results suggest that low testosterone may play a part in reducing cognitive ability. If you're having trouble staying on task or remembering what your schedule is for the day, it might not be due to your age. It might be because your testosterone levels are too low. If you're having trouble concentrating or remembering daily tasks, it could be time to talk to your doctor.

Why? The aforementioned study found that participating men experienced improved cognitive skills when using TRT.

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Weight Gain

Even though today's society is more inclusive of large people, few adults enjoy gaining weight as they age. Despite their best efforts, many men just can't shed the extra pounds around their midsections, increasing their risk of heart disease and cancer.

Often, male weight gain is caused by hormone imbalances that slow the metabolism and cause weight to pile on. This phase of life is called andropause and happens when there is a lack of testosterone in the body. Couple that with high cortisol levels, and you've got a recipe for flabby guts and double chins.

Fortunately, TRT treatments and physician-led weight loss programs can correct hormone imbalances and lead to healthy weight loss for men.

 TRT For Men Andover, NJ

What is Sermorelin?

Sermorelin is a synthetic hormone peptide, like GHRH, which triggers the release of growth hormones. When used under the care of a qualified physician, Sermorelin can help you lose weight, increase your energy levels, and help you feel much younger.

 HRT For Men Andover, NJ

Benefits of Sermorelin

Human growth hormone (HGH) therapy has been used for years to treat hormone deficiencies. Unlike HGH, which directly replaces declining human growth hormone levels, Sermorelin addresses the underlying cause of decreased HGH, stimulating the pituitary gland naturally. This approach keeps the mechanisms of growth hormone production active.

Benefits of Sermorelin include:

  • Better Immune Function
  • Improved Physical Performance
  • More Growth Hormone Production
  • Less Body Fat
  • Build More Lean Muscle
  • Better Sleep
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What is Ipamorelin?

Ipamorelin helps to release growth hormones in a person's body by mimicking a peptide called ghrelin. Ghrelin is one of three hormones which work together to regulate the growth hormone levels released by the pituitary gland. Because Ipamorelin stimulates the body to produce growth hormone, your body won't stop its natural growth hormone production, which occurs with synthetic HGH.

Ipamorelin causes growth hormone secretion that resembles natural release patterns rather than being constantly elevated from HGH. Because ipamorelin stimulates the natural production of growth hormone, our patients can use this treatment long-term with fewer health risks.

 Ipamorelin Andover, NJ

Benefits of Ipamorelin

One of the biggest benefits of Ipamorelin is that it is suitable for both men and women. It provides significant short and long-term benefits in age management therapies, boosting patients' overall health, wellbeing, and outlook on life. When growth hormone is produced by the pituitary gland using Ipamorelin, clients report amazing benefits.

Some of those benefits include:

  • Powerful Anti-Aging Properties
  • More Muscle Mass
  • Less Unsightly Body Fat
  • Deep, Restful Sleep
  • Increased Athletic Performance
  • More Energy
  • Less Recovery Time for Training Sessions and Injuries
  • Enhanced Overall Wellness and Health
  • No Significant Increase in Cortisol

Your New, Youthful Lease on Life Starts Here

Whether you are considering our TRT services, HRT for women, or our growth hormone peptide services, we are here to help. The first step to turning back the hand of time starts by contacting Global Life Rejuvenation.

Our friendly, knowledgeable TRT and HRT experts can help answer your questions and walk you through our procedures. From there, we'll figure out which treatments are right for you. Before you know it, you'll be well on your way to looking and feeling better than you have in years!

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Latest News in Andover, NJ

Lace up! N.J. to kick off 2023 with annual ‘First Day Hikes’ across dozens of trails.

Marty Grossman is no stranger to the Paulinskill Valley Rail Trail.Home to more than 100 species of wildflowers and birds, it’s not unheard of to bump into Grossman traversing the multi-use trail that runs 27 miles through Warren and Sussex counties.He can sometimes be found there performing ongoing maintenance.“We do some trimming, sign cleaning, paint the wood posts and also clean the kiosks and update t...

Marty Grossman is no stranger to the Paulinskill Valley Rail Trail.

Home to more than 100 species of wildflowers and birds, it’s not unheard of to bump into Grossman traversing the multi-use trail that runs 27 miles through Warren and Sussex counties.

He can sometimes be found there performing ongoing maintenance.

“We do some trimming, sign cleaning, paint the wood posts and also clean the kiosks and update the information on them,” said Grossman, president of the Paulinskill Valley Trail Committee, which is based in Andover and oversees four trails that make up the extension of Kittatinny Valley State Park.

On Sunday, he will have a chance to do something else he loves on the trails: exploring and showing them off to visitors. Grossman will be among the dozens of organizers leading hikers for New Jersey’s annual “First Day Hike” that will include at least 40 events spanning more than 453,000 acres of land, including 40 state parks and forests.

“It’s important to keep these kinds of open spaces functioning,” said Grossman, 70, who has been with the committee for 30 years and sees the annual hikes as opportunities to highlight the state’s biodiversity, newly-proposed trails and attract volunteers.

First Day Hikes began in 1992 at DCR’s Blue Hills Reservation in Milton, Massachusetts, before going nationwide in 2012 when all 50 state parks systems joined to create the “America’s State Parks First Day Hikes Initiative.” New Jersey’s hikes, which like others across the U.S., are free to attend, require pre-registration only for some events — most of which you can still sign up for here.

The state’s First Day Hike returned Jan. 1, 2022, after a year-long pause due to COVID. The hike earlier this year included 28 events with more than 248 hikers journeying throughout 952 miles of state trails, according to New Jersey Department of Environmental Protection officials. Sunday’s walks — which start between 6 a.m. and 3:15 p.m. — range from the Warren Highlands Trail towards the bottom of the state to Belleplain State Forest in Cape May and Liberty State Park up north in Hudson County.

“First Day Hikes are the perfect opportunity to get outside, recharge and connect with nature in one of New Jersey’s state parks, forests or historic sites,” John Cecil, assistant commissioner for State Parks, Forests & Historic Sites, said in a statement. “Not only will you get fresh air and exercise, but you will make memories exploring New Jersey’s incredible natural and historic resources.”

More than 10 of Sunday’s hikes welcome dogs on leashes, including a “First Day Dog Hike” at Belleplain State Forest. In addition, state officials said walks will be offered for attendees on beginner and advanced levels. Children attending hikes must be accompanied by an adult.

For experienced hikers or anyone looking to put themselves to the test, John Rovetto recommends the “High Point First Day Challenge Hike,” which the life member of the non-profit New Jersey Search and Rescue will lead.

“I’ve been doing this for about seven years and we call this one a ‘challenge hike’ because it’s a little bit strenuous. People want that challenge. Some of the hikes are a very simple three- to four-mile stroll through the woods. This is a real hiker’s hike,” said Rovetto, discussing the 6-mile trek that will include “rock scrambling” and coursing through parts of the Appalachian Trail.

Moreover, Rovetto said the Mahwah-based rescue squad — which provides volunteer incident management, mountain rescue, medical, and ground search services in New Jersey, New York and Pennsylvania — uses the hike as “practice” for future operations. Thus, with at least four squad members on hand, hikers can expect to get a glimpse of how rescue volunteers work in the field, Rovetto said.

“We have about 60 people on (the hike) already and before COVID we did it with about 100 people, it’s very popular. The hike is almost tactical-style. We have radio communications, it’s a very intense set-up,” he said. “People like that.”

Organizers suggest attendees register to help plan for a head count, check the weather and stay in contact with hike leaders in the event of a postponement, pack snacks such as power bars and sandwiches, wear boots with traction and layer up if colder weather is forecasted.

Grossman said whether people are joining a longer hike like that at High Point State Park or a beginner’s hike, such as the one he’s helping to host which starts at Footbridge Park in Blairstown, it’s clear the walks continue to draw crowds.

“The push is on throughout the country to make trails ... keep people off the road, get their exercise pedaling to work ... breathing fresh air instead of breathing the exhaust,” Grossman said.

A list of the hikes is available below (more information, updates on capacity and details on how to register can be found here):

If you purchase a product or register for an account through one of the links on our site, we may receive compensation.

Final 100 residents moving out of Woodland as nursing home nears closure

A state Superior Court judge has given permanent custody to a receiver tasked with keeping afloat the embattled Woodland Behavioral and Nursing Center while state partners and advocates work to move out the remaining residents as the facility nears closure.At the behest of Allen Wilen, the state-appointed receiver and a partner at a busines...

A state Superior Court judge has given permanent custody to a receiver tasked with keeping afloat the embattled Woodland Behavioral and Nursing Center while state partners and advocates work to move out the remaining residents as the facility nears closure.

At the behest of Allen Wilen, the state-appointed receiver and a partner at a business advisory firm, New York and New Jersey officials have transferred more than 230 residents to other care centers since May, when Wilen took over operations. As of June 12, 116 residents remained at the facility, records filed by Wilen show.

Judge Frank DeAngelis, a state Superior Court judge in the Sussex/Morris vicinage, granted Wilen permanent receivership during a court hearing on July 7. A receiver takes over the facility's finances and is tasked with retaining staff while also making sure residents have the proper services they need. Wilen has been working in step with Atlantic Health System and the Department of Human Services, with support from the state Health Department, said Nancy Kearney, a spokesperson for the New Jersey Department of Health.

The formerly named Andover Subacute II, which rose to the national spotlight when 17 bodies were found stacked in a makeshift morgue at the height of the COVID-19 pandemic, was once one of the state's largest long-term care facilities, with 543 licensed beds. The care center had 419 residents in April 2020, the same time officials said in a scathing federal inspection report that people inside the facility were at immediate risk of harm or even death.

But despite repeated efforts to reach compliance over two years, the facility's owners, Chaim "Mutty" Scheinbaum and Louis Schwartz — the son of Joseph Schwartz, indicted in a multimillion-dollar tax scheme in January — failed to do so, leaving federal and state officials to take a giant step to protect some of the state's most vulnerable residents.

In May, the New Jersey Department of Health revoked Woodland's license and set a firm Aug. 15 date to complete the transfer of residents to other facilities. The move came on the heels of a decision by the Centers for Medicare & Medicaid Services to strip Woodland of its funding for residents admitted after June 25, although payments for those admitted before that date will continue through July 25, Kearney said. The federal division provides roughly 92% of Woodland's funding.

Residents find new homes

The transfer of residents is moving swiftly but mindfully, and given the current pace, it should be completed by the end of the month, said Laurie Brewer, New Jersey's long-term care ombudsman, although she could not say for sure.

"The vast majority of the people who remain are New York residents," she said. "It is my understanding that there is an intensive effort underway by New York Medicaid to find placements for those residents."

The reason New York residents make up the remaining population inside the Mulford Road complex is because most of the New Jersey residents with Medicaid benefits were enrolled in managed health care plans and have care managers working directly with them, their families and the facilities to identity proper placements, Brewer said. And while some New York residents want to stay in New Jersey, others are seeking placement back in their home state.

Brewer said there have been great outcomes, with advocates helping find centers for residents that are closer to their families. Residents, she said, need to have a say about where they are going, regardless of whether they have a guardian or family members who have been actively engaged in their lives.

Most residents were moved to other nursing homes, and a few have gone to medical boarding homes. Staff members within the New Jersey Office of the Long-Term Care Ombudsman, which protects the rights and preserves the health of residents in long-term care facilities, say they have visited residents at their new facilities and nearly all say their needs are being met and they are happier in their new homes, Brewer said.

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It's a dynamic process, and some residents may wish to transfer elsewhere down the road, but Brewer said it's a marked change since the state took over.

"Prior to the installation of the receiver, the previous facility operators were either unable or unwilling to process transfers in a timely way," Brewer said.

Peter Slocum, an attorney who represents Alliance Healthcare Holdings of Lakewood, which operates Woodland, did not immediately respond to a request for comment. Court documents have not been filed by Slocum since June. An attorney representing BNJD Mulford Property, which owns the property and leases the building to Alliance, said in a June 20 filing that he did not object to Wilen's permanent appointment as receiver.

The state's attorneys, in their filings leading up to the July 7 court hearing, noted that neither Alliance nor BNJD appeared to contest the permanent appointment of Wilen as receiver, despite having "ample" time to do so.

It was a different story in May, when attorneys for Alliance and BNJD seemed angered by the state's move to file a complaint to take over the besieged facility, saying they had a comprehensive remedial plan in place before the state "ran into court" to seek relief. The state, they argued, knew about the plan and chose to ignore it.

Earlier this month, the judge agreed to remove Scheinbaum and Menachem "Michael" Spiegel, Woodland's administrator, as defendants. Spiegel was an employee and Scheinbaum is the owner of the licensee, so neither should have been individually named in the suit, Alliance's attorney had argued.

Schwartz remains an active co-owner of Woodland on the state Department of Health website, but he had not been named in recent court filings. BNJD said in court documents in May that it had already signed an agreement to remove Schwartz from the facility's license, but it was not immediately clear if the agreement was binding.

The judge ordered Schwartz, Scheinbaum, Spiegel and any others associated with Woodland not to interfere with the work of Wilen and his team as they continue actions to close the facility. Wilen said in a court document on July 12 that he implemented a bonus retention program to ensure staffing levels and Atlantic Health has arranged job fairs for Woodland employees.

As to what will happen with Woodland and the large facility less than a mile from County Road 616, well-known as Newton-Sparta Road, remains a mystery. Officials have declined to comment on the nursing home's future.

But what is known, officials say, is that Woodland's residents will find the right place for them, where they will get the care they need.

"They didn't have a choice about leaving Woodland," Brewer said, "but they need to have some say about where they are going to live next."

Lori Comstock can be reached on Twitter: @LoriComstockNJH, on Facebook: www.Facebook.com/LoriComstockNJH or by phone: 973-383-1194.

After 18 months of delays, BHT Properties hearing on for Tuesday in Andover

ANDOVER TOWNSHIP — The oft-postponed BHT Properties Group application for Stickles Pond Road, prolonged for more than 18 months by COVID-19 restrictions and a change in the scope of site plans, is set to resume Tuesday night.In anticipation of high attendance numbers, the Andover Township Land Use Board meeting has been relocated to the Hillside Park barn. Set to begin at 7:30 p.m., the meeting is expected to bring in witnesses for the application that calls for storage of construction vehicles, equipment and othe...

ANDOVER TOWNSHIP — The oft-postponed BHT Properties Group application for Stickles Pond Road, prolonged for more than 18 months by COVID-19 restrictions and a change in the scope of site plans, is set to resume Tuesday night.

In anticipation of high attendance numbers, the Andover Township Land Use Board meeting has been relocated to the Hillside Park barn. Set to begin at 7:30 p.m., the meeting is expected to bring in witnesses for the application that calls for storage of construction vehicles, equipment and other materials on the 100-acre property.

The application has met resistance and opposition from the start as residents voiced concern with potential environmental problems and increased traffic. Some concerns have been about contamination of the nearby Pequest River, aesthetics and the wildlife that will be displaced from the property.

"It's going to look like a penitentiary," said Eileen Ibranyi, whose home sits directly across from the proposed BHT site.

"It's residential. It's not commercial in this area," said Ellen Metzgar, another member of the neighborhood. "A clean venue would be welcome."

Roger Thomas, the attorney representing BHT, said the residents' concerns were more applicable to the original BHT application, which consisted of a partnership with online vehicle auction company Copart to develop a storage property for used vehicles before they are sold. That project was set to be heard in March 2020 before it was put on hold due to COVID.

The hearing was subsequently postponed for several months as the applicant hoped for an in-person meeting to present the application. In the meantime, residents concerned about the proposed project formed the "Stop BHT Junkyard Andover Township" group and hired an attorney to represent them in the hearings.

Thomas said the new application, introduced in March and which Township Engineer Cory Stoner deemed complete in May, is "less intrusive" than the initial one. He said BHT is aware of the various wetlands and buffer areas on the property, and is "respecting those fully and completely."

Last month, the hearing did not take place as scheduled due to a delay in BHT presenting completed plans to the board. It marked the third time in four months since in-person meetings resumed that a scheduled hearing was postponed.

Some residents said it feels like the postponements are part of a calculated move by BHT to make community members lose interest in the application.

The September 2020 meeting — the only in-person hearing for the original application — filled most, if not all, of the seats at the barn. The following month, the crowd was so large the meeting had to be postponed because the turnout exceeded the capacity under COVID restrictions.

In the year since, neighbors said many residents who rallied against the proposal at the beginning have become less invested, not bothering to attend meetings under the assumption that the hearing will again be postponed.

"Because of the fact that BHT continues to receive these adjournments or delays or postponements, whatever you call them, this has been really enough already," Metzgar said. "We can take into consideration maybe a couple of months because of COVID, but now that has run its course."

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Thomas, however, said he and BHT officials were "ready to proceed" with the hearing in May. While he took responsibility for the August postponement due to a lack of witnesses, he noted that it was the board that decided not to continue with the hearing in July and to postpone last month's meeting in order to receive some additional site plan materials.

"My client would be much happier if we had a determination in the fall," Thomas said. "We're not going to get that, and that's too bad."

Residents are also skeptical of the motivation behind the new plan. They are convinced that BHT only scaled back the project to get Land Use Board approval and will eventually revert to the original site plans.

"It's a backdoor tactic, a ruse to get in there," said Ray Wexler, a member of the Andover Township Environmental Commission who said he was speaking as a private citizen. "Once they own the property, then it's pretty much they're going to do whatever they want."

Thomas said that is not so, though he understood residents' concerns based on his experience as a board attorney.

He noted that the Land Use Board representatives would likely draft a resolution that specifically outlines how BHT is allowed to operate at the site. He said company officials "have no intention" to expand, and even if they did, they would not be authorized to do so without going through the board approval process again.

"The idea is legally impossible for us to be able to (expand)," Thomas said.

Thomas has been involved in the second application only, and said the initial partnership with Copart dissolved because of the public opposition. He said BHT, in both applications, has tried to avoid being labeled "bad neighbors."

Some residents still do not want the company to be neighbors at all.

"I understand the Land Use Board, they have to hear (the application), they have to be at least somewhat concerned about the town getting sued," Wexler said. "But at the same time, they have a job to do as far as protecting the town. Whether it's Copart or whatever it is now, it's the wrong project for this area."

Why is this N.J. nursing home ranked so poorly? Look at the troubling numbers.

Woodland Behavioral Health and Nursing Center at Andover, still under threat of losing its state license as well as the federal funding it needs to keep running, has been named as one of the worst nursing homes in New Jerse...

Woodland Behavioral Health and Nursing Center at Andover, still under threat of losing its state license as well as the federal funding it needs to keep running, has been named as one of the worst nursing homes in New Jersey.

Administrators at the nursing home in Sussex County have said little about the ongoing crisis at one of the largest long-term care facilities in the state. But data collected by the U.S. Centers for Medicare & Medicaid Services shows many of the problems of Woodland Behavioral stem from a lack of enough people to care for its more than 450 residents.

By any measure, Woodland is continually short on staff. In its most recent assessment, the facility was at the bottom ranking in its staffing rating by CMS, receiving just one star, or “much below average,” on a five-star scale.

And according to federal data, this was how those staffing issues have played out:

Registered Nurses, or RNs, are responsible for the overall delivery of care to residents. According to CMS, nursing homes must have at least one RN for at least 8 straight hours a day, 7 days a week, and either an RN or LPN on duty 24 hours per day.

Woodland has a population that includes a large memory care unit as well as many residents psychiatric and behavioral health issues.

Federal regulators note that nursing home residents who are sicker than others may require a greater level of care, and add that nursing homes with more RNs on staff may be better able to meet the needs of those residents.

The time spent with nursing home residents by Licensed Practical Nurses, who work under the supervision of an RN, was almost half that of other long-term care facilities in the state.

Certified Nurse Aides, or CNAs, are the frontline troops of any nursing home. They are there to feed residents. To talk to them. To help them get up and get them involved in activities. And to help bathe and clean them.

In fact, state surveyors reported inadequate staffing on all 14 day shifts during one two-week period in late December into January.

During that time, Woodland was mandated to have at least 58 CNAs for the more than 450 residents on the day shift, surveyors said. On some days, the nursing home had less than half that number, which meant they would be getting assigned to twice as many people as they should have been.

The hours-per-resident per day represented averages reported over the last three-month quarter. Individual residents, though, might experience different staffing levels on any given day, federal regulators said.

CMS noted that higher staffing levels and lower staffing turnover in a nursing home may mean higher quality of care for residents. And care at Woodland has been the focus of a series of recent critical reports.

Last month, the state in a scathing notice of violations found that the nursing home had “failed to appropriately prevent abuse and neglect” of its residents.

Surveyors for the Health Department cited failures to attempt resuscitation of several residents in cardiac arrest, including one 55-year-old individual found without a pulse or respirations on New Year’s Day last month. No calls were calls made to 911, nor did anyone perform CPR. The resident was ultimately pronounced dead.

A CNA reportedly left a resident soiled in feces for ten hours overnight. The unnamed resident, who already had a pressure ulcer or bedsore that would have been exacerbated by moisture and susceptible to infection, asked the staffing coordinator for a different caregiver, saying the aide made the unnamed individual “furious” and “scared.” The coordinator never reported the matter to administrators, or the Department of Health, and the aide was never suspended.

The New Jersey State Comptroller in its own report in February identified Woodland as one the state’s 15 worst nursing homes, based on the facility’s years of “one-star” ratings by federal regulators that the watchdog agency said had led to few, if any, serious consequences.

Overall, New Jersey in fact does not rate high for adequate staffing in its nursing homes.

Families for Better Care, a non-profit advocacy organization, said the state has climbed significantly in nursing home quality measures, bringing it among the top 10 states in the country. But despite its improved grade, New Jersey nursing homes “continue to be woefully understaffed,” said the Texas-based group, ranking No. 45 overall nationwide in the amount of direct care service hours provided per resident, according to its own analysis.

State Department of Health officials said Woodland is recruiting and hiring personnel to bring their staffing ratios in line with its resident census.

New Jersey on Wednesday appointed Atlantic Health System to serve as a state monitor to oversee Woodland’s operations

“Atlantic Health will convene a multi-disciplinary team to conduct an onsite assessment of business practices, operations, and infrastructure, and will remain onsite for up to 90 days. Weekly reports will be provided to the department throughout the monitoring period,” said health officials.

They noted that Newton Medical Center, which is part of Atlantic Health System’s western region, is located less than 5 miles from Woodland, and has “long provided inpatient and ambulatory care” for the residents of the facility.

Federal regulators say financial penalties will also come.

Last week, meanwhile, CMS backed off on an immediate threat to cut off Woodland from all funding. Still, the Centers for Medicare & Medicaid Services said the nursing home remains in violation of federal requirements and has until August 15 to make major changes or face the termination of all Medicare and Medicaid reimbursements.

Woodland is facing a civil monetary penalty as well, in addition to a possible $11,292 fine for violations related to its nurse aide training program.

The nursing home, once known as the Andover Subacute and Rehabilitation Center, was hit with $220,235 in fines and penalties in May 2020 over failures in infection control practices and other violations. That enforcement action came after the discovery of the bodies of 17 residents, some being kept in a makeshift morgue at the height of the pandemic.

After it became the focus of national attention, Andover Subacute changed its name to Woodland Behavioral and Nursing Center at Andover (and an adjacent, sister facility was renamed Limecrest Subacute and Rehabilitation Center). However, it has remained under the same ownership.

Those owners include Chaim “Mutty” Scheinbaum of Lakewood and Louis Schwartz, the eldest son of Joseph Schwartz who was charged last month in a multi-million dollar federal tax fraud scheme in connection with Skyline Healthcare, his failed multi-state nursing home chain that had once sought to purchase the long-term care facility.

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Nearly 200 people are locked down, living in ‘inhumane’ conditions at N.J. nursing home, advocate says

They live three to a room, in a space that is visibly dirty and smells like urine and feces. They have serious mental illnesses, developmental disabilities and traumatic brain injuries and are segregated from the rest of the nursing home.Woodland Behavioral and Nursing Center at Andover in Sussex County, now facing a widening investigation into all...

They live three to a room, in a space that is visibly dirty and smells like urine and feces. They have serious mental illnesses, developmental disabilities and traumatic brain injuries and are segregated from the rest of the nursing home.

Woodland Behavioral and Nursing Center at Andover in Sussex County, now facing a widening investigation into allegations of abuse and neglect, confines nearly 200 residents with mental illness and developmental disabilities on a locked floor that operates like an “unlicensed psychiatric hospital,” charged the leader of a federally funded legal group that advocates for the human, civil, and legal rights of those with disabilities.

After visiting the facility Wednesday, Gwen Orlowski, executive director for Disability Rights New Jersey said she immediately contacted the commissioners for the departments of Human Services and Health and urged them to go see it for themselves.

“They languish, prisoners of the 3rd floor without much hope that anyone cares, that they will ever leave and return to the community,” according to Orlowski’s email to Human Services Commissioner Sarah Adelman and Health Commissioner Judith Persichilli. “Without exception, all of the people I spoke to feel forsaken.”

The state must respond quickly to remedy an “inhumane” situation and what appears to be “a civil rights and human rights violation,” Orlowski told NJ Advance Media.

Menachem Spiegel, the administrator of Woodland, did not respond to requests for comment.

Orlowski said state Human Services Commissioner Sarah Adelman and Health Commissioner Judith Persichilli responded to her email immediately, and on Thursday morning, and they met to discuss Disability Rights’ concerns.

In a joint statement, Adelman and Persichilli said they “take all claims that may place residents in jeopardy very seriously” and spoke to Gwen Orlowski yesterday. Gwen was informed that Department of Health and Department of Human Services officials intend to visit the facility.

“The Commissioners are discussing this situation regularly and are working together to put the health and safety of the residents first,” the statement said.

The third floor is home to 196 people diagnosed with traumatic brain injuries, mental illness or developmental disabilities, or recovering from strokes, according to Orlowski. They live three to a room, in a space that is visibly dirty and smells like urine and feces. The floor is not locked, but no one can use the elevator to leave without permission, she said.

Orlowski said she spoke to one man who said he had not stepped outside Woodland for a year.

For Orlowski, who vividly recalls her grandmother’s extended stays in psychiatric facilities, the visit to Woodland’s third floor was searingly painful. “They really are the most vulnerable amongst us, and I worry no one cares about them,” she said.

Orlowski stressed hat the frontline staff appeared dedicated and were helpful. “The staff I saw working there today are working under extraordinary circumstances,” she said.

Taxpayers foot the bill for the roughly 450 people who live at Woodland. The Medicaid program, which is state and federally funded, pays $216 a day per resident from New Jersey, according to Human Services spokesman Tom Hester. About 70% of the residents are from New Jersey, with the remaining 30% coming from New York, which also pays $216 per resident per day.

Woodland calls itself as a “behavioral health facility,” Orlowski said, but it is not a licensed “behavioral health special care nursing home.” Woodland has a psychiatrist who dispenses medication, but that is the extent of any treatment, she said.

The facility does not have the authority to involuntarily commit residents — a decision that is made by a judge when a person is deemed dangerous to themselves or others, she added.

“You cannot be deprived of liberty without due process of law.,” Orlowski said. Liberty is freedom of movement, she said, to do something as basic as “to go out the front door and have a walk around the grounds.” The residents of the third floor are “essentially prisoners,” she said.

Disability Rights is investigating how many live there against their will and want to relocate to a group home or another supervised setting, she said.

For many years, New Jersey has lacked sufficient supervised housing for people with disabilities, she noted. Many become homeless and wind up in nursing homes, she said.

Orlowski said she has conveyed to the state her concerns that Woodland may be transferring out residents.

“That is of significant concern for us. We don’t want people traumatized by a quick move that won’t meet their needs,” Orlowski said. “It’s important to do independent assessments. The state absolutely understands that is critically important.”

“We want to make sure they are transferred to the right setting with the rights support,” she said.

Some should be moved out and receive supervised care in a group home, while others who choose to stay should have access to the kind of mental health treatment they need, she said.

Woodland’s future, meanwhile, may be in doubt.

Federal regulators have given the owners until March 3 to remedy a long list of deficiencies or risk losing all Medicaid and Medicare funding. The federal oversight agency, the Centers for Medicare & Medicaid Services, said Woodland has amassed a list of violations that place residents in “immediate jeopardy,” which include a lack of monitoring of residents with COVID-19 symptoms and vaccination rates.

The latest inspection report does not identify the problems Orlowski reported to the state concerning the locked third floor.

“We have a broken system that funnels those people into nursing homes,” she said. “What COVID did was shine a light on how broken the long-term care system is.”

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