Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain a clean, sanitary and homelike environment for 1 of 2 units (Evergreen Unit room [ROOM NUMBER]) reviewed for the environment. This deficient practice was evidenced by the following: On 08/13/2026 at 10:32 AM during the initial tour of the facility in the Evergreen Unit, the surveyor entered room [ROOM NUMBER] and observed on the wall beside the B bed, that the wallpaper had come apart at the seams. The wallpaper was peeling and detaching from the wall. In addition, the wooden decorative chair rail, also located beside the B bed, had been repaired, but required painting and cosmetic finishing to restore its appearance. …
F584 citations in New Jersey
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F584 more often than its own record predicts
1.94 times the share F584 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F584 findings written in New Jersey, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
NJ00183439 Based on observation, record review and interview on 04/28/25, it was determined that the facility failed to provide a clean and homelike physical environment for their residents. This deficient practice was identified in 2 of 4 bedrooms observed and was evidenced by the following: During tour on 4/28/25 at 10:12 a.m., the surveyor entered room [ROOM NUMBER] and noted black dried substance behind dresser under wallpaper. During tour on 4/28/25 at 10:14 a.m., the surveyor entered room [ROOM NUMBER] and noted black dried substance behind dresser under wallpaper. During tour on 4/28/25 at 11:21 a.m. with the Director of Maintenance and the Maintenance staff, both confirmed the black dried substance on the walls behind the wallpaper behind the dressers in rooms [ROOM NUMBERS]. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 2.82% | 1.26× |
| 2024 | 2.16% | 1.01× |
| 2025 | 4.08% | 1.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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