Based on observation, interviews, review of medical records, and review of other pertinent facility documents on 05/28/2026, it was determined that the facility failed to maintain an environment free from the use of physical restraint for Resident #2.This deficient practice was identified for 1 of 6 residents (Resident #2) reviewed for restraint.During the survey, a tour was conducted by the surveyor, there was no restrictive device noted for any resident.On 05/23/2026, during the 7:00 AM-3:00 PM shift, the Registered Nurse (RN#1) who was assigned to Resident #2 stated the resident was experiencing respiratory distress. RN#1 administered a respiratory treatment by nebulizer mask. RN#1 stated during the treatment Resident #2 became combative and pulled off the mask from their face. …
F604 citations in New Jersey
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F604 less often than its own record predicts
0.36 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Jersey in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F604 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.
Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to ensure that a cognitively intact resident was free from physical restraints through the following: a.) performing an assessment and evaluation for use of bed and chair alarms; b.) obtaining a consent with disclosure of risk versus benefits for use of bed and chair alarms; c.) monitoring the resident during the use of bed and chair alarms; d.) conducting ongoing evaluations for the continued use of the bed and chair alarms; e.) documenting the least restrictive interventions that were utilized prior to using bed and chair alarms; and f.) developing and implementing interventions for reducing and eventually discontinuing the use of bed and chair… …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.18% | 0.48× |
| 2024 | 0.35% | 0.96× |
| 2025 | 0.14% | 0.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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