COMPLAINT#: NJ158446, NJ158513 Based on observations, interviews, review of medical records, and other pertinent facility documents on 10/13/2022 and 10/14/2022, it was determined that the facility failed to follow and implement their Abuse Policy and Procedure for 1 of 9 residents (Resident #2), who has a known history of self-injurious and violent behaviors, delusions, paranoia, resistance to care, noncompliance/refusals with medication and a diagnosis of Schizoaffective Disorder Bipolar Type after a staff and a Resident had a physical altercation that occurred on 10/1/2022. On 10/13/2002 at 12:15 p.m., during a tour of the first floor, Resident #2 was observed with a cast in place on the left forearm. The Resident reported to the surveyor that a staff member broke his/her arm. …
F607 citations in New Jersey
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F607 more often than its own record predicts
1.04 times the share F607 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F607 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.
C #: NJ 3 Based on interviews, record review, as well as review of other facility documents on 9/14/20 and 9/15/20, it was determined that facility failed to ensure a safe environment by not implementing their written policies and procedure to prohibit and prevent Resident abuse for 1 of 4 residents (Resident #1). On 5/25/20 approximately 6:00 am to 6:30 am, Certified Nursing Aide (CNA #1) stated that when she walked into the dining room, she saw Resident #2 (cognitively intact) touching Resident #1 (cognitively impaired) pants. Resident #2 told CNA #1 that Resident 1 wanted it. …
Complaint # 2588341; #2649970Based on interviews and review of pertinent documents provided by the facility, it was determined that the facility failed to implement their policies and procedures to prohibit and prevent abuse, neglect, exploitation of residents, and misappropriation of resident property by ensuring screening by reference checks were completed for newly hired employees. This deficient practice was identified for 19 out of 87 newly hired employee files reviewed. The deficient practice was evidenced by the following: On 7/16/2026 at 8:42 AM, Surveyor #1 reviewed 11 employee files, which revealed the following:1. Recreational Aide (RA #1), with a hire date of 7/10/2025, did not have a previous employment reference check on file.2. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.74% | 0.99× |
| 2024 | 1.26% | 1.67× |
| 2025 | 0.69% | 1.04× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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