Complaint # 2794238 Based on interview, record review, and review of pertinent documentation, it was determined that the facility failed to implement their abuse policy to immediately conduct a thorough investigation to protect a resident (Resident #65) who alleged sexual abuse. This deficient practice was identified for 1 of 2 residents reviewed for abuse (Resident #65). A review of a Nurse Practitioner (NP) Progress Note dated 2/22/26 at 10:00 AM, revealed that Resident #65 alleged, I was raped. During an interview on 6/09/26, Resident #65 revealed that someone tried to force [themself on me, I thought [gender redacted] was a worker hired to care for me. …
F610 citations in New Jersey
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F610 more often than its own record predicts
1.36 times the share F610 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F610 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 interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to initiate a complete and thorough investigation after a cognitively intact resident made an allegation of staff-to-resident verbal abuse. This deficient practice was identified for 1 of 2 residents (Resident #11) reviewed for abuse. The evidence is as follows:A review of the facility's Abuse Prevention and Management policy, revised 4/2025, included; the facility prohibits the mistreatment, neglect, and abuse of residents/patients. by anyone including staff, family, friends, etc. …
Complaint #3092316 Based on interviews and review of pertinent facility documentations on 8/27/26, it was determined that the facility failed to conduct a thorough investigation following an unwitnessed fall of a resident (Resident #1). This deficient practice was identified for 1 of 5 residents reviewed for incidents and accidents and was evidenced by the following:The surveyor reviewed the medical record of Resident #1.A review of the admission Record (AR), an admission summary, revealed that Resident #1 was admitted to the facility with diagnoses which included but were not limited to type 2 diabetes mellitus, malignant neoplasm of the brain (brain cancer), aphasia (difficulty speaking), muscle wasting, and other mechanical complication of the ventricular intracranial (communicating)… …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 1.96% | 1.53× |
| 2024 | 2.31% | 1.62× |
| 2025 | 2.06% | 1.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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