Based on observation, interview, and record review, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman (LTCO) for 1of 1 resident reviewed for hospitalization, Resident #18. This deficient practice was evidenced by the following: On 4/6/25 at 10:43 AM, the surveyor observed the Resident #18 sitting on the wheelchair in the day room, and the resident stated that they were hospitalized before. A review of the admission Record (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included, but not limited to; type 2 diabetes mellitus with severe non-proliferative diabetic retinopathy with macular edema, bilateral, complete traumatic amputation of left great toe, subsequent encounter, essential… …
F623 citations in New Jersey
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F623 more often than its own record predicts
1.01 times the share F623 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F623 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 interview, record review and review of other pertinent facility documents, it was determined that the facility failed to provide the resident and the resident's representation written notification of the reason for transfer to the hospital and also send a copy to a representative of the Office of the State Long-Term Care Ombudsman (LTCO) for two (2) of two (2) resident's (Resident #10 and #16) reviewed for hospitalization . This deficient practice was evidenced by the following: 1. A review of Resident #10's electronic medical record included the following: Resident #10's discharge return anticipated Minimum Data Set's (DRAMDS), an assessment tool used to facilitate the management of care, for the two DRAMDS, reflected that the resident was transferred to the hospital. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 1.04% | 1.15× |
| 2024 | 0.86% | 0.84× |
| 2025 | 0.41% | 1.01× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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