Based on observation, interview, record review, and policy review, it was determined that the facility failed to notify the resident and/or the resident's representative in writing of the reason for transfer or discharge for 1 of 1 resident transferred to the hospital, 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. 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… …
F625 citations in New Jersey
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F625 less often than its own record predicts
0.96 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 F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F625 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, review of the medical record, and review of other pertinent facility documentation, it was determined that the facility failed to provide the resident or resident representative written notification of the facility's bed hold policy prior to transfer to the hospital for two (2) of two (2) resident's (Resident #10 and #16) reviewed for hospitalization s. This deficient practice is 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 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 | 0.37% | 0.60× |
| 2024 | 0.50% | 0.72× |
| 2025 | 0.28% | 0.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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