Complaint 2639643Based on medical record review and staff interviews, the facility failed to ensure that a physician order for oxygen was obtained upon a resident's admission. Specifically, the facility implemented and maintained oxygen therapy as part of a resident's Care Plan (CP) without a corresponding physician order to support its use. This deficient practice was identified for 1 of 6 residents reviewed (Resident #5).According to the admission Record (AR), Resident #5 was admitted to the facility with diagnoses which included but were not limited to: unspecified fracture of upper end of right humerus, subsequent encounter for fracture with routine healing, unspecified fall, emphysema (chronic, progressive lung disease characterized by damage to the air sacs), and Chronic Obstructive… …
F635 citations in New Jersey
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F635 less often than its own record predicts
0.83 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 F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F635 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.
What else New Jersey surveyors cite →
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