Based on observations, interviews, and review of medical records and other facility documentation, it was determined that the facility failed to complete a Significant Change in Status Assessment (SCSA) using the Resident Assessment Instrument (RAI) process on a resident who elected hospice benefits in the appropriate time frame. This deficient practice was identified for 1 of 2 residents reviewed for hospice (Resident # 11). This deficient practice was evidenced by the following:On 7/09/2026 at 10:23 AM, the surveyor observed Resident #11 in a wheelchair. …
F637 citations in New Jersey
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F637 more often than its own record predicts
1.72 times the share F637 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F637 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 observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure that the completion of a significant change Minimum Data Set (MDS), an assessment tool, was completed in a timely manner. This deficient practice was identified for 1 of 23 residents reviewed for resident assessments (Resident # 40), and was evidenced by the following: On 4/9/25 at 10:00 AM, the surveyor observed Resident #40 lying in bed, clean, dry with the head of bed up. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.49% | 1.60× |
| 2024 | 0.50% | 2.25× |
| 2025 | 0.41% | 1.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction