Complaint#: NJ176503, NJ178530 Based on interviews and medical record review on 10/22/2024, 10/23/2024, 10/24/2024, and 10/29/2024, it was determined that the facility failed to implement the recommendations from a resident's Pre-Admission Screening and Resident Review (PASARR) level II determination. This deficient practice was identified for 1 of 2 residents reviewed for the PASARR (Resident #1), and was evidenced by the following: According to the Admission Record (AR), Resident #1 was admitted to the facility on [DATE], with diagnoses which included but were not limited to: Traumatic Brain Injury (a head injury causing damage to the brain), Impulse Disorder (an inability to control impulses and behaviors), and Schizoaffective Disorder (a chronic mental health condition that combines… …
F644 citations in New Jersey
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F644 less often than its own record predicts
0.50 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 F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F644 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 record review, it was determined that the facility failed to incorporate the recommendations from a Pre-admission Screening and Resident Review (PASRR) level II determination into a resident's plan of care for 1 of 2 residents reviewed for PASRR (Resident #3). This deficient practice was evidenced by the following:On 6/10/26 at 10:26 AM, the Surveyor observed Resident #3 seated up in bed.On 6/11/26 at 12:08 PM, the Surveyor reviewed Resident #3's medical record.A review of Resident #3's admission record or face sheet (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to; bipolar disease with psychotic features (mental illness that causes the individual experiences a temporary… …
Based on observation, interview and review of medical records, it was determined that the facility failed to conduct a new Preadmission Screening and Resident Review (PASRR) level I assessment after residents were newly diagnosed with [REDACTED].#27, #155 and #203, 3 of 5 residents reviewed for the PASRR requirement and was evidenced by: 1.) According to the Resident Face Sheet (RFS) dated 5/9/18, Resident # 27 was admitted to the facility with the medical [DIAGNOSES REDACTED]. The significant change in status Minimum Data Sheet (MDS) an assessment tool dated 5/1/19, indicated that the resident had a [DIAGNOSES REDACTED]. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.74% | 1.03× |
| 2024 | 0.55% | 0.87× |
| 2025 | 0.32% | 0.50× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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