Based on record review and staff interviews, the facility failed to ensure that an accurate Preadmission Screening and Resident Review (PASARR) Level I assessment was completed for one of five residents reviewed for PASARR (Resident (R) 78) out of 30 sampled residents. This failure had the potential to affect the resident's ability to receive needed services. Findings include: Review of R78's Face Sheet, located under the Profile tab in the electronic medical record (EMR), revealed the resident was admitted to the facility on [DATE] with diagnoses that included bipolar disorder. Review of R78's NJ Preadmission Screening and Resident Review, dated 03/25/26 and located in the resident's EMR under the Miscellaneous tab, revealed no diagnosis or indication of mental illness (MI) identified. …
F645 citations in New Jersey
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F645 less often than its own record predicts
0.76 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 F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F645 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 consistently follow the Preadmission Screening and Annual Resident Review (PASARR) process for individuals with mental illness. This deficient practice was identified in 2 of 3 residents reviewed for PASARR Screening (Residents #9 and #10) and was evidenced by the following: 1. According to the Admission Record, Resident #9 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED].#9's medical record. On 04/03/19 at 1:00 PM, the surveyor asked the Social Worker (SW) for a PASARR screening form for Resident #9. On 04/04/19 at 10:45 AM, the SW delivered a PASARR Level I form to the surveyor. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 0.42× |
| 2024 | 0.50% | 0.79× |
| 2025 | 0.46% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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