Complaint#: NJ00181485 Based on observation, interview, and record review and review of other facility documentation on 12/23/24 and 12/24/24, it was determined that the facility failed to develop and implement baseline care plan (BCP) within 48 hours of admission that included the minimum healthcare information necessary to properly care for the immediate needs of the resident. This practice was identified for 1 out of 6 residents (Resident #1) reviewed. This deficient practice was evidenced by the following: Resident #1 was not in the facility at the time of the survey. …
F655 citations in New Jersey
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F655 less often than its own record predicts
0.77 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 F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F655 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 observations, record review, and interviews, the facility failed to provide a copy of the baseline care plan for one of 36 residents (Resident (R) 46). This failure had the potential to interfere with the continuity of care and safeguard against adverse events that are more likely to occur right after admission.Findings include: A review of the facility's policy titled Care Plans-Baseline dated March 2022 indicated a Baseline Care plan is developed within 48 hours and a copy is provided to the resident and/or the representative. …
Based on interview and record review it was determined that the facility failed to provide 7 of 15 residents (Residents #4, #6, #8, #9, #14, #19 and #193) with a written summary of the baseline care plan completed upon admission. This deficient practice was evidenced by the following: Resident interviews conducted throughout the survey, beginning on 3/25/18 with the above referenced residents, it was determined that a written copy of the baseline care plan summary, including goals for the resident, current medications, any special dietary instructions, services and treatments ordered by the physician had not been provided to the resident. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.61% | 0.77× |
| 2024 | 0.60% | 0.88× |
| 2025 | 0.50% | 0.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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