Based on interviews and record reviews conducted during the abbreviated survey, the facility did not ensure baseline care plans were developed and communicated for resident two (2) (Residents #6 and #37) of 11 residents reviewed for resident rights. Specifically, there was no documentation that the baseline care plan was given to the Resident and/or a Resident Representative. The findings include:The facility policy titled Baseline Care Plan Summary revised 2/2024 documented the facility must provide the neighbor and their representative with a written summary of the baseline care plan. …
F655 citations in New York
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 York cites F655 less often than its own record predicts
0.89 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 York surveyors wrote
F655 findings written in New York, 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, record review, and interviews, the facility failed to ensure that residents and/or their representatives were provided with a summary of the baseline care plan. This was evident for two (2) of three (3) residents reviewed for comprehensive care planning (Residents #2 and #292), out of 38 total sampled residents. Specifically, there was no documented evidence that Residents #2 and #292, and/or their representatives received a copy of the baseline care plan summary.The facility policy and procedure titled Care Planning Process, last revised July 2022, stated that the baseline care plan is to be developed within 48 hours of the resident's admission. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 1.25% | 1.56× |
| 2024 | 0.84% | 1.22× |
| 2025 | 0.59% | 0.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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