Based on interviews, record reviews, and review of pertinent facility documentation, it was determined that the facility failed to ensure that services were delivered by qualified staff with the necessary skills, experience, and knowledge. As a result, care was not provided in accordance with the resident's assessed needs and plan of care. This deficiency was identified in 1 of 3 residents reviewed (Resident #1).This deficient practice was evidenced by the following: During an interview with the surveyor on 11/07/25 at 11:10 AM, the Director of Nursing (DON) explained that the Resident #1's family pays for a private sitter (PS) to be with the resident from 3:00 PM to 8:00 PM, Sunday through Saturday. …
F659 citations in New Jersey
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F659 more often than its own record predicts
1.18 times the share F659 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F659 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.
What else New Jersey surveyors cite →
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