COMPLAINT # NJ 5 Based on interviews, review of the Medical Records (MR), and other pertinent facility documentation on 11/15/2019 and 11/20/19, it was determined that the facility staff failed to safely discharge a Resident with [MEDICAL CONDITION], Stage 4 Wounds, Tube feedings, and needed continuous oxygen (O2) on 10/30/2019. The facility failed to ensure that appropriate arrangements were in place prior to discharge to ensure a safe discharge and prevent harm. The facility also failed to ensure that Durable Medical Equipment (DME) was delivered to the home prior to discharge which included; Oxygen tanks (O2), tube feeding pump, humidifier for the [MEDICAL CONDITION] (trach), Ambu bag (manual resuscitator/emergency ventilator), Nebulizer machine (for administration of breathing… …
F660 citations in New Jersey
Discharge planning · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F660 more often than its own record predicts
1.17 times the share F660 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F660 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.
Complaint #: NJ 185165 Based on observation, interview, record review and review of other facility documentation on 4/08/25 and 4/15/25, it was determined that the facility failed to implement and document an effective discharge plan to ensure a safe and effective transition of care for 1 of 3 residents reviewed for discharge planning, (Resident # 2). This deficient practice was evidenced by the following: The surveyor reviewed the admission Record of Resident #2 which revealed that the resident was admitted to the facility 02/2025 with diagnoses that included but not limited to: Spinal stenosis, Alzheimer's Disease, Repeated Falls, Muscle Weakness and Difficulty Walking. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.52× |
| 2024 | 0.20% | 0.96× |
| 2025 | 0.09% | 1.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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