Based on interviews, medical record review, and other pertinent facility documents, it was determined that the facility failed to immediately activate their emergency response system including rapid identification of a resident's code status, initiating a code blue (facility alert system), initiating Cardiopulmonary Resuscitation (CPR) and calling emergency services/911, for a resident (Resident #142) who was found unresponsive and was a full-code status (all resuscitation procedures will be provided when a person stops breathing or their heart stops beating), in accordance with Basic Life Support (BLS) for Healthcare Providers. …
F678 citations in New Jersey
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F678 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 F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F678 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 record review, interviews, and policy review, the facility failed to ensure documentation of cardiopulmonary resuscitation (CPR) status for five out of 14 residents reviewed for advance directives (Resident (R) 16, R34, R56, R6, and R41) out of a total sample of 21 residents. This failure created a risk that residents would receive CPR or other life-sustaining interventions that were inconsistent with their expressed wishes, potentially resulting in unwanted treatment, emotional distress, and compromised quality of care.Findings include:1. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 1.31× |
| 2024 | 0.35% | 1.68× |
| 2025 | 0.14% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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