Complaint Intake ID #408686Based on interviews, record reviews and reviews of pertinent facility documents, it was determined that the facility failed to ensure care and treatment were provided timely to Resident #121, to prevent further change in condition. This failure delayed care for Resident #121 who was admitted to the intensive care unit at an acute care hospital with a diagnosis of septic shock (the most severe, life-threatening stage of sepsis [body's extreme response to an infection], which is a critical medical emergency requiring immediate hospitalization.) This deficient practice was identified for 1 of 3 residents (Resident #121) reviewed for hospitalization.On 12/28/24 at 8:00 PM, Resident #121 had a change in condition with rapid, shallow breathing and difficulty breathing… …
F684 citations in New Jersey
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F684 less often than its own record predicts
0.53 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 F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F684 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 #2790808Based on observation, interview, review of medical records, and other pertinent facility documentation, it was determined that the facility failed to a.) ensure a Registered Nurse (RN) immediately assessed a resident who had fallen and complained of pain. On [DATE], Resident #3 had an unwitnessed fall. The Licensed Practical Nurse (LPN #1) responded to the fall and did not call an RN to assess the resident. The resident complained of pain and was transferred back to bed by two Certified Nursing Assistants (CNAs). On [DATE], 4 days later, the resident was transferred to the emergency room (ER) for an unrelated medical concern and was diagnosed with a right hip fracture. …
Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that resident receive treatment and care in accordance with professional standards of practice, by failing to ensure, a.) hospice visit notes were in residents' medical records for 4 of 5 residents (Residents #10, #59, #182, and #273) and b.) hospice recommendations were followed through for 2 of 5 residents (Residents #10 and #273), reviewed for hospice care to promote communication and collaboration between the facility and hospice agency staff. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 1.78% | 0.49× |
| 2024 | 1.81% | 0.45× |
| 2025 | 2.29% | 0.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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