Based on observation, interview, review of medical records and pertinent facility documentation, it was determined that the facility failed to ensure that a cognitively impaired resident (Resident #2), who was dependent on staff for activities of daily living (ADLs) a.) received appropriate interventions to prevent the development of a facility-acquired full thickness pressure injury; b.) ongoing skin assessments were completed and documented in accordance with a physician's order; c.) hospice recommendations for pressure reducing devices were communicated to the physician; and d.) consistently follow-up documentation to monitor the progression or resolution of the skin breakdown. …
F686 citations in New Jersey
Pressure ulcers · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F686 more often than its own record predicts
1.07 times the share F686 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F686 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 observation, interview, and record review, it was determined that the facility failed to provide care and services consistent with professional standards of practice for residents with a pressure ulcer (PU). This deficient practice was identified in 4 of 4 residents with PU (Residents #3, #7, #269, and #350) and 4 of 8 residents with risk of developing pressure ulcer (Residents ##170, #174, #182, and #262), reviewed for PU care and prevention. This deficient practice was evidenced by the following: 1. On 8/3/26 at 5:58 PM, the surveyor observed Certified Nursing Aide #1 (CNA #1) exited Resident #3's room who had doffed off their gown in the resident's room. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 1.78% | 0.87× |
| 2024 | 1.81% | 0.87× |
| 2025 | 2.11% | 1.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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