Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to ensure a.) all emergency equipment was readily available at bedside for residents with tracheostomies (a surgical opening in the neck to provide an airway and remove secretions from the lungs), b.) staff were trained to use the emergency tracheostomy equipment, and c.) the primary care nurses were aware of the residents' inner cannula sizes for their tracheostomies. This deficient practice was identified for 2 of 3 residents reviewed for tracheostomy (Resident #6 and Resident #174). 1.Resident #174 was admitted to the facility on [DATE], and had a tracheostomy (trach). …
F695 citations in New Jersey
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F695 more often than its own record predicts
1.73 times the share F695 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F695 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, record review, and review of other pertinent facility documentation, it was determined the facility failed to ensure residents who received an oxygen treatment received care and services according to the standards of clinical practice. This deficient practice was identified for 2 of 3 residents (Resident #103, and #282) reviewed for respiratory care. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. …
Complaint #: NJ00166465 Based on observation, interview, and review of facility documentation on 08/16/23 and 08/18/23 it was determined that the facility failed to obtain a physician's order for the use of oxygen and failed to follow their facility's policy for Oxygen Administration for 1 of 2 residents (Resident #2) reviewed for respiratory care. The deficient practice was evidenced by the following: On 08/16/23 at 12:48 PM, the surveyor observed Resident #2 in bed wearing a nasal cannula (a device used to provide supplemental oxygen therapy) which was connected to an oxygen concentrator. The surveyor observed that the oxygen concentrator was set to 3 liters per minute (LPM). …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 3.80% | 1.63× |
| 2024 | 3.72% | 1.69× |
| 2025 | 3.81% | 1.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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