F868 in New Jersey. Pick another state for the same tag.
Against expectation — 2025
New Jersey cites F868 more often than its own record predicts
Versus expected share1.58×
1.58 times the share F868 takes of citations nationally.
Share of New Jersey citations0.37%
Of every deficiency written in New Jersey in 2025, this is the portion that was F868.
New Jersey0.37%
National0.23%
Share of all citations that were F868.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F868 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.
L · Immediate jeopardy, widespreadNovember 17, 2018
Based on record review and interviews, the facility failed to ensure that the Quality Assessment and Assurance (QAA) committee met quarterly and consisted of the Pediatric Medical Director or his designee. This failure had the potential to affect the 185 residents in the facility at the time of the survey.
On 11/17/18 at 06:18 PM, the facility's Administrator and Regional Director of Clinical Services were notified that an Immediate Jeopardy situation had been identified due to the failure to ensure that Quality Assessment and Performance Improvement (QAPI) activities to develop an action plan and failed to have a process in place to measure the success and sustained improvement of high risk problems. …
D · No harm, potential for more than minimal, isolatedJuly 16, 2026
Based on interview, record review, and review of other pertinent facility documentation, it was determined that the facility Medical Director (MD) failed to attend mandatory quarterly Quality Assurance and Performance Improvement (QAPI) meetings for two out of five quarterly meetings. This deficient practice was evidenced by the following: On 07/09/26 at 10:05 AM, the survey team met with the Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON) during the Entrance Conference. …
C · No harm, potential for minimal, widespreadJuly 31, 2025
Based on document review, interview, and review of facility policy, the facility failed to ensure that the quality assessment and assurance (QAA) committee met at least quarterly. This had the potential to affect the care and services for each of the 83 residents in the facility.Findings include: Review of a facility policy titled Quality Assurance and Performance improvement (QAPI) Program- Governance and Leadership dated 03/20 indicated . The committee meets at least quarterly (or more often as necessary). Committee members are reminded of meeting day, time and location via e-mail at least two business days prior to the meeting. …
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