Based on observation, interview, record review and review of pertinent facility documentation, it was determined that the facility failed to apply the principals of antibiotic stewardship during the treatment 1 of 5 residents reviewed for infections (Resident #12).The deficient practice was evidenced by the following: On 6/10/26 at 11:10 AM, during the initial tour of the facility, the surveyor observed Resident #12 receiving intravenous (IV) therapy from an electronic pump next to the resident's bed.On 6/10/26 at 11:45, the surveyor reviewed Resident 12's electronic health record (EHR). …
F881 citations in New Jersey
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F881 more often than its own record predicts
1.15 times the share F881 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F881 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 interview and review of other pertinent facility documentation, it was determined that the facility failed to ensure facility-wide implementation of the Antibiotic Stewardship program, which included a system for routine feedback reports and tracking measures of outcome surveillance related to antibiotic use was followed, as per facility policy and national standards. This deficient practice was evidenced by the following: On 01/31/24 at 01:12 PM, the surveyor interviewed the Director of Nursing (DON) who stated the Infection Preventionist (IP) was responsible for Antibiotic (ABT)Stewardship. The DON further explained the newly hired IP was still in training and that the facility was in contact with the previous IP who left approximately two weeks ago. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.49% | 1.06× |
| 2024 | 0.45% | 1.01× |
| 2025 | 0.55% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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