Based on observations and interviews, it was determined that the facility failed to ensure that each resident was provided with a clean and comfortable mattress.This deficient practice was identified for 1 of 30 residents reviewed (Resident #13) on 1 of 3 units ([NAME] Hall) and was evidenced by the following: On 5/29/2026 at 9:06 AM, Resident #13 was observed seated in a wheelchair in the common area. As per Certified Nursing Assistant (CNA #3), Resident #13 gave permission to enter their room. The surveyor and CNA #1 entered Resident #13's room to observe their bed alarm.The surveyor observed a small yellow stain on the resident's top sheet. CNA #3 stated that she was in the process of changing their linen. …
F917 citations in New Jersey
Environmental Deficiencies
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F917 more often than its own record predicts
3.82 times the share F917 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F917.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F917 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.
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 2.93× |
| 2025 | 0.05% | 3.82× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction