Based on observation, interviews, and pertinent facility documentation, it was determined that the facility failed to ensure that all devices used to identify call bell notifications were properly functioning. This deficient practice was identified on 2 of 3 floors (Second and Third Floors).This deficient practice was evidenced by the following:On 6/23/2026 at 10:30 AM, during the resident council meeting, one of the six residents stated that the call bells did not always work.On 6/24/2026 at 10:59 AM, the surveyor, accompanied by LPN/UM #1 toured the Third Floor Nursing Unit. The surveyor observed the following:room [ROOM NUMBER]-B call bell was activated. It registered at the nurse's station as 321-A.room [ROOM NUMBER]-A call bell was activated. …
F919 citations in New Jersey
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Jersey cites F919 more often than its own record predicts
2.06 times the share F919 takes of citations nationally.
Of every deficiency written in New Jersey in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Jersey surveyors wrote
F919 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 and interview on 2/1/19, it was determined that the facility failed to ensure that all resident bed areas were equipped with a functional nurses call systems as evidenced by the following: A functional testing of the call cord devices in resident rooms on Unit #3 revealed that 2 of 11 failed to transmit a signal to the call system's console located at the nurses station. From 1:00 p.m. to 1:30 p.m., the test was conducted by the surveyor and the facility's Maintenance Director. The surveyor observed the call cord in resident room [ROOM NUMBER] (bed A) failed, and resident room [ROOM NUMBER] (bed A) failed due to a broken activator button. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.49% | 1.13× |
| 2024 | 0.40% | 0.91× |
| 2025 | 0.92% | 2.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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