Top 10 NJ HCSF Deficiencies and How to Address Them
Last Updated January 2026
Maintaining compliance with New Jersey home health regulations requires close attention to documentation, plan of care oversight, and delegation. Based on survey activity and compliance reviews conducted in 2025, the following deficiencies were most frequently cited for New Jersey Health Care Service Firms (HCSFs).
Deficiency Spotlight: Plan of Care Review and Oversight
Plans of care must be reviewed by the Health Care Practitioner Supervisor at least every 30 days and updated whenever a client’s condition or needs change. Deficiencies often occur when reviews are missed; updates are delayed, or care is not clearly delegated.
Quick Tip: Track plan-of-care reviews to ensure they occur every 30 days and are documented consistently.
Common Challenges and Solutions
- Documentation: Conduct regular audits of client records to ensure all required components are complete and current.
- Delegation: Ensure certified homemaker-home health aides perform only tasks evaluated or directed by the supervising RN.
- Client Rights: Provide the Client Bill of Rights and Consumer’s Guide to CHHA within 24 hours of start of care and document receipt.
These steps help address the most frequently cited deficiencies and support ongoing compliance with New Jersey regulations.