Based on record review and interviews with staff, the resident's Responsible Party (RP), Medical Director, and Nurse Practitioner (NP), the NP failed to communicate and collaborate with the Medical Director for a resident (Resident #290) who was presenting with signs of Clostridium Difficile (C. difficile or C. diff) According to the Centers for Disease Control and Prevention: C. diff-is a highly contagious bacteria that causes diarrhea and inflammation of the colon, can be life-threatening and present with symptoms which include loose stools, abdominal cramping, loss of appetite and stools may have a foul odor. For the period of [DATE], date of admission, through [DATE], the first date the NP had a progress note for Resident #290, the resident was recorded as having 42 stools in 24 days. …
F714
Nursing and Physician Services Deficiencies
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F714 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F714 finding.
The harm level
How severely F714 is cited
50.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J350.0% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D116.7% | E116.7% | F— |
| No harm, potential for minimal | A— | B— | C116.7% |
In the surveyor’s words
What an F714 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review and interview, the facility failed to provide evidence that the physician did not delegate tasks to non-physician providers that were specified to be completed by the physician personally. This affected four residents (#3, #94, #145, and #146) of four reviewed for new admissions. The facility census was 40. Findings include: 1. Review of the medical record for Resident #3 revealed an admitted [DATE] with diagnoses including epilepsy, type two diabetes mellitus, atrial fibrillation, chronic obstructive pulmonary disease, Alzheimer's disease, hypertension, hypokalemia, hyperlipidemia, hypothyroidism, adult failure to thrive, depression, and dementia with anxiety. …
Based on interview and document review, the facility failed to develop a policy and procedure for physician delegation of tasks for disciplines working under the physician's supervision. This had the potential to affect all 69 residents residing at the facility. Findings include: On 9/6/24, facility policies were reviewed. The policies lacked a procedure for physician delegation of tasks. On 9/6/24 at 5:22 p.m., the administrator stated he was unable to locate a policy or procedure addressing physician delegation of tasks.
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