Based on interviews, record review, and facility policy review, it was determined the facility's Governing Body failed to ensure facility policies were implemented regarding management and operation of the facility. The Governing Body failed to ensure compliance with Freedom from Abuse, Neglect, and Exploitation during Survey. Immediate Jeopardy and Substandard Quality of Care (SQC) was cited at F600 at a S/S of a J. Additionally, Administration, F835 was cited at a S/S of a J; Quality Assurance and Quality Improvement, F867 was cited at a S/S of a J. Resident Call Systems, F919 was cited at a S/S of K. …
F837 citations in Arkansas
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Arkansas cites F837 more often than its own record predicts
1.94 times the share F837 takes of citations nationally.
Of every deficiency written in Arkansas in 2024, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F837 findings written in Arkansas, 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 interviews, record review, and facility document review, it was determined that the facility failed to have a governing body in place for oversite of the Administrator and operations of the facility, affecting all residents residing within. The findings include: Review of a document titled, Assignment of contract to participate in the Arkansas Medical Assistance Program Administered by the Division of Medical Services Title XIX (Medicaid), dated 08/01/2010, indicated the buyer was [the facility] and was signed by the Administrator, whose titled was listed as, Owner/Administrator. …
What else Arkansas surveyors cite →
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