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.
F837 in Georgia. Pick another state for the same tag.
Against expectation — 2025
Georgia cites F837 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F837 takes of citations nationally.
Share of Georgia citations0.06%
Of every deficiency written in Georgia in 2025, this is the portion that was F837.
Georgia0.06%
National0.05%
Share of all citations that were F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F837 findings written in Georgia, 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.
K · Immediate jeopardy, patternNovember 16, 2021
Based on observation, staff interviews and review of the facility policy titled, Quality Assurance Performance Improvement Management the facility's Governing Body failed to ensure the QAPI program was effective in identifying, developing, and implementing corrective actions to address concerns with nutrition and weight management; and failed to oversee dietary staffing to ensure adequate dietary staff to prepare, cook and serve meals. The census was 70.
On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. …
D · No harm, potential for more than minimal, isolatedJuly 3, 2025
Based on observations, interviews, record reviews, and review of Bylaws of the Board of Trustees, the facility's Governing Body failed to ensure that supply vendors were paid in a timely manner, so that there was not a disruption in supplies for resident care needs. This failure resulted in the deinstallation of linens by the facility's linen supply company on 6/11/2025.
Findings include:
Review of the Bylaws of the Board of Trustees, approved and adopted on 1/26/2021 by [name of hospital], revealed that the Board of Trustees is recognized as the governing body of the hospital. The bylaws included a definition of Chief Executive Officer (CEO). The CEO means the individual appointed by the Governing Body to act in its behalf in the overall management of the hospital. …
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