Based on record review and interview, it was determined that the facility failed to establish and implement a process for the mode of communication, how often communication occurs, and what was to be communicated between the administrator and governing body. This was evident during the complaint and extended survey.The findings include:A review of the Governing Body Policy and Procedure on 1/21/26 at 9:33 AM revealed there was no implementation date. Further review revealed that the governing body members' responsibility was to be active, engaged, and involved in the affairs of the facility; they were to have direct access to the administrator and the compliance officer by scheduling executive board sessions to allow for a free flow of information without potential conflict; and have… …
F837 citations in Maryland
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 — 2025
Maryland cites F837 less often than its own record predicts
0.60 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, 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 Maryland surveyors wrote
F837 findings written in Maryland, 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.
What else Maryland surveyors cite →
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