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 New Jersey. Pick another state for the same tag.
Against expectation — 2025
New Jersey cites F837 more often than its own record predicts
Versus expected share1.69×
1.69 times the share F837 takes of citations nationally.
Share of New Jersey citations0.09%
Of every deficiency written in New Jersey in 2025, this is the portion that was F837.
New Jersey0.09%
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 New Jersey surveyors wrote
F837 findings written in New Jersey, 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.
F · No harm, potential for more than minimal, widespreadMarch 21, 2025
Based on observation, interview, and record review, it was determined that the facility failed to ensure that the Governing Body (GB) appointed a Licensed Nursing Home Administrator (LNHA) who was actively licensed in the state of New Jersey (NJ) to implement the facility's policies and procedures to ensure the residents' physical and psychosocial care needs were met.
Refer to F 835 F
The evidence was as follows:
On 3/17/25 at 8:28 AM, the surveyor observed a posting of the chain of command in the facility's entrance. …
C · No harm, potential for minimal, widespreadJune 6, 2022
Complaint # NJ 212, NJ 912
Based on interviews, and record review, as well as review of pertinent facility documentation on 6/3/22 and 6/6/22, it was determined that the facility failed to consistently implement their policy on Charting and Documentation for 4 of 5 residents (Resident #1, #2, #3, and #5) reviewed for documentation. This deficient practice is evidenced by the following:
1. According to the ADMISSION RECORD (AR), Resident #1 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .
The Minimum Data Set (MDS) an assessment tool dated 12/29/21, Resident #1's cognition was intact and required extensive assistance from staff with Activities of Daily Living (ADLs). …
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