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 Puerto Rico. Pick another state for the same tag.
Against expectation — 2024
Puerto Rico cites F837 more often than its own record predicts
Versus expected share3.86×
3.86 times the share F837 takes of citations nationally.
Share of Puerto Rico citations0.35%
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F837.
Puerto Rico0.35%
National0.09%
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 Puerto Rico surveyors wrote
F837 findings written in Puerto Rico, 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.
L · Immediate jeopardy, widespreadOctober 2, 2024
Based on review of governing body rules and regulations and committee meetings, it was determined that facility failed to demonstrate that had a governing body, or designated persons functioning as a governing body, legally responsible for establishing and implementing policies regarding the management and operation of the facility. This Constituted and Immediate Jeopardy to the health and safety for residents.
Findings include:
1. Governing body rules and regulations and committee meetings administrator was reviewed on 09/10/2024 at 11:30 AM. It was identified on that hospital governing body had meetings on November 29, 2023, September 06, 2023, June 21, 2024, and March 06, 2024.
2. …
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