Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
of F840 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 202556
Every F840 citation surveyors wrote nationally that year.
Facilities cited53
Distinct nursing homes with at least one F840 finding.
The harm level
How severely F840 is cited
3.1% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K—
L—
Actual harm
G52.6%
H10.5%
I—
No harm, potential for more than minimal
D15277.9%
E2713.8%
F84.1%
No harm, potential for minimal
A—
B—
C21.0%
Every recorded F840 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F840 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedMarch 16, 2026
Based on interview and record review it was determined that the facility did not ensure that the resident was provided access to an outside provider when the qualified professional person was not employed by the facility, and the facility assumed responsibility for obtaining those services in a timely manner. Specifically, for 1 out 9 sampled residents, the facility did not obtain an appointment with an Ear, Nose, and Throat (ENT) provider for the evaluation of a resident's tracheostomy and tracheal stenosis as ordered. This resulted in a finding of harm for resident 1. …
D · No harm, potential for more than minimal, isolatedAugust 6, 2026
Based on interview and document review, the facility failed to ensure a written agreement was established with an outside dialysis provider that furnished dialysis services to facility residents. This deficient practice had the potential to affect all residents who received dialysis services at an outside facility.Findings include:Review of facility documentation identified that residents received outpatient hemodialysis services from an outside dialysis provider.Review of facility contracts and agreements failed to identify a written agreement between the facility and the dialysis provider that defined the services provided and the responsibilities of the facility and the dialysis provider related to the residents' dialysis care.During an interview on 8/3/26 at 12:48 p.m., Administrator… …
C · No harm, potential for minimal, widespreadNovember 6, 2024
Based on interview and document review, the facility failed to provide the facility agreements for contracted services which had the potential to affect all 46 residents residing in the facility reviewed during the extended survey.
Findings include:
A copy of any agreement the facility had such as dental, hospital transfer, and/or psychiatric services was requested. The only agreement received was a Nursing Facility Services Agreement dated 8/26/13, identified the facility had an agreement with LifeCare Medical Center for hospice services.
During document review on 11/6/24, at 12:47 p.m. the administrator confirmed he had been unable to locate any current agreements other than the one hospice agreement.
No further information was provided.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction