Based on observation, interview, and record review, the facility failed to ensure the medical director is responsible for the implementation of resident care policies and the coordination of medical care in the facility. The medical director did not provide adequate oversight to ensure care and services to the 38 in-house residents in the facility met professional standards of quality. On (MONTH) 10, (YEAR) at 5:01 p.m., an immediate jeopardy (IJ, a situation in which the provider's non-compliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was called under F725 cross refer to F600, F677, F686, 688, and F692 in the presence of the facility Administrator and Director of Nursing. …
F841 citations in California
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F841 less often than its own record predicts
0.95 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F841.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F841 findings written in California, 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.
Based on interview and record review, the facility failed to provide adequate oversight regarding the assessment, accurate diagnosis, and documentation of mental health conditions for one out of five residents (Resident 9) reviewed for unnecessary medication use when, the mental health diagnosis for schizophrenia (a serious mental illness that makes it hard for a person to think, feel, and act clearly) and bipolar disorder (a mental health condition that causes extreme shifts in mood, energy, and activity levels) was not accurately evaluated, documented, and assessed according to evidence-based criteria and in compliance with professional standards for Resident 9. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 2.00× |
| 2024 | 0.03% | 1.19× |
| 2025 | 0.03% | 0.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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