Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
F841 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F841 more often than its own record predicts
Versus expected share1.16×
1.16 times the share F841 takes of citations nationally.
Share of Massachusetts citations0.04%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F841.
Massachusetts0.04%
National0.03%
Share of all citations that were F841.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F841 findings written in Massachusetts, 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.
H · Actual harm, patternDecember 4, 2024
Based on observation, document review and interview, the facility failed to ensure the medical director was responsible for the implementation of resident care policies and the coordination of the medical care in the facility. In addition, the facility failed to ensure the appropriateness and quality of medical care and medically related care provided to residents which resulted in worsening pressure wounds for three residents resulting in hospitalization , osteomyelitis, and for one resident, death. …
E · No harm, potential for more than minimal, patternDecember 31, 2025
Based on record review and interview the facility failed to ensure that the medical director attended the Quality Assurance and Performance Improvement (QAPI) meetings at least quarterly.Findings include:Review of the QAPI (Quality Assurance Performance Improvement) sign in records failed to indicate that the Medical Director participated in one (7/31/25) out of the last four quarters. During an interview on 12/31/25 at 1:22 P.M., the Administrator said that the facility QAPI meets monthly but the medical director attends only quarterly per the regulation. The Administrator said that she had fired the previous medical director in July 2025. The Administrator said that she did not review the QAPI program with the new medical director who was hired 8/5/25. …
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