Based on interview, record review and review of other pertinent facility documentation it was determined that the facility failed to ensure that monthly recommendations documented in the pharmacy consultant reports identifying blood pressure medications consistently administered outside of physician ordered parameters were reviewed by the Medical Director (MD). This failure to review was inclusive of a 12 month period of time (April (YEAR) to (MONTH) 2019) for six residents (Resident #104, #362, #366, #82, #71 and #18). The Medical Director's disregard to review pharmacy consultant notifications of blood pressure medications not being given in accordance with physician ordered parameters posed a serious and immediate threat to the safety and well-being of all residents in the facility. …
F841 citations in New Jersey
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
New Jersey cites F841 more often than its own record predicts
1.38 times the share F841 takes of citations nationally.
Of every deficiency written in New Jersey 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 New Jersey surveyors wrote
F841 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.
Based on interview and review of pertinent facility documents, it was determined that the facility failed to ensure the medical director: a.) implemented the facility's policies and procedures for resident care including physician visits documented at the time of visit and b.) ensure facility policies and procedures were reviewed and updated as needed. This deficient practice has the potential to affect all residents, and was evidenced by the following:Refer F 711A review of the undated facility provided Director Roles and Responsibilities for the Medical Director's job description included:Physician Leadership: Help the facility ensure that patients have appropriate physician coverage and ensure the provision of physician and health care practitioner services.Provide guidance for… …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 3.56× |
| 2024 | 0.05% | 1.75× |
| 2025 | 0.05% | 1.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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