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 New York. Pick another state for the same tag.
Against expectation — 2025
New York cites F841 more often than its own record predicts
Versus expected share3.31×
3.31 times the share F841 takes of citations nationally.
Share of New York citations0.11%
Of every deficiency written in New York in 2025, this is the portion that was F841.
New York0.11%
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 New York surveyors wrote
F841 findings written in New York, 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.
J · Immediate jeopardy, isolatedFebruary 2, 2018
Based on staff interviews and record review during an abbreviated and partial extended survey (Complaint # NY 307) the Medical Director failed to ensure that the facility provided care in accordance with current standards of practice to meet the needs for 1 Resident (#1) of 3 residents reviewed for Respiratory/[MEDICAL CONDITION] Care. Specifically, the Medical Director failed to ensure that the Policies and Procedures were developed and implemented to provide and monitor the respiratory support necessary to ensure adequate ventilation for Resident #1. The Medical Director also failed to coordinate the medial care of Resident #1 with a known recent history of not tolerating the weaning process. …
Based on record review and interviews during the extended recertification survey conducted 6/4/2024-7/11/2024 the facility's Medical Director did not ensure the coordination of medical care with interdisciplinary teams and implement and evaluate resident care policies to assure they reflected current professional standards. Specifically, the Medical Director failed to ensure that policies and procedures were developed and implemented to provide and monitor the delivery of care and services to residents in the areas of Self-administration of Medication (F 554), Pain Management (F 697), Laboratory Services/Notification of Results (F 773), and Provision of Medically Related Social Services (F 745), resulting in actual harm with potential for serious harm that was Immediate Jeopardy. …
E · No harm, potential for more than minimal, patternMay 18, 2026
Based on observations, interviews, and record review conducted during a survey, the facility did not ensure the medical director was responsible for coordinating the medical care of one (1) (Westminster Unit) of seven (7) units. Specifically, the Medical Director was not involved in the facility assessment, quality assurance committee meetings, and did not oversee the development of facility policies and procedures to prevent abuse. The findings are:The facility policy titled Physician Services dated 10/09/2025 documented the medical care of each resident was supervised by a licensed physician. The Medical Directo identifies attending physician qualifications and responsibilities, based on clinical and regulatory requirements and the recommendations of relevant professional associations. …
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