Deficiency Index

F841 citations in Puerto Rico

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.

F841 in Puerto Rico. Pick another state for the same tag.

Against expectation — 2024

Puerto Rico cites F841 more often than its own record predicts

Versus expected share12.25×

12.25 times the share F841 takes of citations nationally.

Share of Puerto Rico citations0.35%

Of every deficiency written in Puerto Rico in 2024, 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 Puerto Rico surveyors wrote

F841 findings written in Puerto Rico, 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.

F · No harm, potential for more than minimal, widespreadSeptember 25, 2024

Based on medical records obtained on [DATE], it was determined that the facility failed to secure designate a physician to serve as medical director. Findings include: 1. During the review of the medical faculty file on [DATE] at 9:15 AM in the medical director's file (employee #4), a medical faculty appointment was found at the hospital's rehabilitation center as category: Active Medical Staff, but not as medical director. 2. On [DATE] at 9:20 AM, the medical director's file contained a criminal record that expired on [DATE]. The facility failed to make the appointment with its job description as medical director.

Multy Medical Skilled Nursing Facility

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