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.
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.
Against expectation — 2024
Puerto Rico cites F841 more often than its own record predicts
12.25 times the share F841 takes of citations nationally.
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.
What else Puerto Rico surveyors cite →
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