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 Rhode Island. Pick another state for the same tag.
Against expectation — 2024
Rhode Island cites F841 more often than its own record predicts
Versus expected share5.15×
5.15 times the share F841 takes of citations nationally.
Share of Rhode Island citations0.15%
Of every deficiency written in Rhode Island in 2024, this is the portion that was F841.
Rhode Island0.15%
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 Rhode Island surveyors wrote
F841 findings written in Rhode Island, 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, patternApril 25, 2023
Based on record review and staff interview, it has been determined that the Medical Director failed to implement a resident care policy to coordinate care for residents who require dialysis (a life sustaining therapy that can replace the work of non-functioning kidneys) for 3 of 3 residents reviewed, Resident ID #s 1, 2, and 3.
Findings are as follows:
Review of the State Operations Manual Appendix PP - Guidance to Surveyors for Long Term Care Facilities revised 2/3/2023 states in part, Nursing facilities .must develop dialysis specific policies/procedures, based upon current standards of practice. …
F · No harm, potential for more than minimal, widespreadApril 30, 2024
39496
Based on record review and staff interview, it has been determined that the Medical Director failed to implement a resident care policy to coordinate care for residents related to the transcription and implementation of orders by providers.
Findings are as follows:
Record review of the facility provided document titled Medical Director Agreement revealed in part, .The Medical Director's responsibilities include .Directing and coordinating medical care in the organization .participating in establishing policies, procedures, and guidelines to ensure adequate,comprehensive services .participating in training programs as needed .Consulting with the administrator and Education Director about the organization's ability to meet the resident's needs . …
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