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 South Carolina. Pick another state for the same tag.
Against expectation — 2024
South Carolina cites F841 more often than its own record predicts
Versus expected share5.61×
5.61 times the share F841 takes of citations nationally.
Share of South Carolina citations0.16%
Of every deficiency written in South Carolina in 2024, this is the portion that was F841.
South Carolina0.16%
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 South Carolina surveyors wrote
F841 findings written in South Carolina, 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.
K · Immediate jeopardy, patternDecember 20, 2017
Based on review of facility files and interview, the medical director failed to be responsible for the coordination of medical care in the facility. Resident #2 and Resident #5 were both noted to exit the building unsupervised. The facility failed to address the incidents for both residents. Resident #5 was not assessed for medication changes upon return to the facility from a geri psych hospitalization . Two of nine residents reviewed for elopement and behaviors.
The findings included:
Review of the facility's Incident Log from September-December 2017 revealed Resident #2 was noted outside on 10/1/17. Resident #2 had no other documented elopements on the Incident Log. Resident #5 had no documentation of his/her elopements. …
D · No harm, potential for more than minimal, isolatedMarch 20, 2024
Based on observation, record review, staff interview, manufacturer' guidelines and review of the facility's policy and procedures, the facility failed to ensure the Medical Director worked with the facility to completely assess 1 of 5 residents (Resident (R)75) for unnecessary medications. Specifically, an antipsychotic and psychoactive medication was used by the facility without an attempted gradual dose reduction (GDR), proper medical rationale or proper indication for use.
Findings include:
Review of the facility's policy titled Psychotropic Medication Guideline revised March 2022 revealed, The Medical Director will act in an administrative and supervisory capacity by A. Contributing to the establishment of the Medical Policies in to the establishment of the Medical Policies B. …
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