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 Tennessee. Pick another state for the same tag.
Against expectation — 2024
Tennessee cites F841 more often than its own record predicts
Versus expected share4.24×
4.24 times the share F841 takes of citations nationally.
Share of Tennessee citations0.12%
Of every deficiency written in Tennessee in 2024, this is the portion that was F841.
Tennessee0.12%
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 Tennessee surveyors wrote
F841 findings written in Tennessee, 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, patternSeptember 25, 2020
Based on review of the Medical Director's job description and interview, the Medical Director failed to provide oversight of the nursing staff to prevent the development and deterioration of wounds, failed to provide guidance to nursing administration in drafting policies according to the standards of practice of the National Pressure Ulcer Advisory Panel (NPUAP), failed to effectively assist with the Quality Assurance Performance Improvement (QAPI) meetings to monitor pressure ulcer and non-pressure wound progress, and failed to ensure orders were implemented for wound treatments for 5 of 13 sampled residents (Residents #4, #5, #6, #8, and #12) reviewed placing those residents in Immediate Jeopardy. …
D · No harm, potential for more than minimal, isolatedJanuary 2, 2024
Based on review of the Medical Director Agreement, policy review, medical record review and interview, the Medical Director failed to ensure resident care policies were implemented to use resources effectively and efficiently to attain and maintain the highest practicable well-being of all residents and failed to ensure an effective and appropriate plan to ensure residents rights to be free from allegation of abuse for 2 of 20 residents (Residents #24 and #307) reviewed for abuse.
The findings include:
1. Review of the Medical Director Agreement signed 11/17/2021, revealed .Professional Services. …
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