Based on interview and record review the facility failed to effectively ensure, Staff L, Medical Director (MD) fulfilled their responsibilities with regulatory requirements related to the MD's coordination of adequate and appropriate medical care for facility residents which resulted in harm for five of five residents (24, 30, 40, 29, 26). The failure to ensure MD oversite of nursing staff and coordination of care caused; 1) residents to experience Substandard Quality of Care at an Immediate Jeopardy (IJ) level regarding Freedom from Abuse/Neglect and Quality of Care, 2) further risk of residents receiving unnecessary [CONDITION(S)] medications prescribed without the necessary indication for use/rational documented, along with a risk of adverse complications due to a delay in the timely… …
F841 citations in Washington
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 — 2025
Washington cites F841 more often than its own record predicts
1.05 times the share F841 takes of citations nationally.
Of every deficiency written in Washington in 2025, 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 Washington surveyors wrote
F841 findings written in Washington, 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.
Based on interview and record review, the facility failed to coordination with the opioid treatment program provider to change dosage of medications for opioid use disorder (MOUD) for 1 of 1 sampled residents, (Resident 1), reviewed for MOUD. This failure placed the resident at risk for medical complications, unintended health consequences and diminished quality of life.Findings included .Per the Code of Federal Regulations Title 42 Section 8.12 (h)(1) opioid treatment programs (OTP; a specialized clinic that provides medication-assisted treatment for individuals with opioid use disorder) must ensure that medications for opioid use disorder (MOUD) are administered or dispensed only by a practitioner licensed under the appropriate State law and registered under the appropriate State and… …
What else Washington surveyors cite →
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