Who is ultimately responsible for rectifying not only the situation that occurred, but the system in which it occurred?

After reviewing the Riverbend City: Nursing Home Health Care Leadership Mission media, create a post that answers the following questions:

Which organization is responsible for addressing the issues presented?
Who is ultimately responsible for rectifying not only the situation that occurred, but the system in which it occurred?
How is that organization governed?
How does the governance structure or model and leadership actions affect this situation from a community-based perspective

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