F865 in Arkansas. Pick another state for the same tag.
Against expectation — 2024
Arkansas cites F865 more often than its own record predicts
Versus expected share3.82×
3.82 times the share F865 takes of citations nationally.
Share of Arkansas citations0.71%
Of every deficiency written in Arkansas in 2024, this is the portion that was F865.
Arkansas0.71%
National0.19%
Share of all citations that were F865.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F865 findings written in Arkansas, 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.
D · No harm, potential for more than minimal, isolatedAugust 2, 2024
Based on interview, record review, and facility policy review, it was determined the facility's Quality Assurance Performance Improvement Program (QAPI) failed to maintain records of their program that developed and implemented effective improvement plans to correct identified areas of concern. The facility failed to ensure the facility was able to provide its QAPI plan to the State surveyors during recertification survey or upon request.
On 8/2/24 10:30 AM, Administrator states he is unable to provide records of the QA (Quality Assurance) committee meetings when requested. The administrator states, We can't find them, I've been here a week, and I don't have them.
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