Deficiency Index

F865 citations in Idaho

QAPI program · Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F865 in Idaho. Pick another state for the same tag.

Against expectation — 2025

Idaho cites F865 more often than its own record predicts

Versus expected share1.40×

1.40 times the share F865 takes of citations nationally.

Share of Idaho citations0.33%

Of every deficiency written in Idaho in 2025, this is the portion that was F865.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Idaho surveyors wrote

F865 findings written in Idaho, 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.

I · Actual harm, widespreadNovember 8, 2019

Based on observation, record review, policy review, review of grievances, review of I&A Reports, review of staffing schedules, review of Quality Assessment and Performance Improvement (QAPI) meeting minutes, and interviews with residents and staff, it was determined the facility failed to ensure the QAPI program was effectively implemented. This failure directly impacted 40 out of 40 residents (#4, #7, #8, #13, #14, #17, #18, #19, #20, #23, #24, #25, #28, #31, #32, #35, #36, #38, #46, #49, #53, #54, #57, #59, #61, #62, #65, #72, #75, #130, #131, #134, #180, #231, #333, #380, #430, #4311, #480, and #481) who were reviewed, and affected the other 57 residents in the facility. …

Life Care Center of Post Falls

E · No harm, potential for more than minimal, patternMay 1, 2026

Based on record review, policy review, and staff interview, it was determined the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) Committee effectively identified, monitored, and corrected ongoing systemic issues related to the Restorative Nursing Program. This failure resulted in continued inability to meet the facility's established benchmark for restorative service (RA) completion and documentation across multiple consecutive quarters from 2024 through 2026. These findings demonstrate the QAPI Committee did not ensure the implementation of effective corrective actions or sustained performance improvement as required. …

Boundary County Nursing Home

What else Idaho surveyors cite →

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction