F865 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F865 less often than its own record predicts
Versus expected share0.69×
0.69 times the national share — cited less often here than elsewhere.
Share of Maryland citations0.16%
Of every deficiency written in Maryland in 2025, this is the portion that was F865.
Maryland0.16%
National0.24%
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 Maryland surveyors wrote
F865 findings written in Maryland, 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, isolatedJuly 31, 2026
Based upon record review and staff interview, the facility failed to ensure that its Quality Assurance and Performance Improvement (QAPI) program maintained and implemented a comprehensive, data- driven program. This was found to be evident in 8 of the 9 monthly reports reviewed during the recertification and complaint survey. The findings include:QAPI is a data-driven, proactive approach used in healthcare settings to maintain and continuously improve the quality, safety, and outcomes of care. A Performance Improvement Project (PIP) is a focused, structured project to actively improve a specific process. …
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