F865 in Nevada. Pick another state for the same tag.
Against expectation — 2025
Nevada cites F865 more often than its own record predicts
Versus expected share6.19×
6.19 times the share F865 takes of citations nationally.
Share of Nevada citations1.47%
Of every deficiency written in Nevada in 2025, this is the portion that was F865.
Nevada1.47%
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 Nevada surveyors wrote
F865 findings written in Nevada, 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, isolatedJune 29, 2026
Based on interview and document review, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify the facility lacked a process to ensure residents were screened for eligibility to receive an influenza and/or pneumococcal vaccine upon admit and annually thereafter. This deficient practice resulted in a substandard quality of care related to the facility's immunization program. Findings include:On 06/29/2026 at 3:03 PM, the Administrator confirmed the QAPI committee had not identified a concern related to screening residents for eligibility to receive influenza and/or pneumococcal vaccines at admit and annually thereafter. …
C · No harm, potential for minimal, widespreadFebruary 1, 2019
Based on record review, interview and policy review, the facility failed to provide policies/protocols describing how it would identify and correct its own quality deficiencies.
Findings include:
On 2/1/19 in the early afternoon, the Administrator and Director of Nursing were unable to provide policies/protocols approved by the facility's Governing Body for any Quality Assurance, including the following:
--tracking and measuring performance
--establishing goals and thresholds for performance measurement
--identifying and prioritizing deviations from performance and other problems and issues
-- systematically investigating and analyzing to determine underlying causes of systemic problems and adverse events
--developing and implementing corrective action and performance improvement… …
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