F867 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F867 less often than its own record predicts
Versus expected share0.98×
0.98 times the national share — cited less often here than elsewhere.
Share of California citations0.32%
Of every deficiency written in California in 2025, this is the portion that was F867.
California0.32%
National0.33%
Share of all citations that were F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F867 findings written in California, 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.
H · Actual harm, patternAugust 8, 2025
Based on observation, interview and record review, the facility's QAPI committee failed to ensure action plans related to deficient practices identified in the last recertification survey, dated 8/5/25 through 8/8/25, were implemented by 8/25/25 as their POC (Plan of Correction) indicated.As a result, the facility remained noncompliant with a deficiency cited during the prior survey, which had the potential to affect the health and safety of the residents.Findings:Following a recertification survey dated 8/5/25 through 8/8/25, the facility provided a POC which ensured: an audit of resident weights was conducted, a weekly risk review of all resident nutrition needs assessments, consumption, and needs for assistance would be provided. …
D · No harm, potential for more than minimal, isolatedJuly 9, 2026
Based on interview and record review, the facility failed to conduct and review planned quality improvement monitoring activities and audits to determine whether corrective actions were effective for the problems identified for pressure injuries (PI).This failure resulted in wound treatment orders recommended by the wound consultant (WMD) not being implemented in a timely manner, for five of six residents reviewed for PIs. (Cross refer F-686)Findings: A review of the facility document titled, QAPI (Quality Assurance and Performance Improvement) Plan dated [DATE], indicated the improvement plan required weekly wound reports, monitoring of implementation of wound treatment orders, and presentation of audit findings to the QAPI Committee for review and recommendations monthly for three… …
B · No harm, potential for minimal, patternMay 13, 2025
Based on interview, facility document review, and facility P&P review, the facility failed to ensure the QAPI committee implemented and monitored the effectiveness of their plan of correction for improvement of repeated deficient practice cited at F695, F761, F842, and F880. This failure had the potential to affect the quality of care for all the residents in the facility.
Findings:
Review of the facility's Quality Assurance Performance Improvement (QAPI) Program showed QAPI will develop monitoring tools that provide an effective mechanism to ensure residents receive the necessary care. …
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