Based on review of facility documentation, the QAPI plan, and interviews, the facility failed to develop and implement policies and procedures for data collection systems, feedback, monitoring, analysis, and action, including adverse event monitoring and developing and implementing action plans. The findings include: Review of the QAPI Plan (requested during entrance conference) dated 1/2/26 directed that the purpose of the Quality Assurance and Performance Improvement (QAPI) Program was to establish a systematic, organization wide approach to monitoring, evaluating, and improving the quality of care, quality of life, safety, and services provided to residents. …
F867 citations in Connecticut
QAPI improvement activities · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F867 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut in 2025, this is the portion that was F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F867 findings written in Connecticut, 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.
Based on observation, review of clinical records, review of facility documentation, and interviews, the facility failed to ensure that the Quality Assurance (QA) Committee identified, discussed deficient practices and/or developed and implemented plans of action to correct the identified deficiencies. The findings include: The regulation of Quality Assurance is not met as evidenced by: Please refer to F580, F584, F609, F610, F622, F636, F638, F640, F656, F684, F711, F712, F725, F726, F729, F730, F761, F812, F880, F881, F883, F885, F886 and F887. Additionally, the regulation of Quality Assurance is not met as evidenced by repeat noncompliance with the following regulations: F584, F609, F610, F684, F865 and F880. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 0.43× |
| 2024 | 0.11% | 0.24× |
| 2025 | 0.12% | 0.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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