Deficiency Index

F867 citations in Georgia

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.

F867 in Georgia. Pick another state for the same tag.

Against expectation — 2025

Georgia cites F867 less often than its own record predicts

Versus expected share0.70×

0.70 times the national share — cited less often here than elsewhere.

Share of Georgia citations0.23%

Of every deficiency written in Georgia 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 Georgia surveyors wrote

F867 findings written in Georgia, 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.

L · Immediate jeopardy, widespreadJuly 31, 2025

On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility's Administrator, Regional Director of Clinical Operations, and Director of Operations were informed of the Immediate Jeopardy (IJ) on [DATE], at 3:48 pm. The noncompliance related to the IJ was identified to have existed on [DATE]. …

Rosewood at Tybee Island of Journey LLC, The

D · No harm, potential for more than minimal, isolatedJanuary 18, 2026

Based on record review, staff interviews, and review of the facility policy titled, Quality Assurance and Performance Improvement (QAPI), the facility failed to maintain a Quality Assessment and Assurance (QAA) program that effectively identified, developed, and implemented corrective action plans to effectively addressed concerns related to ensuring a safe, clean, comfortable, homelike environment and completion of Level I PASRR Screenings. The deficient practice had the potential to affect the quality of life and quality of care for residents. …

Palemon Gaskins Mem NSG Home

The short window

Recent years

YearShare of Georgia citationsvs expected
20230.51%0.87×
20240.40%0.90×
20250.23%0.70×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Georgia surveyors cite →

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