F867 in Kentucky. Pick another state for the same tag.
Against expectation — 2024
Kentucky cites F867 less often than its own record predicts
Versus expected share0.67×
0.67 times the national share — cited less often here than elsewhere.
Share of Kentucky citations0.30%
Of every deficiency written in Kentucky in 2024, this is the portion that was F867.
Kentucky0.30%
National0.45%
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 Kentucky surveyors wrote
F867 findings written in Kentucky, 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, widespreadNovember 22, 2024
Based on interview, record review, review of the facility's plan of correction from the 04/05/2024 survey, and review of the facility's policy, the facility failed to maintain an effective Quality Assurance Performance Improvement (QAPI) Program that developed and implemented appropriate plans of action to correct quality deficiencies. Quality deficiencies were evidenced by the facility's failure to establish and maintain an infection prevention and control program (IPCP) designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases. …
Based on record review, staff interviews, review of the facility's policy, and review of the Administrator's Job Description, it was determined the Quality Assurance and Program Improvement (QAPI) committee failed to identify quality deficiencies, take actions aimed at performance improvement, track performance to ensure that improvements were realized and sustained related to citations of F-689, F-692, F-700, F-758, and F-865. This resulted in harm to five (5) of thirty (30) sampled residents (Resident #4/20, #7/23, #3/31, #34, and #11/37) related to the facility's failure to have an effective plan to self-identify quality of care concerns, and implement a plan, to prevent the worsening significant/severe weight loss for these residents. …
F · No harm, potential for more than minimal, widespreadAugust 14, 2026
Based on interview, record review, and review of facility documentation and policy, the facility failed to have an effective process in place to address systemic failures through its Quality Assurance Performance Improvement (QAPI) process. As a result of the failure the facility failed to ensure standards for quality of care regarding performance improvement measures were achieved and sustained as required. The systemic failure placed residents at increased risk for lack of quality of care and preventable infectious diseases.The State Survey Agency (SSA) identified continued non-compliance cited on the previous standard survey on 03/26/2026 under 42 CFR 483.25 Quality of Care (F693) Enteral Feeding, and 42 CFR 483.80 (F880) Infection Control. …
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