Deficiency Index

F867 citations in Maryland

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 Maryland. Pick another state for the same tag.

Against expectation — 2025

Maryland cites F867 less often than its own record predicts

Versus expected share0.80×

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

Share of Maryland citations0.26%

Of every deficiency written in Maryland 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 Maryland surveyors wrote

F867 findings written in Maryland, 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.

J · Immediate jeopardy, isolatedJuly 7, 2025

Based on record reviews and interviews, it was determined that the facility failed to use the Quality Assurance Performance Improvement (QAPI) process to track, review, and analyze residents at risk for illicit drug use/overdoses. This was evident during review of the facility's QAPI process after 11 residents (#56, #8, #4, #45, #31, #11, #33, #32, #7, #36 and #37) were reported by the facility to the state agency for suspected drug overdoses in the past 13 months and has the potential to affect all residents with Substance Use Disorders. As a result of this deficient practice, an Immediate Jeopardy was identified on 7/2/2025 at 10:00 AM and an IJ summary tool was provided to the facility. …

Blue Point Healthcare Center

F · No harm, potential for more than minimal, widespreadAugust 21, 2026

Based on record reviews and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify, track, analyze, and implement effective performance improvement plans to address a pervasive, year-long rodent infestation that directly impacted environmental quality, sanitation, and resident well-being. Specifically, despite documented pest sightings that surged to fifty-two in a single month and required repeated facility-wide extermination clean-outs over a twelve-month period, the QAPI committee failed to recognize the ongoing pest infestation as a critical systemic failure that required formal committee review, tracking, and root-cause analysis until the issue was brought to their attention by the survey team.Findings include:On 8/20/26 at… …

Wilson Health Care Center

C · No harm, potential for minimal, widespreadAugust 28, 2019

Based on surveyor review of the facility's Quality Assessment and Assurance minutes, social services consultant audits and interviews with facility staff, it was determined that the facility failed to develop and implement an appropriate plan of action to correct identified quality deficiencies in relationship to care plan conferences and social services. The findings include: On 07-19-19, surveyor review of the Social Work Consultant (SW #7)'s audit tools revealed that the audits identified that the Care Plan Conference Summary format needed to address the residents' problems and needs as based on the residents' assessment. The resident's inputs should be incorporated into the care plan. …

Autumn Lake Healthcare at Arcola

The short window

Recent years

YearShare of Maryland citationsvs expected
20230.68%1.16×
20240.27%0.59×
20250.26%0.80×

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

What else Maryland surveyors cite →

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