F867 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F867 less often than its own record predicts
Versus expected share0.97×
0.97 times the national share — cited less often here than elsewhere.
Share of Michigan citations0.32%
Of every deficiency written in Michigan in 2025, this is the portion that was F867.
Michigan0.32%
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 Michigan surveyors wrote
F867 findings written in Michigan, 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.
G · Actual harm, isolatedFebruary 17, 2023
Based on interview and record review, the facility failed to fully implement its established Quality Assurance Process Improvement (QAPI) plan and adequately and appropriately address known deficiencies resulting in 1.) The inability to sustain substantial compliance with federal regulations, 2.) unrecognized and incompletely evaluated systems leading to physical and psychosocial harm and diminished quality of life for residents living at the facility.
Findings:
The facility provided a copy of the policy titled, Quality Assurance Performance Improvement Plan Updated 12/2019. …
F · No harm, potential for more than minimal, widespreadJune 23, 2026
Based on interview and record review, the facility failed to: 1) effectively identify quality deficiencies, develop, and implement appropriate action to correct deficiencies; and 2) sustain a system to ensure corrective measures related to staffing, food procurement and storage, care plans, activities of daily living care (ADL), quality of care, accidents and hazards, tube feeding, complete and accurate medical records and infection control as evidenced by repeated deficiencies on the past three surveys. This deficient practice has the potential to affect all residents that reside in the facility. Findings Include During an interview on 6/23/26 at 11:11 AM, Nursing Home Administrator (NHA) A reported that the facility's interdisciplinary team (IDT) team met monthly for QAPI. …
C · No harm, potential for minimal, widespreadApril 23, 2025
Based on interview and record review the facility failed to implement an effective Quality Assurance Performance Improvement Committee (QAPI) plan to address allegations of abuse from resident grievances.
Findings Included:
Review of resident concern/grievance logs revealed since June of 2024 there had been 15 grievances by 15 residents that were not identified as allegations of abuse.
Per the facility's Quality Assurance Performance Improvement Committee (QAPI) policy and procedure dated 4/5/2024, revealed under Procedure #6 a list of reports and logs the committee used for improvement priorities and facility-identified concerns. Resident concern summary logs were listed.
In an interview on 4/23/2025 at 1:05 PM, Administrator A stated that the QAPI committee met monthly. …
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