F867 in Nevada. Pick another state for the same tag.
Against expectation — 2025
Nevada cites F867 more often than its own record predicts
Versus expected share1.99×
1.99 times the share F867 takes of citations nationally.
Share of Nevada citations0.65%
Of every deficiency written in Nevada in 2025, this is the portion that was F867.
Nevada0.65%
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 Nevada surveyors wrote
F867 findings written in Nevada, 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.
F · No harm, potential for more than minimal, widespreadJuly 1, 2025
Based on observation, clinical record review, document review, and interview, the facility's Quality Assurance and Performance Improvement (QAPI)/Quality Assessment and Assurance (QAA) Committee failed to identify, develop and implement plans of action for systemic issues related to resident room changes and the facility bowel and bladder program.
Findings include:
Room Changes
On 07/01/2025 at 1:47 PM, the Administrator verbalized QAPI had identified and developed a plan for resident room changes. The Administrator verbalized the QAPI Committee began working on resident notifications of room changes in May 2025, and was still be monitored. …
C · No harm, potential for minimal, widespreadApril 20, 2023
Based on interview and document review, the facility failed to ensure the Quality Assurance Performance Improvement (QAPI) policies included systems and/or processes to identify concerns, analyze data, develop performance improvement plans (PIP), monitor outcomes, and ensure resolution with the potential to affect the facility's entire resident census of 25.
Findings include:
On 04/20/23 at 10:36 AM, the Risk Director confirmed the facility did have a QAPI policy in place to identify and correct quality deficiencies. …
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