Deficiency Index

F867 citations in North Dakota

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 North Dakota. Pick another state for the same tag.

No F867 citations were recorded in North Dakota for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.

In the surveyor’s words

What North Dakota surveyors wrote

F867 findings written in North Dakota, 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.

D · No harm, potential for more than minimal, isolatedJuly 30, 2026

Based on review of the North Dakota Department of Health, Division of Health Facilities provider files, record review, review of facility policy, survey findings, and staff interview, the facility failed to maintain a Quality Assurance (QA) process, which identified and implemented preventative actions and mechanisms to decrease or prevent adverse events. Findings include: Review of the facility policy Quality Assurance and Performance Improvement (QAPI) occurred on 07/30/26. This policy, revised 04/30/26, stated, . It is the policy of this facility to develop, implement, and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life. 2. …

Golden Acres Manor

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