F867 in Ohio. Pick another state for the same tag.
Against expectation — 2025
Ohio cites F867 less often than its own record predicts
Versus expected share0.24×
0.24 times the national share — cited less often here than elsewhere.
Share of Ohio citations0.08%
Of every deficiency written in Ohio in 2025, this is the portion that was F867.
Ohio0.08%
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 Ohio surveyors wrote
F867 findings written in Ohio, 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, widespreadFebruary 14, 2019
Based on record reviews, survey history review, facility plan of correction review, review of the Quality Assurance Performance Improvement Plan (QAPI) policy review and interviews with staff and Physician #305 the facility failed develop and implement an effective QAPI program to correct quality concerns with respect to staffing levels to ensure resident safety and provision of care. This resulted in Immediate Jeopardy when one unit was left unattended by staff resulting in Resident #50 attempting to self-transfer himself to bed. Actual harm occurred on 01/28/19 at approximately 10:25 A.M. …
F · No harm, potential for more than minimal, widespreadJune 18, 2026
Based on record review, interview, and review of the facility policy and procedure, the facility failed to ensure an effective Quality Assurance and Performance Improvement (QAPI) committee was in place to identify and address concerns timely and effectively. This had the potential to affect all 88 residents in the facility.Findings include: Review of the facility QAPI minutes and Performance Improvement Plan (PIP) documentation revealed the following plans without continued corrective action or evidence the plan was revised when necessary or changed once identified to be ineffective:1. Review of QAPI meeting minutes dated 12/10/25 revealed PIPs in place for check and changes, review on narcotic issues, staffing, human resources, hand hygiene and care conferences. …
C · No harm, potential for minimal, widespreadFebruary 10, 2025
Based on policy review and interview, the facility failed to establish comprehensive written policies and procedures related to the Quality Assurance (QA) process. This had the potential to affect all 89 residents.
Findings include:
Review of the Quality Assessment and Assurance policy (dated September 2021) revealed the committee would consist of the Administrator, the Director of Nursing Services, a physician designated by the facility and other facility staff members. The committee shall be responsible for identifying issues needing action that affect quality of care and services provided to residents. …
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