F867 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F867 less often than its own record predicts
Versus expected share0.32×
0.32 times the national share — cited less often here than elsewhere.
Share of Oregon citations0.10%
Of every deficiency written in Oregon in 2025, this is the portion that was F867.
Oregon0.10%
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 Oregon surveyors wrote
F867 findings written in Oregon, 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.
K · Immediate jeopardy, patternFebruary 13, 2023
Based on interview and record review it was determined the facility failed to have an effective QAPI program which reviewed incidents of physical and sexual abuse for tracking and corrective action. This failure was determined to be an immediate jeopardy situation and continued to place residents at risk for abuse and resulted in two incidents of sexual abuse by Resident 67 against Resident 68. Findings include:
The facility's Freedom from Abuse, Neglect and Exploitation revised 2/21 revealed the following:
Any Alleged or identified abuse, neglect, exploitation, mistreatment, including injuries or unknown source and misappropriation of resident property is reported, tracked, monitored for trends, patterns, etc. …
Based on interview and record review it was determined the facility's quality assessment and assurance committee (QAA) failed to systematically identify and correct deficiencies in the areas of dignity, quality of care, accidents, nursing services, staffing and infection control. This placed residents at risk for adverse consequences, injury and contracting infectious diseases and resulted in a hip fracture for Resident 41 and a worsening wound for Resident 27. Findings include:
The facility's 8/15/22 Quality Assurance and Performance Improvement (QAPI) Plan identified the following goal for improvement:
-To improve and maintain survey compliance for the rest of 2022 and on-going.
The facility's 1/19/2023 survey identified the following:
1. …
F · No harm, potential for more than minimal, widespreadApril 24, 2026
Based on interview and record review it was determined the facility failed to ensure a Quality Assurance and Performance Improvement (QAPI) program implemented action plans to correct identified quality deficiencies. This placed all residents at risk for not receiving care and services for optimal resident outcomes. Findings include:The facility's 7/19/24 Quality Assurance/Performance improvement (QAPI) program will aim for safety and high quality with all clinical interventions and service delivery while emphasizing autonomy, choice and quality of daily life for residents and family by ensuring our data collection tools and monitoring systems are in place. -The mission of [NAME] is to provide the appropriate care for our residents to make their days the best they can be. …
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