Deficiency Index

F867 citations in Pennsylvania

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 Pennsylvania. Pick another state for the same tag.

Against expectation — 2025

Pennsylvania cites F867 more often than its own record predicts

Versus expected share1.98×

1.98 times the share F867 takes of citations nationally.

Share of Pennsylvania citations0.65%

Of every deficiency written in Pennsylvania in 2025, this is the portion that was F867.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Pennsylvania surveyors wrote

F867 findings written in Pennsylvania, 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, isolatedAugust 21, 2026

Based on review of facility documentation, results of previous survey, and results of the current survey, it was determined that the facility Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed deficiencies.Findings include: The facility deficiencies and plans of correction for a State Survey and Certification (Department of Health) survey ending May 22, 2025, revealed that the facility developed plans of correction that included quality assurance systems to ensure that the facility maintained compliance with cited nursing home regulations. …

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The short window

Recent years

YearShare of Pennsylvania citationsvs expected
20230.70%1.19×
20240.95%2.11×
20250.65%1.98×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Pennsylvania surveyors cite →

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