F867 in Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F867 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F867 takes of citations nationally.
Share of Rhode Island citations0.35%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F867.
Rhode Island0.35%
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 Rhode Island surveyors wrote
F867 findings written in Rhode Island, 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 27, 2026
Based on record review and staff interview, it was determined that the facility failed to provide evidence of an ongoing system to monitor, track, measure and evaluate the facility's Quality Assurance and Performance Improvement (QAPI) program to ensure improvements are realized and sustained.Findings are as follows:Record review of the facility's QAPI program documents failed to reveal evidence that the facility has monitored, tracked, measured, and evaluated any of their performance improvement projects.During a surveyor interview on 7/27/2026 at 11:44 AM with the Administrator, she was unable to provide evidence of monitoring, tracking, measuring, and evaluating any of their performance improvement projects.
C · No harm, potential for minimal, widespreadAugust 5, 2021
Based on record review and staff interview, it has been determined that the facility has failed to measure success and track performance of Quality Assurance and Performance Improvement (QAPI) actions to ensure that improvements are realized and sustained.
Findings are as follows:
A review of the QAPI plan and meeting minutes on 8/5/2021 from January 2021 to August 2021 revealed the following problem areas that required improvement:
-Infection Control Ratings
-Falls
-Medication storage
-Resident wander guards
-Emergency preparation
Further review of the QAPI meeting minutes failed to reveal that the facility reviewed and analyzed the data and acted on the available data to make improvements on all identified problem areas. …
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