F867 in Utah. Pick another state for the same tag.
Against expectation — 2025
Utah cites F867 more often than its own record predicts
Versus expected share1.36×
1.36 times the share F867 takes of citations nationally.
Share of Utah citations0.45%
Of every deficiency written in Utah in 2025, this is the portion that was F867.
Utah0.45%
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 Utah surveyors wrote
F867 findings written in Utah, 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.
H · Actual harm, patternAugust 20, 2025
Based on interview, observation, and record review it was determined that the facility did not establish and implement written policies and procedures for feedback, data collections systems, and monitoring, including adverse event monitoring. Specifically, multiple residents were identified to be in Immediate Jeopardy (IJ) related to abuse and elopements and the facility did not develop and implement policies to address the underlying cause of the problems or identify how corrective actions were taken and monitored. Resident identifiers: 11, 27, 31, 33, 36, 42, and 49.Findings included:1. A. …
E · No harm, potential for more than minimal, patternJuly 15, 2026
Based on interview and record review, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain, implement, and monitor effective corrective action plans to prevent the recurrence of deficient practices. Specifically, after being cited for non-compliance during the January 2026 survey, the QAA committee discontinued monthly oversight after only two to three months, prematurely returning to a quarterly schedule.This failure to maintain continuous, systematic QAA oversight resulted in repeat deficient practices identified during the July 2026 survey regarding clinical record accuracy, medication availability, and physician notification.Findings included:During the prior health survey completed in January 2026, the facility was cited for deficient practices impacting… …
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