F867 in Wisconsin. Pick another state for the same tag.
Against expectation — 2025
Wisconsin cites F867 less often than its own record predicts
Versus expected share0.56×
0.56 times the national share — cited less often here than elsewhere.
Share of Wisconsin citations0.18%
Of every deficiency written in Wisconsin in 2025, this is the portion that was F867.
Wisconsin0.18%
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 Wisconsin surveyors wrote
F867 findings written in Wisconsin, 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, widespreadDecember 14, 2023
Based on interview and record review, the facility's Quality Assurance and Performance Improvement (QAPI) program failed to ensure systems are in place and actions implemented with the intention to improve performance, including the prioritizing of pressure injury prevention and treatment, addressing the prevalence and the severity of the problem, and implementation of corrective actions, analysis of data, measuring success, and tracking performance to ensure improvements are sustained. …
Based on observation, record review and staff interview, the facility did not identify issues to which quality assessment and assurance activities are necessary, or develop and implement appropriate plans of action to correct identified quality deficiencies. This was evidenced by the number of facility acquired pressure injuries, which affected 5 Residents (R) ( R15, R64, R19, R14, and R5) who were at risk for PIs and who developed facility-acquired PIs.
The facility's Quality Assurance & Performance Improvement Plan (QAPI), dated 7/9/15 and reviewed yearly with the latest review date of 3/25/21, includes, in part: Purpose Statement: The purpose of QAPI in our organization is to take a proactive approach to continually improving the way we care for and engage with our clients, caregiver,… …
F · No harm, potential for more than minimal, widespreadJune 3, 2026
Based on interview and record review, the facility did not implement policies and procedures for feedback, data collections systems, and monitoring, including adverse event monitoring to develop activities to prevent adverse events potentially affecting 33 of 33 residents in the facility. The facility did not develop written documentation of performance improvement activities to facilitate the identification of facility-wide problems, devise plans to address the identified issues, and have a system to monitor the effectiveness of those plans and revise as needed. …
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