F868 in Alabama. Pick another state for the same tag.
Against expectation — 2023
Alabama cites F868 more often than its own record predicts
Versus expected share2.02×
2.02 times the share F868 takes of citations nationally.
Share of Alabama citations0.52%
Of every deficiency written in Alabama in 2023, this is the portion that was F868.
Alabama0.52%
National0.26%
Share of all citations that were F868.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F868 findings written in Alabama, 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, widespreadJanuary 11, 2023
Based on interview, record review, and review of facility Quality Assurance and Performance Improvement Process (QAPI) meeting attendance records, the facility failed to ensure the QAPI committee was composed of the required committee members. Specifically, the facility failed to provide evidence that the Infection Preventionist (IP) participated as a required QAPI committee member.
This deficient practice had the potential to affect all 98 residents residing in the facility.
Findings Include:
Review of the facility's QAPI Meeting sign-in sheets dated 05/2022, 6/2022, 7/2022, 8/2022, 9/2022, 11/2022, and 12/2022 revealed an IP had not signed as present during the meetings. …
C · No harm, potential for minimal, widespreadAugust 19, 2021
Based on document review, interviews and review of the facility's policy, the facility failed to ensure that the Quality Assessment and Assurance (QAA) committee met at least quarterly. This had the potential to affect the care and services for each of the 65 residents in the facility.
Findings include:
Review of a facility policy titled, Quality Assurance Performance Improvement for EAMC (Eastern Alabama Medical Center) Long Term Care, dated March 2017 indicated, .Procedure.The QAPI committee meets at least quarterly .
Review of a facility document titled, Quality Assurance Performance Improvement Plan, dated November 2020 indicated, .The QAA committee will meet quarterly and as needed. …
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