Based on interview and record review, the facility failed to maintain a Quality Assessment and Assurance (QAA) committee that included the required participants for 2 of 4 quarters reviewed for participation. This failed practice placed residents at risk for quality and infection control deficiencies, adverse events, and diminished quality of life.Findings includeFacility's 2025 Quality Assessment Performance Improvement (QAPI) Committee, undated, documented meetings were at a minimum once every quarter with members listed: Interim Assistant Director of Nursing/Quality Assurance Quality Improvement/Infection Control Nurse (IADON QA QI ICN), Interim Director of Nursing (IDON), Medical Director, Consult Pharmacist, Board of Directors, Supervisors for Housekeeping/dietary, Maintenance, Social… …
F868 citations in Arizona
Quality assurance committee · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F868 less often than its own record predicts
0.55 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F868.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F868 findings written in Arizona, 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.
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2024 | 0.15% | 0.63× |
| 2025 | 0.13% | 0.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction