Based on interview and record review, the facility failed to ensure all required members of the QAA committee attended required quarterly Quality Assessment and Assurance/Quality Assurance & Performance Improvement (QAA/QAPI) meetings. The findings are: On 11/16/23 at 10:55 AM, the Surveyor asked the Administrator, In order to be considered a QAA meeting, who is required to be in attendance? The Administrator stated, Well, the Department Head directors, Medical Director and APN along with the Therapy Team. The Surveyor asked, How often do you hold QAA meetings? The Administrator stated, I have only been here for five weeks but they should be held quarterly. surveyor asked, can you provide me a copy of the sign in attendance sheets for those meetings. …
F868 citations in Arkansas
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 — 2023
Arkansas cites F868 less often than its own record predicts
0.60 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2023, 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 Arkansas surveyors wrote
F868 findings written in Arkansas, 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.
What else Arkansas surveyors cite →
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