Based on interview and record review, the facility failed to ensure Medical Director or designee attended the Quality Assessment and Assurance Committee (QAA committee, a group of people within an organization who are responsible for reviewing identifying and addressing quality issues) meeting held on 6/26/2026 as required QAA committee meetings.This failure had the potential to adversely affect the facility's quality assessment and performance improvement process by limiting clinical oversight and guidance.Findings:During a review of the facility's QAA Steering Committee attendance sign-in sheet, dated 6/26/2026, the attendance sheet indicated the Medical Director's did not attend the meeting.During an interview on 7/16/2026 at 3:50 p.m., with the Administrator (ADMIN). …
F868 citations in California
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
California cites F868 less often than its own record predicts
0.35 times the national share — cited less often here than elsewhere.
Of every deficiency written in California 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 California surveyors wrote
F868 findings written in California, 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.
Based on interview, and record review, the facility's Quality Assurance Committee (a mandatory, internal group within a nursing home or skilled nursing facility. Its purpose is to identify, monitor, and improve the quality of care and life for residents, as required by federal law for facilities receiving Medicare or Medicaid funding) failed to meet quarterly with all required members when the Medical Director (MD) did not attend the scheduled quarterly meetings as required.This failure decreased the facility's potential to identify, monitor, implement and enhance the quality of care for residents for a census of 93.Findings:During a concurrent interview and record review on 7/9/26, at 4:13 PM, with the Administrator (ADM), the Quality Assurance and Performance Improvement (QAPI- a… …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.31× |
| 2024 | 0.11% | 0.47× |
| 2025 | 0.08% | 0.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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