Based on facility documentation review, and interviews for facility review of QAPI, the facility failed to ensure quarterly Medical Staff meetings were held. The findings include:Interview and facility documentation review with the Administrator on 3/3/2026 at 9:40 AM identified the facility currently had a Medical Director that was unavailable to come into the facility since 2/19/2026. The Administrator stated the facility had one (1) additional physician that had retired at an unknown time in 2025 and had not been replaced. Interview and facility documentation review with the Administrator on 3/3/2026 at 2:37 PM identified she was unable to produce Medical Staff/QAPI meeting minutes and agendas for the prior 12 months. …
F868 citations in Connecticut
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
Connecticut cites F868 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut 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 Connecticut surveyors wrote
F868 findings written in Connecticut, 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 review of the attendance record for the Quality Assurance (QA) Review meetings, and staff interviews, the facility failed to identify that a Quality Assurance meeting was completed quarterly for 2025 and from the first quarter of 2026. The findings include: On 8/6/26 at 2:41 PM interview with the Administrator and the Director of Nursing (DNS) during a review of the QAA meeting agenda and criteria, the Administrator identified that the facility failed to provide documentation of sign-in sheets, agenda and quarterly meeting minutes for 2025 and the first quarter of 2026. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.33× |
| 2024 | 0.28% | 1.13× |
| 2025 | 0.12% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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