F868 in District of Columbia. Pick another state for the same tag.
Against expectation — 2023
District of Columbia cites F868 more often than its own record predicts
Versus expected share1.77×
1.77 times the share F868 takes of citations nationally.
Share of District of Columbia citations0.45%
Of every deficiency written in District of Columbia in 2023, this is the portion that was F868.
District of Columbia0.45%
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 District of Columbia surveyors wrote
F868 findings written in District of Columbia, 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, widespreadApril 26, 2023
Based on record reviews and staff interviews, facility staff failed to show documented evidence that the facility conducted quarterly QAPI (Quality Assurance & Performance Improvement) meetings to identify and evaluate quality activities for the year 2022. The resident census during the survey was 44.
The findings included:
A review of an email correspondence provided to the surveyor dated 06/09/22, showed in the subject line QAPI-1st Quarter 2022 Microsoft Teams Meeting.
The facility staff was unable to show documented evidence that the QAPI committee met more than once in the year 2022. …
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