Based on interviews, record review and policy review, the facility's Quality Assessment and Assurance (QAA) committee failed to meet on at least a quarterly basis to conduct QAA activities to identify potential or actual concerns that have caused or have the potential to cause serious harm to residents. The facility census was 117. On 3/1/2021 a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing were informed of the Immediate Jeopardy for F580, F600, and F835 on 3/1/2021 at 11:40 a.m. …
F868 citations in Georgia
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 — 2024
Georgia 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 Georgia in 2024, 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 Georgia surveyors wrote
F868 findings written in Georgia, 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 staff interview, record review, and review of the facility's policy, the Quality Assurance and Performance Improvement (QAPI) committee failed to ensure the required members of the committee attended the quarterly meetings. This failure had the potential to affect all 71 residents who currently live in the facility.Findings include: Review of the facility's policy titled, Quality Assurance and Performance Improvement (QAPI), dated 03/20/25 revealed, Policy: It is the policy of this facility to develop, implement, and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life and addresses all the care and unique services the facility provides. Policy Explanation and Compliance Guidelines: l. …
What else Georgia 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