F868 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F868 more often than its own record predicts
Versus expected share1.46×
1.46 times the share F868 takes of citations nationally.
Share of Hawaii citations0.34%
Of every deficiency written in Hawaii in 2025, this is the portion that was F868.
Hawaii0.34%
National0.23%
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 Hawaii surveyors wrote
F868 findings written in Hawaii, 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, widespreadJanuary 31, 2025
Based on staff interview and review Quality Assurance Performance Improvement (QAPI) program, the facility did not fulfill the requirement to have Director of Nursing (DON) participation on the Quality Assessment and Assurance Committee. As a result of this deficiency, there was risk of negative impact on coordination and evaluation activities under the QAPI program.
Findings include:
Cross-reference to F727 Registered Nurse, DON.
During staff interview on 01/27/25 at 08:20 AM, Administrator (Admin) said that there was no DON and that the facility was currently looking for one. …
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