The facility reported a census of 34 residents. Based on interview and record review the facility failed to ensure the required members attended the Quality Assurance Performance Improvement (QAPI) meetings at least quarterly, as required by federal regulation. This failure had the ability to affect all 34 residents. Findings included:- Review of the facility provided Sign in sheets, which appeared to be hand drawn with columns and lines, and had the following handwritten headings: Date, Print Name, Signature, and Title. …
F868 citations in Kansas
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
Kansas cites F868 more often than its own record predicts
2.34 times the share F868 takes of citations nationally.
Of every deficiency written in Kansas 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 Kansas surveyors wrote
F868 findings written in Kansas, 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.
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.57% | 2.23× |
| 2024 | 0.35% | 1.42× |
| 2025 | 0.54% | 2.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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