Based on record review and interview, it was determined that the facility failed to maintain and account for scheduled Quality Assessment and Assurance meetings. This was evident for 5 of the 11 months QAA meetings were held July 2025- June 2026. The findings include: On 7/17/26 at 10:38 AM, the surveyor conducted an interview with the Nursing Home Administrator (NHA). During the interview the NHA stated that the Assistant Director of Nursing (ADON) was responsible for running and coordinating the QAA committee. He further stated that the ADON was out of the country, and the Director of Nursing (DON) would answer any QAA QAPI questions. …
F868 citations in Maryland
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
Maryland cites F868 more often than its own record predicts
2.56 times the share F868 takes of citations nationally.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F868 findings written in Maryland, 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 surveyor review of the administrative records, facility's policies and procedure and interview with the facility staff, it was determined that the facility failed to ensure the requirements for the Quality Assessment and Assurance (QAA) committee meetings were met. This finding was identified during the QAA review. The findings include: On 02-03-2020 a review of the facility's QAA committee meeting attendance sign-in sheets, dated 05-14-2019, revealed a summary of the meeting. There was no evidence of a sign-in sheet to determine if facility met the minimum standard for required staff participation in the committee and the meeting. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.33× |
| 2024 | 0.32% | 1.31× |
| 2025 | 0.59% | 2.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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