Licensure Reference Number 175 NAC 12-006.07(A) The facility failed to ensure the required members of the Quality Assurance and Performance Improvement (QAPI - a data-driven, proactive approach to Quality Assurance {meeting standards} and performance improvement {enhancing processes} to improve care, safety, and quality of life) Committee attended the quarterly meetings. This had the potential to affect 33 residents that resided in the facility at the time of the survey. The facility census was 33. Findings are: A record review of the facility's undated QAPI policy revealed the committee members included the Medical Director (Physician Review Committee). …
F868 citations in Nebraska
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
Nebraska cites F868 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F868 findings written in Nebraska, 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.
What else Nebraska surveyors cite →
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