F868 in New Hampshire. Pick another state for the same tag.
Against expectation — 2025
New Hampshire cites F868 more often than its own record predicts
Versus expected share4.66×
4.66 times the share F868 takes of citations nationally.
Share of New Hampshire citations1.08%
Of every deficiency written in New Hampshire in 2025, this is the portion that was F868.
New Hampshire1.08%
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 New Hampshire surveyors wrote
F868 findings written in New Hampshire, 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.
D · No harm, potential for more than minimal, isolatedJanuary 14, 2025
Based on interview and record review, it was determined that the facility failed to ensure that the required committee members attended meetings at least quarterly for 4 of the 4 quarterly meetings reviewed.
Findings include:
Review on 1/14/25 of the Quality Assurance Improvement QAPI meeting attendance sheets from 2024 revealed the following required members were not in attendance:
Quarter 1 - Infection Preventionist
Quarter 2 - Infection Preventionist
Quarter 3 - Infection Preventionist
Quarter 4 - Administrator
Interview on 1/14/25 at approximately 1:30 p.m. …
C · No harm, potential for minimal, widespreadJuly 11, 2024
Based on interview and record review, it was determined that the facility failed to ensure that the required committee members attended meetings at least quarterly for 3 of the 4 quarterly meetings reviewed in 2023/24.
Findings include:
Review on 7/11/24 of the Quality Assurance Performance Improvement (QAPI) meeting attendance sheets from 2023/24 revealed the following required members were not in attendance:
Quarter 1 - Medical Director;
Quarter 2 - Medical Director; and
Quarter 4 - Infection Preventionist.
Interview on 7/11/24 1:52 p.m. with Staff G (Administrator) confirmed the above findings.
Review on 7/11/24 of the facility's policy titled, Quality Assurance/Assessment and Performance Improvement Plan, revised 3/16/24, revealed: . …
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