Deficiency Index

F868 citations in Ohio

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.

F868 in Ohio. Pick another state for the same tag.

Against expectation — 2025

Ohio cites F868 more often than its own record predicts

Versus expected share1.27×

1.27 times the share F868 takes of citations nationally.

Share of Ohio citations0.29%

Of every deficiency written in Ohio 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 Ohio surveyors wrote

F868 findings written in Ohio, 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, widespreadJuly 9, 2026

Review of Quality Assurance Performance Improvement (QAPI) sign-in sheets, interview, and policy review, the facility failed to ensure the medical director attended the meetings quarterly. This had the potential to affect all residents. The facility census was 44.Findings include:Review of QAPI sign-in sheets revealed the medical director did not attend QAPI on 11/25, 12/25, 01/26, 02/26, and 03/26. The facility was unable to locate the sign-in sheets for 01/26 and 03/26.Interview on 07/09/26 at 11:46 A.M. with the Administrator revealed he provided all the QAPI sign-in sheets that he was able to locate. Interview on 07/09/26 at 1:14 P.M. …

Serenity Spring Senior Living at Arlington

C · No harm, potential for minimal, widespreadApril 29, 2026

Based on record review and interview, the facility failed to ensure the medical director attended the Quality Assessment and Assurance (QAA) and Quality Assurance and Performance (QAPI) meetings at least quarterly as required. This had the potential to affect all 42 residents residing in the facility.Findings include:Review of the monthly meeting sign-in sheets dated April 2025 through March 2026 revealed there was no signature for the medical director between April 2025 to June 2025 meetings. Interview on 04/29/26 at 2:03 P.M. with the Administrator and Regional Registered Nurse (RRN) #626 verified there were no signatures from the medical director between April 2025 through June 2025, which was the second quarter, to indicate the medical director was in attendance. …

Grande Oaks

The short window

Recent years

YearShare of Ohio citationsvs expected
20230.27%1.05×
20240.24%0.99×
20250.29%1.27×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Ohio surveyors cite →

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