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. …
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.
Against expectation — 2025
Ohio cites F868 more often than its own record predicts
1.27 times the share F868 takes of citations nationally.
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.
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. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.27% | 1.05× |
| 2024 | 0.24% | 0.99× |
| 2025 | 0.29% | 1.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction