F868 in Oregon. Pick another state for the same tag.
Against expectation — 2024
Oregon cites F868 less often than its own record predicts
Versus expected share0.62×
0.62 times the national share — cited less often here than elsewhere.
Share of Oregon citations0.15%
Of every deficiency written in Oregon in 2024, this is the portion that was F868.
Oregon0.15%
National0.24%
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 Oregon surveyors wrote
F868 findings written in Oregon, 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.
I · Actual harm, widespreadOctober 12, 2021
Based on interview and record review it was determined the facility failed to have the QAA (Quality Assessment and Assurance) committee meet quarterly for 1 of 1 QAA Committees reviewed for quality assurance. This failure resulted in falls with hospitalization and a fracture, and placed residents at increased risk of aspiration. Findings include:
The Quality Assurance and Performance Improvement Program policy and procedure revealed the QAA committee was to meet monthly to review reports, evaluate data, monitor QA related activities and make adjustments to the plan.
Review of the facility documents revealed from 1/2020 through 10/4/21 the QAA committee met on 1/28/20, 10/21/20 and 4/1/21. …
F · No harm, potential for more than minimal, widespreadJune 4, 2026
Based on interview and record review it was determined the facility failed to have the Infection Preventionist attend the quality assessment and assurance (QAA) committee meetings for 3 of 3 months reviewed for QAA. This placed residents at risk for unidentified and unmet needs. Findings include: Documentation of QAA/QAPI meeting minutes were requested from 3/2026 through 5/2026 which revealed a qualified Infection Preventionist did not attend any of the QAA/QAPI meetings.On 6/4/26 at 3:32 PM, Staff 1 (Administrator) and Staff 2 (DNS) acknowledged a qualified Infection Preventionist did not attend the QAA/QAPI meetings.
C · No harm, potential for minimal, widespreadJuly 15, 2019
Based on interview and record review it was determined the facility failed to ensure the medical director and/or designee attended the facility's quarterly Quality Assurance Performance Improvement (QAPI) committee meetings. This placed residents at risk for an ineffective QAPI program to address and resolve identified quality of life and quality of care issues. Findings include:
The facility's QAPI policy and procedures noted This facility shall develop, implement and maintain an ongoing program designed to monitor, evaluate the quality of resident care, pursue methods to improve quality care and to resolve identified problems. …
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