F868 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F868 more often than its own record predicts
Versus expected share1.96×
1.96 times the share F868 takes of citations nationally.
Share of Pennsylvania citations0.45%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F868.
Pennsylvania0.45%
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 Pennsylvania surveyors wrote
F868 findings written in Pennsylvania, 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, isolatedAugust 28, 2026
Based on review of facility policy, facility records, and staff interview, it was determined that the facility failed to ensure required attendance of the Infection Preventionist to Quality Assurance and Performance Improvement (QAPI) Committee meetings for one of four quarters reviewed (Quarter one).Findings include: Review of facility policy entitled, Quality Assurance and Performance Improvement Program dated 7/7/26, revealed The following individuals serve on the committee.Infection Preventionist.The committee meets at least quarterly (or more often as necessary). Committee members are reminded of meeting day, time and location via e-mail at least two business days prior to the meeting. …
C · No harm, potential for minimal, widespreadAugust 20, 2026
Based on review of facility policy, Quality Assurance attendance records, and staff interview, it was determined that the facility failed to conduct Quality Assessment and Assurance (QAA) meetings at least quarterly with all of the required committee members for one of three quarterly meeting (March 2026 to July 2026). Findings Include:Review of the facility policy Quality Assurance Performance Improvement Plan (QAPI) reviewed 6/29/26, with a previous review date of 3/12/25, indicated QAPI plan provides guidance for overall quality improvement to promote excellence in quality of care, quality of life, patient choice, person directed care and patient transitions.During an interview on 8/20/26, at approximately 11:40 a.m., the Nursing Home Administrator (NHA) confirmed that the facility… …
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