F868 in Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F868 less often than its own record predicts
Versus expected share0.75×
0.75 times the national share — cited less often here than elsewhere.
Share of Rhode Island citations0.17%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F868.
Rhode Island0.17%
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 Rhode Island surveyors wrote
F868 findings written in Rhode Island, 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.
E · No harm, potential for more than minimal, patternMarch 13, 2025
Based on record review and surveyor interview, it has been determined that the facility failed to ensure the QAPI/QAA (quality assurance performance improvement/quality assessment and assurance) committee includes the required committee members consisting at a minimum of, the Director of Nursing Services (DNS), the Medical Director, Infection Preventionist and at least three other members of the facility staff.
Findings are as follows:
Review of a policy titled Policy & Procedure Manual Quality Assessment and Assurance Committee states in part, .The Committee will be composed of staff who understand the characteristics and complexities of the care and services delivered in each unit and/or department. …
C · No harm, potential for minimal, widespreadSeptember 26, 2021
Based on record review and staff interview, it has been determined that the facility failed to maintain a quality assessment and assurance committee that meet at least quarterly to coordinate and evaluate activities under the Quality Assurance and Performance Improvement (QAPI) program.
Findings are as follows:
Record review failed to reveal a QAPI plan for the year 2021 and that QAPI has taken place from January 2021 to the present.
During a surveyor interview with the Administrator on 9/24/2021 at 1:45 PM, she acknowledged that QAPI has not been completed during the year of 2021, no meetings have taken place, and was unable to provide evidence of QAPI being performed in 2021.
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