Deficiency Index

F868 citations in Texas

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 Texas. Pick another state for the same tag.

Against expectation — 2025

Texas cites F868 less often than its own record predicts

Versus expected share0.14×

0.14 times the national share — cited less often here than elsewhere.

Share of Texas citations0.03%

Of every deficiency written in Texas 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 Texas surveyors wrote

F868 findings written in Texas, 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, patternAugust 13, 2026

Based on interview and record review, the facility failed to maintain a quality assessment and assurance committee consisting at a minimum of the director of nursing services, the Medical Director or his/her designee, at least three other members of the facility's staff, at least one of who must be the Administrator, owner, or board member or other individual in a leadership role, and the infection preventionist for 4 of 4 quarterly meetings (09/12/25, 12/11/25, 03/12/26, and 06/11/26) reviewed for Quality Assessment Assurance committee. The facility did not ensure the Administrator attended Quality Assurance and Performance Improvement meetings on 09/12/25, 12/11/25, 03/12/26, and 06/11/26. …

Birchwood Nursing and Rehabilitation

B · No harm, potential for minimal, patternMarch 20, 2026

Based on interview and record review, the facility failed to maintain a quality assessment and assurance committee consisting at a minimum the required committee members for three (October 2025, November 2025 and December 2025 of four meetings reviewed for QAPI.1. The facility did not ensure the Infection Preventionist attended the December 2025 meeting.2. The facility did not ensure meeting occurred monthly as per their policy and did not conduct meetings for January 2026 and February 2026.These failures could place residents at risk for quality deficiencies being unidentified, infections, no appropriate plans of action developed and implemented, and no appropriate guidance developed.Findings include:Record Review of the facility's QAPI Committee sign in sheets indicated the Infection… …

Parkwood Village

The short window

Recent years

YearShare of Texas citationsvs expected
20230.22%0.87×
20240.06%0.24×
20250.03%0.14×

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

What else Texas surveyors cite →

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