Based on interview and record review, the facility failed to ensure the Quality Assessment and Assurance (QAA) committee included the required members that met at least quarterly (once every quarter of the year or every three months) for 2 of 4 quarters (Q3 2025 and Q4 2025) reviewed for QAA. The failure to meet quarterly increased the facility's risk of unrecognized quality deficiencies, the facility's ability to effectively correct identified issues and ongoing unmet care needs regarding residents' quality of life.Findings included .Review of the facility's policy titled, Quality Assurance Performance Improvement (QAPI) Plan, dated 05/15/2025 showed, the facility's QAA/QAPI committee staff would include the Administrator, Director of Nursing Services (DNS), Infection Preventionist… …
F868 citations in Washington
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
Washington cites F868 less often than its own record predicts
0.75 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington 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 Washington surveyors wrote
F868 findings written in Washington, 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.
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2024 | 0.06% | 0.25× |
| 2025 | 0.17% | 0.75× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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