Deficiency tags › F0865
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
Category: Administration Deficiencies. The wording is the CMS summary of the requirement; the full text is in the State Operations Manual, Appendix PP.
By state
"Share" is citations divided by the number of certified facilities in the state, so a value over 100% means more than one citation per facility on average.
| State | Citations | Share |
|---|---|---|
| California | 119 | 10% |
| Iowa | 108 | 28% |
| Missouri | 51 | 10% |
| Pennsylvania | 34 | 5% |
| New Jersey | 33 | 9% |
| Massachusetts | 31 | 9% |
| Minnesota | 31 | 9% |
| Ohio | 30 | 3% |
| Florida | 28 | 4% |
| Virginia | 26 | 9% |
| Arkansas | 24 | 11% |
| Michigan | 24 | 6% |
| Maryland | 20 | 9% |
| Mississippi | 20 | 10% |
| Nevada | 19 | 29% |
| Illinois | 18 | 3% |
| New York | 18 | 3% |
| Louisiana | 14 | 5% |
| Washington | 14 | 7% |
| Kentucky | 13 | 5% |
| Kansas | 12 | 4% |
| Oklahoma | 11 | 4% |
| Rhode Island | 10 | 14% |
| Texas | 10 | 1% |
| South Dakota | 9 | 9% |
| Nebraska | 9 | 5% |
| Connecticut | 8 | 4% |
| Maine | 8 | 10% |
| Tennessee | 7 | 2% |
| Montana | 7 | 11% |
| Indiana | 7 | 1% |
| Oregon | 7 | 5% |
| West Virginia | 7 | 6% |
| Georgia | 6 | 2% |
| Colorado | 5 | 2% |
| North Dakota | 5 | 7% |
| Idaho | 4 | 5% |
| Utah | 4 | 4% |
| Wisconsin | 3 | 1% |
| Vermont | 3 | 9% |
| District of Columbia | 2 | 12% |
| South Carolina | 2 | 1% |
| Hawaii | 2 | 5% |
| Alabama | 2 | 1% |
| New Mexico | 2 | 3% |
| New Hampshire | 2 | 3% |
| Arizona | 2 | 1% |
| Alaska | 1 | 5% |
| Puerto Rico | 1 | 11% |
| Wyoming | 1 | 3% |
| Guam | 1 | 100% |
| North Carolina | 1 | 0% |
| Delaware | 1 | 2% |
Most recent citations
Scope and severity letters (A–L)
Questions and answers
What does deficiency tag F0865 mean?
F0865 is cited when a nursing home fails to: Have a plan that describes the process for conducting QAPI and QAA activities. It falls under administration deficiencies in the CMS requirements for long-term care facilities.
How common is F0865?
837 citations at 743 facilities (5% of all certified nursing homes) over the three most recent survey cycles; 23 were at the actual-harm or immediate-jeopardy level.
Which states cite F0865 most?
California (119), Iowa (108), Missouri (51), Pennsylvania (34), New Jersey (33).