Deficiency tags › F0867
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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 |
|---|---|---|
| North Carolina | 314 | 75% |
| Florida | 244 | 35% |
| California | 197 | 17% |
| Pennsylvania | 158 | 24% |
| Minnesota | 71 | 21% |
| Maryland | 65 | 29% |
| Colorado | 59 | 28% |
| Missouri | 45 | 9% |
| Tennessee | 41 | 14% |
| Massachusetts | 38 | 11% |
| Michigan | 37 | 9% |
| Utah | 37 | 38% |
| Illinois | 31 | 5% |
| Indiana | 31 | 6% |
| Ohio | 26 | 3% |
| Mississippi | 26 | 13% |
| Kansas | 25 | 8% |
| New York | 24 | 4% |
| Virginia | 23 | 8% |
| Georgia | 22 | 6% |
| Maine | 19 | 24% |
| Louisiana | 18 | 7% |
| Alabama | 18 | 8% |
| New Jersey | 17 | 5% |
| Texas | 17 | 1% |
| Kentucky | 15 | 6% |
| Iowa | 12 | 3% |
| Washington | 12 | 6% |
| Oregon | 12 | 9% |
| West Virginia | 11 | 9% |
| Connecticut | 10 | 5% |
| Nevada | 10 | 15% |
| Wisconsin | 9 | 3% |
| South Carolina | 9 | 5% |
| Arkansas | 9 | 4% |
| Montana | 9 | 15% |
| Nebraska | 8 | 4% |
| Arizona | 8 | 6% |
| Hawaii | 7 | 16% |
| District of Columbia | 7 | 41% |
| Oklahoma | 7 | 2% |
| Rhode Island | 6 | 8% |
| Delaware | 5 | 11% |
| Idaho | 4 | 5% |
| Puerto Rico | 3 | 33% |
| South Dakota | 3 | 3% |
| Wyoming | 1 | 3% |
| Guam | 1 | 100% |
| New Mexico | 1 | 1% |
| New Hampshire | 1 | 1% |
| North Dakota | 1 | 1% |
| Alaska | 1 | 5% |
Most recent citations
Scope and severity letters (A–L)
Questions and answers
What does deficiency tag F0867 mean?
F0867 is cited when a nursing home fails to: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. It falls under administration deficiencies in the CMS requirements for long-term care facilities.
How common is F0867?
1,785 citations at 1,444 facilities (10% of all certified nursing homes) over the three most recent survey cycles; 114 were at the actual-harm or immediate-jeopardy level.
Which states cite F0867 most?
North Carolina (314), Florida (244), California (197), Pennsylvania (158), Minnesota (71).