CMS F-tag

F867: Administration

The quality assessment and assurance committee must meet and act on problems. Cited 1,955 times at 1,535 nursing homes in the last three inspection cycles.

#50 of 242 tags7% caused harm50 statesLatest survey Jan 21, 2026

How F867 shows up in inspections

F-TAGF867#50 of 242 tagsOften cited

How serious it usually is

  • Immediate jeopardyJ · K · L4.9%95
  • Actual harmG · H2.3%44
  • No actual harmD · E · F91.5%1,789
  • Minimal harmB · C1.4%27

7% of F867 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,955Citations
  • 1,535Facilities cited11% of rated nursing homes

Citations by survey year

  • 201829
  • 201968
  • 202021
  • 2021101
  • 2022241
  • 2023596
  • 2024557
  • 2025341
  • 20261

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F867 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F867 citation.

States by share of facilities cited

  • North Carolina59% of homes388 citations · 247 of 417 facilities
  • Florida25% of homes242 citations · 175 of 689 facilities
  • California17% of homes225 citations · 193 of 1,154 facilities
  • Pennsylvania14% of homes177 citations · 92 of 653 facilities
  • Minnesota17% of homes72 citations · 58 of 337 facilities
  • Maryland26% of homes65 citations · 57 of 219 facilities
  • Colorado23% of homes61 citations · 47 of 208 facilities
  • Tennessee15% of homes53 citations · 46 of 298 facilities
  • Massachusetts13% of homes46 citations · 44 of 338 facilities
  • Missouri8% of homes45 citations · 40 of 479 facilities

Top 10 of 50 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Aventura at Terrace ViewPeckville, PA · Report card7 F867No harm
  2. North Beach Healthcare and Rehabilitation CenterNorth Miami Beach, FL · Report card5 F8671 with harm
  3. The Citadel at Myers Park, LLCCharlotte, NC · Report card5 F8671 with harm
  4. Brunswick Rehabilitation and Healthcare CenterBolivia, NC · Report card5 F867No harm
  5. North Dade Nursing and Rehabilitation CenterNorth Miami, FL · Report card5 F867No harm
  6. Pembroke CenterPembroke, NC · Report card4 F8672 with harm
  7. Durham Nursing & Rehabilitation CenterDurham, NC · Report card4 F8671 with harm
  8. Lotus Village Center for Nursing and RehabilitatioSparta, NC · Report card4 F8671 with harm
  9. Biltmore Haven Nursing and RehabilitationArden, NC · Report card4 F867No harm
  10. Kadima Rehabilitation & Nursing at LatrobeLatrobe, PA · Report card4 F867No harm
  11. Pruitthealth-NeuseNew Bern, NC · Report card4 F867No harm
  12. Vero Health & Rehab of SylvaSylva, NC · Report card4 F867No harm
  13. Liberty Commons Nursing and Rehabilitation CenterWhiteville, NC · Report card3 F8672 with harm
  14. Mountain View Health ServicesOgden, UT · Report card3 F8672 with harm
  15. Carver Living CenterDurham, NC · Report card3 F8671 with harm

What to ask a facility about a F867 citation

  1. What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
  2. What was the plan of correction, and was it accepted by the state on the first submission?
  3. Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
  4. If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey Jan 21, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F867 in a nursing home inspection?
F867 is the CMS F-tag for the requirement "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action." (Administration). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F867?
F867 was cited 1,955 times at 1,535 facilities (11% of rated nursing homes) in the last three inspection cycles, ranking #50 of 242 tags. 139 of those citations involved actual harm or immediate jeopardy.
Does a F867 citation mean the facility is unsafe?
Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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