CMS F-tag

F868: Administration

The QAA committee must include required members and meet quarterly. Cited 1,043 times at 957 nursing homes in the last three inspection cycles.

#78 of 242 tags0% caused harm51 statesLatest survey Dec 24, 2025

How F868 shows up in inspections

F-TAGF868#78 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmH0.2%2
  • No actual harmD · E · F90.2%941
  • Minimal harmB · C9.6%100

0% of F868 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,043Citations
  • 957Facilities cited7% of rated nursing homes

Citations by survey year

  • 20188
  • 201944
  • 202010
  • 202142
  • 2022154
  • 2023251
  • 2024301
  • 2025233

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

Where F868 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 F868 citation.

States by share of facilities cited

  • Ohio10% of homes99 citations · 93 of 911 facilities
  • Illinois11% of homes86 citations · 74 of 665 facilities
  • Pennsylvania11% of homes84 citations · 75 of 653 facilities
  • Missouri15% of homes77 citations · 70 of 479 facilities
  • California6% of homes70 citations · 69 of 1,154 facilities
  • Iowa12% of homes61 citations · 48 of 388 facilities
  • Michigan10% of homes47 citations · 43 of 420 facilities
  • Louisiana13% of homes42 citations · 35 of 264 facilities
  • New Jersey11% of homes40 citations · 38 of 344 facilities
  • Kansas12% of homes38 citations · 35 of 294 facilities

Top 10 of 51 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Aspire of PerryPerry, IA · Report card4 F868No harm
  2. Claiborne Healthcare CenterShreveport, LA · Report card3 F868No harm
  3. Carroll Health and Rehab LLCOak Grove, LA · Report card3 F868No harm
  4. Highland Hills Post AcutePittsburgh, PA · Report card3 F868No harm
  5. Accolade Healthcare DanvilleDanville, IL · Report card2 F868No harm
  6. Aspen Point Health and RehabilitationSaint Charles, MO · Report card2 F868No harm
  7. Autumn Lake Healthcare at Birch ManorSykesville, MD · Report card2 F868No harm
  8. Ayden Healthcare of MadeiraCincinnati, OH · Report card2 F868No harm
  9. Accura Healthcare of CrescoCresco, IA · Report card2 F868No harm
  10. Aspire of MuscatineMuscatine, IA · Report card2 F868No harm
  11. Baisch Nursing CenterDe Soto, MO · Report card2 F868No harm
  12. Battle Mountain General HospitalBattle Mountain, NV · Report card2 F868No harm
  13. Bayside VillageL' Anse, MI · Report card2 F868No harm
  14. Carnegie Post Acute Care at Princeton LLCPrinceton, NJ · Report card2 F868No harm
  15. Centerville Health and RehabDayton, OH · Report card2 F868No harm

What to ask a facility about a F868 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 Dec 24, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F868 in a nursing home inspection?
F868 is the CMS F-tag for the requirement "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly" (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 F868?
F868 was cited 1,043 times at 957 facilities (7% of rated nursing homes) in the last three inspection cycles, ranking #78 of 242 tags. 2 of those citations involved actual harm or immediate jeopardy.
Does a F868 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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