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F0868
E

Infection Preventionist Absent from Required QAPI Meetings

Bakersfield, California Survey Completed on 04-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that the Infection Preventionist (IP) attended two out of three Quality Assessment and Performance Improvement (QAPI) committee meetings during 2024 and 2025, as required. During a review of QAPI committee sign-in sheets for meetings held in September 2024, January 2025, and April 2025, it was found that the IP's attendance could only be verified for the January 2025 meeting. The sign-in sheets for the September 2024 and April 2025 meetings did not include the IP's signature, and the Administrator was unable to confirm the IP's presence at those meetings. The QAPI committee meetings were attended by various staff members, but the absence of the IP was specifically noted in two of the three meetings reviewed.

See complete original report
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