Repeated Deficiencies in Food Storage and QAPI Oversight
Penalty
Summary
The facility failed to implement effective action plans to correct previously identified quality deficiencies, specifically in the areas of food storage and the operation of its Quality Assurance and Performance Improvement (QAPI) committee. During a prior recertification survey, the facility was cited for not storing food under sanitary conditions, as evidenced by a buildup of ice in the ice cream freezer, which had the potential to affect nearly all residents who consumed food orally. In the most recent survey, a similar deficiency was observed, with flower bouquets being stored on shelves among fruits and vegetables in the walk-in refrigerator, again potentially impacting the majority of residents who eat orally. Additionally, the QAPI committee was cited for failing to adequately monitor and address these recurring problem areas. Despite holding monthly meetings with participation from key department heads, the committee did not ensure that previously identified issues were effectively resolved or that ongoing performance improvement projects were sufficiently evaluated. This lack of sustained oversight contributed to the recurrence of the same deficiencies.