Medical Director Absent from Required QAA Meetings
Penalty
No penalty information released
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 Medical Director attended the quarterly Quality Assessment and Assurance (QAA) meetings as required. Review of the Quality Assurance Performance and Improvement Meeting Minutes for a meeting dated 11/13/24 showed that the Medical Director's signature was missing, indicating their absence. The facility's own policy, dated March 2020, specifies that the Medical Director is a required member of the QAA committee, which must meet at least quarterly. During an interview, the Director of Nursing confirmed that the Medical Director should be present at these quarterly meetings. The facility reported a census of 61 residents at the time of the review.