QAA Committee Meetings Lacked Required Medical Director Attendance
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 hold quarterly Quality Assessment and Assurance (QAA) meetings with all required committee members present, as evidenced by the absence of the medical director at each of the reviewed meetings. Record review showed that the medical director's signature was not recorded on the attendance rosters for QAA meetings held on 01/30/2025, 11/12/2024, 07/30/2024, and 03/28/2024. This was confirmed during an interview with the administrator, who acknowledged the medical director was not present for these meetings.