Failure to Hold and Document 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 hold quarterly Quality Assessment and Assurance (QAA) meetings with the required committee members present, as required. This deficiency was identified through record review and interview, which revealed that there was no documentation of any QAA meetings being held since the previous annual survey. During an interview, the administrator confirmed that the facility was unable to locate records of these meetings.