Repeat Deficiency in Medication Storage Oversight by QAPI Committee
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 its Quality Assurance and Performance Improvement Program (QAPI) committee effectively maintained ongoing compliance regarding repeat citations for drug storage. Specifically, the facility was previously cited for unsafe medication storage when two of seven medication carts were observed left unlocked and unattended. Despite this, a review of QAPI meeting minutes showed a lack of ongoing data and monitoring related to this repeat citation. The facility's policy required monitoring the effectiveness of performance improvement activities, but documentation did not reflect sustained oversight of the previously identified deficiency.