QAPI Committee Failed to Correct Recurring Deficiencies
Penalty
Summary
The facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct recurring quality deficiencies and ensure that plans to improve the delivery of care and services were effectively implemented. Despite developing plans of correction following a previous survey, the facility continued to have repeated deficiencies in several key areas, including the development and implementation of comprehensive care plans, provision of quality care, maintenance of a safe environment free of accident hazards, appropriate treatment and services for residents with dementia, and compliance with infection control regulations. The QAPI committee was responsible for reviewing audit results and ensuring ongoing compliance, but failed to do so, resulting in the recurrence of these deficiencies. The deficiencies were identified during the current survey and were also present in the previous survey, indicating a lack of effective follow-through by the QAPI committee. The report specifically cites failures under F656 (comprehensive care plans), F684 (quality of care), F689 (safe environment), F744 (dementia care), and F880 (infection control), demonstrating that the facility did not maintain compliance with state and federal regulations in these areas.