Failure of Required QA Committee Members to Meet Quarterly
Penalty
Fine: $21,519
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 required members of the facility's Quality Assurance Committee, specifically the Medical Director (MD) or designee, the Nursing Home Administrator (NHA), and the Director of Nursing (DON), failed to meet together on a quarterly basis for two consecutive quarters. Review of the committee meeting signatory pages showed that there was no meeting attended by all required members during the last quarter of 2024 and the first quarter of 2025. This was confirmed during an interview with the NHA, who acknowledged that the facility's expectation was for the required members to meet at least once every quarter.