QAPI Committee Failed to Address Recurring Deficiencies
Penalty
Summary
The facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct previously identified quality deficiencies and did not ensure that plans to improve care and services effectively addressed recurring issues. Despite developing plans of correction after a prior survey, the facility continued to have repeated deficiencies in areas such as safety and accident hazards, proper catheter care, and accountability of controlled substances. The QAPI committee was responsible for reviewing audit results and maintaining compliance, but the same deficiencies were identified again during the most recent survey. Specifically, the facility had previously committed to conducting audits and reporting findings to the QAPI committee for review in response to deficiencies related to safety hazards, catheter care, and controlled substances. However, the current survey found that these measures were not effectively implemented, as the same issues were cited again under F689, F690, and F755. The report does not mention any specific residents or staff involved, nor does it provide details about individual medical histories or conditions at the time of the deficiencies.