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F0867
D

QAPI Committee Failed to Correct Recurring Deficiencies

Latrobe, Pennsylvania Survey Completed on 05-20-2025

Penalty

No penalty information released
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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's Quality Assurance Performance Improvement (QAPI) committee failed to correct recurring quality deficiencies and did not ensure that plans to improve care and services were effectively implemented. Despite developing plans of correction for deficiencies identified in previous surveys, the committee did not successfully address repeated issues related to pharmaceutical services, inaccurate MDS assessments, care plan timing and revision, quality of care, safety/accident hazards, medication storage, and complete and accurate medical records. The plans of correction included conducting audits and reporting results to the QAPI committee, but these actions were not effectively carried out, as evidenced by the recurrence of the same deficiencies in subsequent surveys. The report specifically notes that deficiencies cited in earlier surveys, such as those ending December 4, 2024, and January 6, 2025, were not resolved, and the same issues were identified again in the most recent survey ending May 20, 2025. The QAPI committee's failure to implement and follow through on their corrective plans resulted in ongoing noncompliance with nursing home regulations across multiple areas of care and facility management.

See complete original report
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