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F0865
E

Repeat Deficiencies in QAPI, Pressure Ulcer Prevention, and Infection Control

Missouri Valley, Iowa Survey Completed on 06-12-2025

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 failed to provide a comprehensive and effective Quality Assessment and Performance Improvement (QAPI) program, as evidenced by repeat deficiencies in the areas of pressure ulcer prevention and treatment, and infection control. The facility had a census of 86 residents and had previously been cited for these same issues during annual surveys and complaint investigations. The Administrator acknowledged that Enhanced Barrier Precautions (EBP) had not been reviewed or addressed in Quality Assurance meetings, and that pressure ulcer prevention and treatment remained an ongoing challenge. Facility policy required a data-driven, facility-wide QAPI program with monthly committee meetings to review reports and make adjustments, but these processes were not effectively implemented or followed, as indicated by the repeat deficiencies.

See complete original report
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