Failure to Hold Quarterly QAA Committee Meetings with Required Members
Penalty
No penalty information released
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 ensure that the Quality Assessment and Assurance (QAA) committee met at least quarterly with all required members present. Record review showed that QAA committee meetings with the required staff were documented on three occasions within the past year. During interviews, both a corporate RN and the Director of Nursing confirmed that four quarterly QAA committee meetings with all required staff present had not been completed in the past year.