Failure to Implement QAPI for Accurate I & O Documentation
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 implement its Quality Assurance and Performance Improvement (QAPI) program to ensure compliance with its Plan of Correction (POC) for F-842, specifically regarding the documentation of intake and output (I & O) for residents. During a revisit survey, surveyors found that I & O documentation remained incomplete and inaccurate, despite previous corrective actions outlined in the POC. This deficiency was confirmed through record review and interview with the Regional Quality Improvement Specialist, indicating that the required processes for accurate I & O tracking and documentation were not consistently followed.