Failure to Hold Required QAA Meetings with Proper Attendance
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
Facility staff failed to demonstrate compliance with requirements for the Quality Assessment and Assurance (QAA) committee, as evidenced by administrative record review and staff interviews. Over the past 12 months, QAA meetings did not occur on a quarterly basis, with a required meeting in October 2024 not held. Additionally, the minimum required committee members were not present at the quarterly meetings in April, July, and October 2024. The Nursing Home Administrator, who has been in charge of QA meetings since September 2024, confirmed these findings during an interview.