Infection Preventionist Not Documented as Attending QAPI Meetings
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 include the Infection Preventionist (IP) in the Quality Assurance Performance Improvement (QAPI) meetings as required. Record review of QAPI meeting sign-in sheets for several dates showed that the IP's name or signature was not present. During a telephone interview, the IP confirmed not attending the meetings in person but stated they participated via telephone, although there was no documentation of their attendance either in person or by phone. When asked, the IP could not recall the last time they participated in a meeting. The Director of Nursing was informed of the requirement for the IP to attend QAPI meetings and acknowledged understanding of this requirement.