QAA Group Lacked Required Members and Quarterly 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
The facility failed to ensure that the Quality Assessment and Assurance (QAA) group was composed of the required members and that meetings were held at least quarterly. This deficiency was identified through review of facility records and documentation, which showed that the QAA group did not consistently meet the mandated membership requirements and did not convene at the required frequency.