QAPI Committee Failed to Meet Quarterly
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 Quality Assurance and Performance Improvement (QAPI) committee did not meet at least quarterly as required. Facility documentation review showed only one QAPI committee sign-in sheet for May 2025, with no evidence of additional meetings. During an interview, the Administrator confirmed that the May 2025 sign-in sheet was the only documentation available to support QAPI meetings. No further information was provided to indicate that other meetings had occurred. This deficiency had the potential to affect all 44 residents residing in the facility.