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F0865
D

Failure to Include Missed Cancer Medications in QAPI Activities

Broken Bow, Oklahoma Survey Completed on 08-26-2025

Penalty

No penalty information released
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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 include a resident who missed 77 cancer medication doses in its Quality Assurance and Performance Improvement (QAPI) activities. Record review and staff interviews revealed that, despite the facility's policy requiring an ongoing, data-driven QAPI program focused on care outcomes, the resident's missed medications and cancer diagnosis were not discussed or addressed in recent QAPI meetings. The Assistant Director of Nursing (ADON) indicated that the QAPI process was not initiated for the missed cancer medications because the issue was not known at the time. The Director of Nursing (DON) confirmed that the resident's cancer diagnosis and related interventions were not included in the QAPI meetings held during the relevant period.

See complete original report
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