Failure to Hold Quarterly Quality Assurance Committee Meetings
Penalty
Fine: $47,51420 days payment denial
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's Quality Assurance Committee did not meet on a quarterly basis as required. Review of facility documentation showed no evidence of committee meetings since January 2025. During an interview, the Administrator confirmed that there was no documentation of quarterly meetings prior to January 2025 or between January 2025 and June 2025. This failure was identified through both documentation review and staff interview.