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F0867
D

QAPI Committee Failed to Address Recurring Deficiencies

Latrobe, Pennsylvania Survey Completed on 12-10-2025

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's Quality Assurance Performance Improvement (QAPI) committee failed to maintain compliance with nursing home regulations and did not ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies. Despite developing plans of correction for previously cited deficiencies, including those related to abuse policies, quality of care, proper storage of medications, and food procurement and sanitation, the QAPI committee did not successfully implement these plans. The current survey identified repeated deficiencies in these same areas, indicating that the committee's actions were ineffective in correcting the issues. Specifically, the facility's plans of correction included conducting audits and reporting the results to the QAPI committee for review. However, the results of the current survey showed that the committee failed to ensure ongoing compliance with regulations regarding abuse policies (F607), quality of care (F684), labeling and storing drugs and biologicals (F761), and food procurement, storage, preparation, and serving under sanitary conditions (F812). The repeated nature of these deficiencies demonstrates that the QAPI committee did not adequately address or resolve the cited issues.

See complete original report
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