Survey date 2018-11-09 - inspection
RISK MGMT & Q A PROGRAM REQUIRED Every facility shall, as part of its administrative functions, establish an internal risk management and quality assurance program, the purpose of which is to assess resident care practices; review facility quality indicators, facility incident reports, deficiencies cited by the agency, and resident grievances; and develop plans of action to correct and respond quickly to identified quality deficiencies. The program must include:
No actual harm with a potential for minimal harm. The least severe class of CMS finding.
Corrected on 2018-11-20.