Pines Nursing Home

Review of the facility's policy and procedure titled Quality Assurance and Performance Improvement revision dated/02/25 states: These policies are intended to ensure the facility develops a plan that describes the process for conducting QAPI/QAA activities, such as identifying and correcting quality deficiencies as well as opportunities for improvement, which will lead to improvement in the lives of nursing home residents, through continuous attention to quality of care, quality of life, and resident safety.

The facility will develop, implement, and maintain an effective, comprehensive, data driven QAPI program that focuses on indicators of the outcomes of care and quality of life.

Review of the Quality Assurance and Performance Improvement (QAPI) Committee Meeting Sign-in Sheets dated 02/27/2025, 03/27/2025, and 04/24/25 documented the facility had a QAA Committee had meetings monthly.

Interview on 04/30/2025 at 3:00 PM Administrator (NHA) stated the QAA Committee meets every month, the last meeting was held on 04/24/2025.

The committee consists of the Medical Director, Administrator, Director of Nursing (DON), Infection Preventionist and all interdisciplinary team members.

The purpose of QAPI is to meet with the IDT ( interdisciplinary team) staff to make improvements for the residents, measure results, determine what issues to be worked on and need to be corrected.

Make improvements and have interventions in place to have better patient/resident outcomes.

105057

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 105057 B.

Wing 04/30/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Pines Nursing Home 301 NE 141 Street Miami, FL 33161