Bettendorf Health Care Center

During an interview on 08/15/2024 at 1:13 PM, the Administrator reported concerns are brought to the QA Committee through data from numerous sources including input from employees, residents, families, audits and grievances.

This information is shared and discussed during morning management meetings and referred to the QAPI committee when a problem is identified.

The Administer advised there are monthly QAPI meetings, with the Medical Director and Pharmacist participating in the Quarterly meetings as required.

Once a problem is identified, the committee utilizes various methods to help identify the root cause of the problem. As corrective actions are taken, the committee continues to collect and analyze data to determine the effectiveness of any changes.

Some current and ongoing projects are falls, showering, and employee retention.

A review of the facility QAPI Plan dated 8/20/2020 documented the following:

The QAPI Committee will implement and systematically evaluate programs and processes to identified problems in order to proactively improve health care delivery.

PURPOSE:

1.

Identify how Quality Assurance (QA) & Process Improvement activities will be incorporated into the operations of the organization so that all team members recognize the value of participating in activities that improve Resident Care & Quality of Life.

165280

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 165280 B.

Wing 08/15/2024

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

Bettendorf Health Care Center 2730 Crow Creek Road Bettendorf, IA 52722