Julia Pound Care Center
Inspection Findings
F-Tag F641
F-F641, revealed that
the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding accuracy of assessments.
The facility's plan of correction for a deficiency regarding a failure ensure that the medical records were complete and accurate, cited during the survey ending on May 29, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review. The results of the current survey, cited under
F-Tag F842
F-F842, revealed that the QAPI committee was ineffective in maintaining compliance with the regulation regarding complete and accurate medical records.
The facility's plan of correction for a deficiency regarding hospice records, cited during the survey ending August 13, 2023, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review. The results of the current survey, cited under
F-Tag F849
F-F849.
28 Pa. Code 201.14(a) Responsibility of Licensee.
28 Pa. Code 201.18(e)(1) Management.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 20 of 20 395568