Quality of Care Review Program. The Compliance Committee shall ensure that, within 120 days after the Effective Date, Extendicare establishes and implements a program for performing internal quality audits and reviews (hereinafter “Quality of Care Review Program”). The Quality of Care Review Program shall be designed to determine: i. whether the residents at Extendicare are receiving the quality of care and quality of life consistent with professionally recognized standards of care, 42 C.F.R. Part 483, and any other applicable federal and state statutes, regulations, and directives; ii. whether Extendicare is effectively reviewing quality of care related incidents and completing root cause analyses; iii. whether Extendicare’s action plans in response to identified quality of care problems are appropriate, timely, implemented, and enforced; and iv. whether Extendicare’s nursing staff is of the quantity, quality, and composition necessary to consistently meet resident care needs.
Appears in 3 contracts
Sources: Corporate Integrity Agreement, Corporate Integrity Agreement, Corporate Integrity Agreement