N.J. Admin. Code § 8:39-33.1

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:39-33.1 - Mandatory quality assessment and/or quality improvement structural organization

(a) Quality assessment and/or quality improvement procedures shall be developed and implemented through a written plan that specifies time frames.

(b) Responsibility for the quality assessment and/or quality improvement program shall be assumed by designated individuals, who shall include the director of nursing services, a physician or advanced practice nurse, and at least three other staff members, and who shall report directly to the administrator.

(c) Summary findings of the quality assessment and/or quality improvement program shall be submitted in writing to the administrator and the administrator shall take action that includes staff education or training on the basis of the program's findings.

(d) The quality assessment and/or quality improvement program shall review at least inventory control, maintenance inspections and reports, procedures for reporting incidents and hazards, and procedures for emergency response to incidents and hazards.

(e) Quality assessment and/or quality improvement program findings shall be presented to the administrator with recommendations for corrective actions to address problems.

N.J. Admin. Code § 8:39-33.1