W. Va. Code R. § 64-13-13

Current through Register Vol. XLI, No. 45, November 8, 2024

Section 64-13-13 - Quality Assessment and Assurance

13.1. Quality Improvement Committee.

13.1.1. A nursing home shall maintain a quality improvement and assessment committee consisting of:

13.1.1.a. The director of nursing services;

13.1.1.b. The medical director; and

13.1.1.c. At least three other members of the nursing home's staff.

13.1.2. The quality improvement and assessment committee shall:

13.1.2.a. Meet at least quarterly to identify issues of quality assessment and improvement activities;

13.1.2.b. Develop and implement appropriate plans of action to correct identified quality deficiencies;

13.1.2.c. Continuously measure, assess, and improve all important resident care and nursing home functions;

13.1.2.d. Collect and review outcome data and use it to systematically benchmark the level of quality with that of other extended care providers; and

13.1.2.e. Collect and review resident satisfaction.

13.2. Disclosure of Records. The administrator may not require disclosure of the quality improvement committee records, insofar as the disclosure is related to the compliance with the requirements of this section.

13.3. Sanctions.

The administrator shall not use good faith attempts as documented by a nursing home's committee to identify and correct areas of concern or deficiencies as a basis for citing a new deficiency or as a basis for sanctions.

W. Va. Code R. § 64-13-13