Utah Admin. Code R432-200-11 - Quality Assurance

(1) The licensee shall ensure that:

(a) the administrator monitors the quality of services offered through the formation of a committee to address infection control, pharmacy, therapy, resident care, and safety as applicable;

(b) the committee includes the administrator, consulting physician or medical director, health services supervisor and consulting pharmacist with special program directors, maintenance and housekeeping staff serving as needed;

(c) the committee meets quarterly and keeps minutes of the meeting; and

(d) the infection control services are compliant with Section R432-150-11.

(2) Based on the pharmacy services offered by the licensee, the committee shall:

(a) monitor the pharmaceutical services in the facility;

(b) recommend changes to improve pharmaceutical services;

(c) evaluate medication usage; and

(d) develop and review pharmacy policies and procedures annually, and recommend changes to the administrator and licensee.

(3) Based on the resident care services offered by the licensee, the committee shall address the following:

(a) review, at least annually, the facility's resident care policies including rehabilitative and habilitative programs, as appropriate;

(b) make recommendations to the medical director and advisory physician as appropriate; and

(c) review recommendations from other facility committees to improve resident care.

(4) Based on the services offered by the licensee, the licensee shall ensure the committee:

(a) reviews each incident and accident reports and recommends changes to the administrator to prevent or reduce their reoccurrence;

(b) reviews facility safety policies and procedures, at least annually, and makes recommendations; and

(c) establishes a procedure to inspect the facility periodically for hazards, and requires that each inspection report is filed with the committee.

Notes

Utah Admin. Code R432-200-11

Amended by Utah State Bulletin Number 2024-03, effective 1/22/2024