A. The administrator shall ensure that the facility develops and maintains a quality assurance program which includes:
(1) Monitoring and evaluation of the quality of patient care; and
(2) Identification, evaluation, and resolution of care problems.
B. The facility shall conduct ongoing quality assurance activities and document the activities on a continuous basis, but not less than quarterly.
C. The administrator shall ensure that the facility develops a quality control procedure to monitor and document the safety and performance of all biomedical equipment.
D. The facility shall document the following information for all quality assurance activities:
(1) A description of identified problems;
(5) Actions taken;
(6) Results; and