Failure to Report All Positive Covid-19 Cases
Penalty
Summary
The facility failed to notify the Department of Health of all health department reportable diseases, specifically during a current outbreak of Covid-19. Documentation reviewed on January 30, 2025, revealed that the facility did not report all positive Covid-19 cases, which included four residents. This oversight was identified during a review of the facility's documentation and confirmed through staff interviews. During an interview, the Nursing Home Administrator (NHA) admitted to not reporting all positive Covid-19 cases, believing that only the initial report was necessary. This misunderstanding led to the facility's failure to comply with the notification requirements for reportable diseases, as outlined in the regulations. The deficiency was confirmed by the NHA during the interview process, highlighting a gap in the facility's adherence to mandatory reporting protocols.
Plan Of Correction
1. All Covid-19 positives have been reported to the DOH through the ERS system. 2. The NHA or designee will complete a look back to ensure that all Covid-19 positives within the last 30 days have been reported. 3. The Regional NHA will educate the NHA and DON on reporting all cases of Covid-19. 4. The NHA or designee will audit that all new Covid-19 cases are reported to the DOH for the next month. All findings will be reported to QAPI.