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H0009

Failure to Report COVID-19 Outbreak

Verona, Pennsylvania Survey Completed on 01-28-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to notify the Department of Health about a reportable disease outbreak, specifically a positive COVID-19 outbreak affecting 36 residents. This deficiency was identified during a review of facility documentation and staff interviews conducted on January 28, 2025. The documentation review revealed that the facility did not report the positive COVID-19 cases, which is a requirement for health department reportable diseases. During an interview, the Director of Nursing (DON) admitted to not reporting the positive COVID-19 cases, mistakenly believing that only positive cases among employees needed to be reported. This misunderstanding led to the facility's failure to comply with the notification requirements, thereby compromising the regulatory obligation to report such significant health events to the Department of Health.

Plan Of Correction

1. Residents to equal 36 total have been added to the Department of Health with health reportable events. 2. The NHA or designee will educate the Director of Nursing and Assistant Director of Nursing on notifying the Department of Health with health department reportable diseases. 3. The Director of Nursing or designee will audit all health reportable diseases for notification to the Department of Health daily at morning meetings for 2 weeks, 2 times a week for 2 weeks and then monthly. Results will be reviewed through QAPI for further recommendations.

See complete original report
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