Failure to Cohort COVID-19 Positive Residents
Penalty
Summary
The facility failed to timely cohort COVID-19 positive residents, affecting four residents. Resident #39, who was admitted with multiple diagnoses including cerebral palsy and chronic obstructive pulmonary disease, tested positive for COVID-19 on April 11, 2025, and was sent to the emergency room. Upon returning the same day, Resident #39 was placed in a room with two COVID-19 negative residents, #11 and #19, and was not moved until April 14, 2025. Resident #11 subsequently tested positive for COVID-19 on April 13, 2025. The Director of Nursing confirmed these events during an interview. Similarly, Resident #29, who had diagnoses including heart disease and diabetes, tested positive for COVID-19 on April 11, 2025, and was not cooperative with isolation measures. Resident #29 shared a room with Resident #34, who was not moved until April 14, 2025, and tested positive for COVID-19 on April 15, 2025. The facility's policy and CDC guidance recommend that residents confirmed to have SARS-CoV-2 infection should be placed in a single room or housed with other COVID-19 positive residents, which was not adhered to in these cases.