Failure to Designate Qualified Infection Preventionist
Penalty
Summary
The facility failed to designate a qualified Infection Preventionist to oversee the infection prevention and control program, as required by their own Facility Assessment and job descriptions. The Facility Assessment, dated 4/15/25, indicated that the facility would provide nursing services that include an Infection Preventionist, and the job description outlined specific infection control responsibilities. However, record review and interviews confirmed that the position was vacant after the previous Assistant Director of Nursing/Infection Control Preventionist left approximately two weeks prior to the survey, and no interim replacement had been assigned. At the time of the survey, the facility had 75 residents, and the Administrator in Training acknowledged that the Infection Preventionist role was unfilled due to multiple management staff resigning on the same day. The absence of a designated Infection Preventionist meant that no one was responsible for supervising infection control protocols, monitoring isolation procedures, or ensuring compliance with infection prevention standards as outlined in facility policy.