Failure to Designate a Qualified Infection Preventionist
Penalty
No penalty information released
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 designate a qualified and certified Infection Preventionist (IP) responsible for the infection prevention and control program. Review of the Director of Nursing's (DON) employee file revealed the absence of a signed job description for the IP role. The DON confirmed she was currently responsible for the infection prevention and control program while also working full time as the DON. Although a current IP job description was available, it was not signed or assigned, and the DON's job description did not reflect the IP responsibilities. This resulted in the lack of a dedicated staff member with at least part-time hours assigned specifically to the IP role, as required.