Failure to Implement Legionella Water Management Program
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 implement a water management program for Legionella disease prevention, as required by its own policy. Maintenance staff reported attending training on Legionella prevention but had not yet developed a surveillance system. Administrative staff confirmed the absence of a surveillance system for Legionella prevention. The facility's policy stated that potable water systems should be routinely cleaned and disinfected, but this was not being carried out. This deficiency was identified during a review of records and staff interviews, with a facility census of 30 residents at the time.