Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0945
E

Failure to Provide Mandatory Infection Control and EBP Training to Agency Staff

Grand Rapids, Michigan Survey Completed on 05-08-2025

Penalty

No penalty information released
tooltip icon
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 an effective infection prevention and control training program, specifically regarding Enhanced Barrier Precautions (EBP), for agency staff. Record review and interviews revealed that four out of five staff members reviewed did not receive or complete required education on EBP prior to working shifts. The Infection Preventionist stated that agency staff were expected to review a binder containing EBP policies at the facility entrance, but there was no process in place to verify or document that this education was completed. Agency staff reported either not being informed about the binder, not receiving any EBP education, or only being asked to review unrelated materials such as the narcotic binder. Additionally, an agency RN preparing to perform wound care was unaware of the need to wear a gown and was not familiar with EBP, stating that she had not received any relevant education from the facility. This lack of training and verification created the potential for cross-contamination and the spread of infection among a vulnerable population, as staff were not adequately prepared to follow infection control protocols.

An unhandled error has occurred. Reload 🗙