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F0881
F

Failure to Implement Antibiotic Stewardship Program

Pittsburgh, Pennsylvania Survey Completed on 04-05-2025

Penalty

No penalty information released
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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 antibiotic stewardship program for a period of ten months, from June 2024 through February 2025. Review of the facility's infection control policies indicated that the purpose of the antimicrobial stewardship program was to monitor antibiotic use among residents, including documentation of indications for use. However, infection control surveillance records for October 2024 through February 2025 did not include evidence that antibiotic monitoring was completed, and the infection preventionist was unable to provide documentation for June 2024 through September 2024. During interviews, the infection preventionist, who began the role in January 2025, and facility leadership confirmed that antibiotic monitoring and stewardship activities were not carried out during this period.

See complete original report
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