Failure to Designate Qualified Onsite 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 individual onsite to be responsible for implementing the infection prevention and control program from January 2025 to March 2025. According to staff interviews, the person assigned as the infection preventionist (IP) began the role in January 2025 but did not become certified until March 27, 2025, and was still learning the responsibilities associated with the position. The Nursing Home Administrator and DON confirmed that during this period, the facility did not have a qualified individual onsite fulfilling the required duties for infection prevention and control, as mandated by federal and state regulations.