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F0882
E

Lack of Designated, Trained Infection Preventionist

Pasadena, California Survey Completed on 05-08-2025

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 employ a designated Infection Preventionist (IP) with specialized training, as required for the infection prevention and control program. According to interviews, the facility had been without a designated IP for almost a month, and the responsibilities were being covered by a registered nurse and other licensed nurses, none of whom had IP certification. Record review confirmed that the previous IP's last day was several months prior, and staff currently performing IP duties lacked the required specialized training. The facility's policy indicated that the IP is responsible for coordinating infection prevention and control policies and practices.

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