Failure to Implement Antibiotic Stewardship and Infection Tracking
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 develop and implement the core elements of an antibiotic stewardship program as part of its infection prevention and control efforts. Review of the Infection Control Log from May 2024 through April 2025 showed no evidence of tracking or identifying possible infection outbreaks, and the log did not identify facility-acquired infections. During an interview, the facility's Infection Preventionist confirmed that antibiotic use was not being tracked to monitor for potential infection outbreaks. The facility's Infection Prevention Plan policy outlined the need for surveillance and reporting of infectious agents, but these practices were not followed as required.