Failure to Implement Infection Surveillance with Floor Mapping
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 implement an effective infection prevention and control program as required by its own policy and state regulations. Specifically, for a period of twelve consecutive months, the facility did not conduct or document floor mapping as part of its monthly infection surveillance activities. This omission was confirmed during a review of the facility's infection control records and through an interview with the Infection Preventionist, who was unable to provide documentation of the required surveillance, including floor mapping, for the specified period. The deficiency was identified through policy review, clinical record review, observation, and staff interview.