Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0880
D

Failure to Maintain Infection Prevention and Control Program

Shawano, Wisconsin Survey Completed on 05-29-2025

Penalty

No penalty information released
tooltip icon
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 establish and maintain an effective infection prevention and control program, as evidenced by multiple observed lapses in hand hygiene and use of personal protective equipment (PPE) during resident care. For one resident on enhanced barrier precautions (EBP) due to a urinary catheter, a CNA did not perform appropriate hand hygiene or don clean gloves while providing care, and an LPN did not wear a gown during high-contact care. Additionally, the resident's uncovered catheter drainage bag was observed on the floor, contrary to facility policy requiring catheter bags to be covered or shielded. During wound care for another resident with a right heel wound, an LPN failed to perform hand hygiene between glove changes while completing the dressing change procedure. The resident had severe cognitive impairment and required regular wound care as ordered in the medical record. The LPN acknowledged that hand hygiene should have been performed between glove changes, as confirmed by the Director of Nursing (DON). In a separate incident, a CNA providing perineal care to a resident with severe cognitive impairment and an open wound on the right lower leg removed soiled gloves and donned clean gloves without washing or sanitizing hands in between. The DON confirmed that hand hygiene should be completed between glove changes, especially after pericare. These observed failures to follow established infection control policies contributed to the deficiency cited by surveyors.

An unhandled error has occurred. Reload 🗙