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F0726
D

Failure to Ensure Staff Competency in Glucometer Quality Control Protocols

Anaheim, California Survey Completed on 07-29-2025

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 ensure that two licensed nurses and the Director of Staff Development (DSD) demonstrated competency in the operation and quality control protocols for glucometers. During interviews and document reviews, it was found that these staff members were unable to accurately state the facility's protocol for when to conduct quality control (QC) checks, the process for completing the Quality Control Record, or the correct lifespan of test strips and control solutions once opened. The staff incorrectly believed that test strips and control solutions were good for 30 days after opening, whereas the manufacturer's instructions specified a 90-day period for control solutions. Additionally, the QC test results were not available in the glucometer history or documented on the facility's Quality Control Record for the relevant period. Despite having attended in-service trainings and having passed prior competency assessments, the staff interviewed could not accurately verbalize the facility's procedures regarding glucometer QC checks. The DSD confirmed that the training did not cover the correct lifespan of test strips and control solutions. The Director of Nursing (DON) acknowledged and verified these findings, confirming that the staff lacked the necessary knowledge to ensure safe and competent care related to blood glucose monitoring.

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