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F0880
E

Delayed Reporting of Infectious Disease Outbreaks to Public Health Authorities

Grass Valley, California Survey Completed on 06-09-2025

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 infection preventionist (IP) failed to report two potential infectious disease outbreaks to the California Department of Public Health (CDPH) within the required 24-hour timeframe, as outlined in the facility's policies. Specifically, a gastrointestinal outbreak affecting five residents with symptoms of nausea, vomiting, and loose stool began on 4/8/2025 but was not reported to CDPH until 4/11/2025, resulting in a three-day delay. Similarly, a respiratory outbreak involving three residents with fever, cough, and congestion started on 5/3/2025 and was reported to CDPH on 5/5/2025, two days late. Facility policies reviewed indicated that unusual occurrences, including outbreaks and suspected outbreaks, must be reported to the appropriate health authorities within 24 hours. During an interview, the IP acknowledged awareness of the 24-hour reporting requirement and confirmed the delays in reporting both outbreaks. These actions were not in accordance with the facility's Unusual Occurrences, Infection Prevention and Control Program, and Outbreak of Communicable Diseases policies.

See complete original report
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