Failure to Document Quarterly Environmental Rounds for Infection Control
Penalty
Summary
The facility failed to provide documentation that environmental rounds were conducted on a quarterly basis as required by their policy. Review of records with the Infection Preventionist revealed no evidence that environmental rounds were completed for the first quarter of 2024, specifically for the months of January, February, and March. The current Infection Preventionist, who began her role in June 2024, stated that it was the responsibility of the previous infection control nurse to ensure completion of these rounds and was unable to locate any documentation for the period in question. Facility policy requires that environmental rounds be conducted regularly by charge nurses, supervisors, departmental heads, and the infection control practitioner, with a report generated to identify areas of noncompliance.