Failure to Maintain Legionella Water Management Program
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
Facility B failed to maintain a Legionella Water Management Program as required by its own policy. The facility's policy, dated 08/20/22, specifies the need for a detailed description and diagram of the water system to identify and control areas where Legionella bacteria could grow and spread. During interviews, the engineering staff confirmed that neither a water diagram nor a detailed description of the water system existed for the facility, acknowledging awareness of the requirement but stating it had not been completed. The administrator also confirmed the expectation that the facility should follow its policy and CMS guidelines.