Missing Infection Control Surveillance Documentation
Penalty
Summary
The facility failed to maintain infection control surveillance documentation for the year 2024, as required by its own policy. Review of the facility's Infection Surveillance policy indicated the purpose was to identify and monitor infections to reduce and prevent their spread. However, the only available surveillance documentation was for January through June 2025, with no records for 2024. This deficiency was confirmed during an interview with the DON, who was unable to provide any infection control surveillance records for 2024. Additionally, a resident was treated for a urinary tract infection in December 2024, with supporting documentation in the medical record, but there was no corresponding infection surveillance documentation for that period.