Lack of Certified Infection Preventionist
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
The facility failed to employ a qualified Infection Preventionist (IP) who had successfully completed the required infection preventionist training and certification. The acting IP, an LPN, had been serving in this role for over a year but had not passed the test portion of the infection preventionist course and therefore had not received certification. The previous DON, who held the necessary IP certification, was no longer employed at the facility. The facility administrator confirmed that there was currently no certified IP on staff, despite the facility's job description requiring such certification for the position. This deficiency had the potential to affect all 94 residents in the facility, as noted in the facility data sheet.