Failure to Track Infections per CMS Requirements
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 track infections among individuals who enter or reside in the facility, as required by CMS regulations. According to the facility's own Infection Prevention and Control Manual, there should be a system in place for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents, staff, volunteers, visitors, and contracted service providers. However, during an interview, the Director of Nursing confirmed that there was no current or past tracking of infections for residents or employees. This deficiency was identified through interview and record review, and it was noted that 69 residents were residing in the facility at the time.