Failure to Implement Water Management Program for Infection Control
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 implement a water management program designed to minimize the risk of Legionella and other opportunistic pathogens. Review of facility policies revealed there was no Water Management Plan in place, nor was there evidence of monitoring for waterborne illnesses. During interviews, maintenance staff confirmed that their only water-related checks involved monitoring water temperatures, and they were not aware of any requirements for additional water testing or management. The staff also indicated that they had only recently received information about a Water Management Program and had just begun to take steps to conduct water monitoring, confirming that no such program or testing had previously been in place.