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F0868
D

Failure to Ensure Qualified Infection Preventionist Attended QAPI Meetings

Sykesville, Maryland Survey Completed on 06-11-2025

Penalty

No penalty information released
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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 ensure that a qualified Infection Preventionist (IP) attended the Quality Assurance and Performance Improvement (QAPI) committee meetings as required. Review of QAPI meeting attendance records for the period from December 2024 through May 2025 showed that the Director of Nursing (DON) signed as the IP for the months of December 2024, January 2025, and February 2025. However, the Nursing Home Administrator (NHA) confirmed that the DON was not a certified IP nurse during those months. Further review of attendance records for October 2024 also revealed the absence of a qualified IP nurse at the QAPI meeting. These findings were based on interviews and record reviews conducted by surveyors.

See complete original report
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