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F0867
D

Repeat Infection Control Deficiency Due to Inadequate QAPI Oversight

Diberville, Mississippi Survey Completed on 06-12-2025

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's Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of a previously cited deficiency related to infection control. Specifically, the facility was cited for failing to provide Percutaneous Endoscopic Gastrostomy (PEG) care in a manner that would prevent the possible spread of infection during an annual recertification survey. Despite the existence of a policy outlining a systematic approach to performance improvement, the same deficiency was cited again during the current survey, indicating that ongoing monitoring and oversight were not maintained. Record reviews confirmed that the facility had previously received a citation for F880-Infection Control, which included failures in providing PEG tube and catheter care according to infection prevention standards. During the current survey, it was observed that perineal care was also not provided in a manner to prevent the possible spread of infection. These findings were based on record review, staff interviews, and facility policy review.

See complete original report
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