Failure to Designate Qualified Infection Preventionist Separate from DON
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 designate the role and duties of the Infection Preventionist to a qualified staff member separate from the Director of Nursing (DON). A review of the DON's job description showed that the DON was responsible for developing, implementing, and maintaining the infection prevention and control program. During an interview, the DON confirmed that they were performing both the DON and Infection Preventionist roles while working forty hours per week as the DON. There was no documented evidence of the number of hours the DON spent specifically on infection preventionist duties. The facility had a census of 35 residents at the time of the survey.