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F0881
E

Failure to Implement Antibiotic Stewardship Protocols

Keene, New Hampshire Survey Completed on 06-25-2025

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 implement its established antibiotic stewardship protocols for monitoring appropriate antibiotic use for three residents. According to the facility's Antibiotic Stewardship Guidelines, an 'antibiotic time out' is required every time antibiotics are prescribed, with a reassessment within 48 hours to adjust or discontinue treatment as indicated. Record review showed that three residents were prescribed antibiotics for wound infection and urinary tract infections, but no antibiotic time outs were completed for these orders. During an interview, the Infection Preventionist confirmed that the required antibiotic time outs were not performed and that missed time outs or infections not meeting criteria were not reported to the quality committee.

See complete original report
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