Failure to Implement Water Management Plan for Legionella Prevention
Penalty
Summary
The facility failed to implement its water management plan as required by its own policy, which aims to reduce the risk of Legionellosis and other waterborne pathogens. During a record review and interviews, the Director of Nursing, regional administrator, and maintenance director were unable to provide documentation of any measures taken to prevent the growth of Legionella in the facility's water systems. The maintenance director also stated a lack of knowledge regarding Legionella prevention. The facility's policy requires documentation of all water management activities to be maintained for at least three years, but no such documentation was available at the time of the survey. The administrator reported that 55 residents resided at the facility during this time.