Failure to Designate Qualified Infection Preventionist During Staff Absence
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 a qualified individual onsite to be responsible for implementing infection prevention and control programs and activities during a specified period. Review of the Infection Control Committee meeting records for the third quarter revealed that the facility did not provide signatures of attendees for the July, August, and September meetings. During staff interviews, the DON stated that the Infection Preventionist was on leave of absence during these months and was unable to provide documentation of a qualified replacement fulfilling the Infection Preventionist role. The DON confirmed that no qualified individual was designated to oversee infection prevention and control during this time frame.