Infection Preventionist Lacked Required Specialized Training
Penalty
Summary
The facility failed to ensure that the designated Infection Preventionist (IP) was qualified with specialized training in infection prevention and control during the period from 4/10/25 to 5/25/25. Review of the facility's policy indicated that the IP must have specialized IPC training beyond initial professional training, with evidence provided by a certificate of completion. Registered Nurse (RN) Employee E2 served as the facility's IP from 4/16/25 to 5/21/25, but the facility was unable to produce documentation or a certificate confirming that RN Employee E2 had completed the required specialized IP training. Interviews with the Regional Clinical Director and the Nursing Home Administrator confirmed that there was no evidence of the required training for RN Employee E2 during the time they covered the IP position.