Failure to Monitor Antibiotic Use for One Month
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 implement its antibiotic stewardship program for one of ten months, specifically September 2024. Review of the facility's infection control policies and procedures, as well as the job description for the Quality Assurance/Infection Control Preventionist, indicated that monitoring antibiotic use is a required responsibility. However, documentation of antibiotic monitoring was missing for September 2024 in the facility's Infection Control surveillance records covering August 2024 through May 2025. During an interview, the Director of Nursing confirmed that antibiotic stewardship was not carried out for that month.