Failure to Designate Qualified Infection Preventionist
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 from 2/10/25 to 3/5/25. According to staff interviews and facility records, the previous Infection Preventionist resigned effective immediately on a Saturday, and a new Infection Preventionist was assigned to the role. However, the newly assigned Infection Preventionist did not complete the required specialized training and certification in infection prevention and control until 3/6/25. The Director of Nursing confirmed that during this period, there was no qualified individual overseeing the infection prevention and control program, as required by facility policy and state regulations.