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F0881
D

Failure to Monitor Long-Term Antibiotic Use

Orem, Utah Survey Completed on 05-01-2025

Penalty

No penalty information released
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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 maintain an effective antibiotic stewardship program that included protocols and a system to monitor all antibiotic use for residents. Specifically, two residents with orders for prophylactic antibiotics were not adequately monitored. One resident had a physician's order for Keflex 500 mg at bedtime for UTI prophylaxis, and another had a physician's order for Cephalexin 250 mg daily for chronic UTI prophylaxis related to long-term antibiotic use. Record reviews confirmed that these residents were on long-term antibiotic therapy. Interviews with facility staff revealed gaps in the monitoring process. The Infection Preventionist (IP) stated that antibiotic reviews were not consistently performed for residents on long-term prophylactic antibiotics, and tracking was only done for the month the antibiotic was initiated, without ongoing monitoring in subsequent months. The IP also confirmed there was no system in place to track residents on long-term antibiotic use. The Director of Nursing (DON) indicated that she did not participate in infection control monitoring, leaving all antibiotic stewardship responsibilities to the IP.

See complete original report
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