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F0727
E

Failure to Designate Qualified Infection Control Preventionist

Monongahela, Pennsylvania Survey Completed on 09-30-2025

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 designate a qualified individual onsite to serve as the Infection Control Preventionist (ICP), as required by regulations. The Director of Nursing (DON) was also acting as the ICP since September 8, 2025, in addition to her primary responsibilities. Review of job descriptions confirmed that the DON is responsible for the overall operation of the Nursing Department, while the ICP is tasked with planning and directing the infection control program. During staff interviews, it was confirmed that although a Licensed Practical Nurse (LPN) had recently been put in place for infection control, the interim DON continued to act as the Infection Control Nurse at the time of the survey. This resulted in the facility not having a designated, qualified individual responsible for implementing infection prevention and control programs and activities.

See complete original report
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