Failure to Conduct N-95 Fit Testing for All Employees
Penalty
Summary
The facility failed to ensure that N-95 mask fit testing was performed for all 103 employees in accordance with applicable federal regulations. During interviews, the Administrator acknowledged that the facility was out of compliance, stating that the last building-wide N-95 fit testing occurred in the spring of 2024 and that, despite having a plan, the process of fit testing all employees had not yet begun. When asked for documentation of employees who had been fit tested, the Infection Preventionist was unable to provide any records, confirming that such information did not exist. The Infection Preventionist also stated that they had only recently received certification to administer N-95 fit testing and had not yet started the process for facility employees.