Failure to Implement Antibiotic Stewardship Within Infection Control Program
Penalty
Summary
Surveyors determined that the facility failed to establish an Infection Prevention and Control Program (IPCP) that included an antibiotic stewardship program as required. Based on interview and record review, the facility did not have a system in place to promote appropriate use of antibiotics or to reduce unnecessary antibiotic use and the development of antibiotic resistance. During an interview on 02/04/2026 at 3:15 PM, the Director of Nursing Services (Staff B) was unable to locate any information related to the facility’s IPCP and stated they were unaware of any system being used to track antibiotic usage in the facility. The report states that this failure placed residents at risk for potential adverse outcomes associated with inappropriate or unnecessary antibiotic use. No specific residents, medical histories, or clinical conditions were identified in the report; the deficiency centers on the absence of a functional antibiotic stewardship component within the IPCP and the DON’s lack of knowledge of any antibiotic tracking system, in violation of WAC 388-97-1620(2)(b)(i)(ii).
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