Failure to Complete Required TB Screening for Nursing Staff
Penalty
Summary
The facility failed to follow its tuberculosis (TB) employee screening policy for one of three sampled nursing staff, resulting in an incomplete personnel record for a nursing assistant. Record review with the Payroll Coordinator showed that the nursing assistant was hired on 11/25/25, but there was no documentation of an initial TB screening test in the employee’s personnel file. The facility’s written policy, dated 3/21, required that all employees be screened for latent TB infection and active TB disease, including a baseline test and symptom evaluation, prior to beginning employment. During interviews, the Infection Preventionist confirmed that there was no initial TB test documented for the nursing assistant upon hire and stated that testing nursing staff for TB was important because residents are immunocompromised and at risk of contracting TB. In a separate interview, the DON stated it was important to verify that the nursing assistant had been screened for TB before providing resident care and that her expectation was that employees be screened for TB prior to orientation. These interviews and record reviews established that the required pre-employment TB screening was not completed or documented for the nursing assistant, contrary to facility policy.
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