Failure to Track Causative Organism for Resident UTI in Infection Control Log
Penalty
Summary
The deficiency involves the facility’s failure to track infectious organisms as part of its infection prevention and control program for one resident with a urinary tract infection (UTI). The facility’s Infection Control Log for October 2025 shows that the resident was treated with the antibiotic Cipro for a UTI but does not list a causative organism. The Infection Preventionist reported that the resident’s urine was not cultured, so the facility does not know which organism caused the UTI. The Administrator stated that she expects the facility to track infectious organisms in the facility. The facility’s written policy on Surveillance for Infections, revised April 2025, states that the infection preventionist conducts ongoing surveillance for healthcare-associated infections and other epidemiologically significant infections that may require transmission-based precautions and other preventive interventions. These findings show that, despite having a policy requiring ongoing surveillance of infections and organisms, the facility did not obtain or document culture results for the resident’s UTI and therefore did not track the causative organism in its infection control log.
