F0881

D

Failure to Follow Antibiotic Stewardship Policy for UTI Treatment

Barry, Illinois Survey Completed on 01-16-2026

Penalty

9 days payment denial

Summary

The facility failed to follow its antibiotic stewardship policy when managing antibiotic use for one resident with dementia and congestive heart failure who was admitted with a diagnosis that later included a urinary tract infection (UTI). The infection control log for October 2025 documented that the resident had a UTI and received the antibiotic Cipro, but did not list a causative organism. The Infection Preventionist reported that no urine culture was obtained because the family requested an antibiotic and the physician ordered it. The resident’s Revised McGeer Criteria for Infection Surveillance Checklist dated 10/24/25 documented that UTI criteria were not met, yet a physician order dated the same day directed Cipro 250 mg orally twice daily for 7 days for a UTI. The Medication Administration Record showed the resident received 13 doses of Cipro, and progress notes from 10/24/25 through 10/30/25 documented that the resident was receiving antibiotics for a UTI. The facility’s antibiotic stewardship policy stated that antibiotics would be prescribed and administered under the guidance of the antibiotic stewardship program to monitor antibiotic use, and the Administrator stated she would expect urine cultures to be obtained prior to starting an antibiotic for a UTI.

These findings show that the facility did not obtain a urine culture or confirm UTI criteria before initiating and continuing antibiotic therapy, and did not adhere to its own antibiotic stewardship policy in monitoring and guiding antibiotic use for this resident.