Failure to Track Employee Illnesses Under Infection Control Program
Penalty
Summary
The deficiency involves the facility’s failure to implement its Infection Prevention and Control Program (IPCP) policy regarding monitoring employee health and safety by not recording and tracking employee-reported illnesses. The facility’s IPCP policy, dated 10/28/24, states that an infection prevention and control program is to be established and maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, including having policies and procedures for when employees, contractors, vendors, visitors, and volunteers should report infections or avoid the facility. During an interview on 1/14/26, the LPN serving as Infection Preventionist and Assistant DON confirmed that the facility did not have any tracking or logs to monitor when an employee called in sick and acknowledged there was no tracking of employee illness for call-offs from infection or illness prior to January 2026. The CMS Form 671, dated 1/12/26 and signed by the Administrator in Training, documented that 44 residents resided in the facility at the time of the survey.
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