F0882

F

Designated Infection Preventionist Lacked Required Specialized Training

Ada, Minnesota Survey Completed on 03-05-2026

Penalty

No penalty information released

Summary

The facility failed to ensure that the designated infection preventionist (IP) completed the required specialized training for directing the infection prevention and control program. Surveyors’ review of the personnel training record for a registered nurse identified as the facility’s IP showed no evidence of training related to the IP role. In an interview, the RN confirmed she was the designated IP, stated she had started the required training, but acknowledged she had not had time to finish it. The facility’s policy titled “Infection Preventionist Role,” dated 8/2023, specified that the IP or designee is responsible for directing the infection prevention and control program and should have appropriate background and training, be qualified by education, training, certification or experience, and have completed specialized training in infection prevention and control.

This lack of completed specialized IP training for the designated RN, as documented in records and confirmed in interview, was inconsistent with the facility’s own policy requirements for the infection preventionist role.