Construction of a Violation/Deficiency
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Example of a Deficiency/Violation with Three Components
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Regulatory Reference |
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W455 §483.470(l)(1), There must be an active program for the prevention, control, and investigation of infection and communicable disease.
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This REQUIREMENT was not met as evidenced by:
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Deficient Practice Statement |
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Based on observation and interviews, the facility failed to prevent cross-contamination during meals for 6 of 6 individuals (Individuals # 1 - 6).
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Relevant Findings/Evidence |
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Observations on 7/14/16 from 5:40 p.m. to 6:02 p.m. in the facility's dining room revealed that Individual #1 wiped his nose with alternating hands and coughed into his palms while setting the table. Individual #1 touched the eating surfaces of the forks and spoons as he placed all six individuals' silverware on the table. The house manager and direct care staff (DCS) A were in the room, approximately 10 feet away from Individual #1, and were not observed to intervene.
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Observations on 7/14/16 from 6:02 p.m. to 6:26 p.m. of the dinner meal in the facility's dining room revealed that Individuals # 1 - 6 ate their dinner with the contaminated silverware.
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Interview on 7/14/16 at 7:05 p.m. with the house manager revealed that she did not observe Individual #1 contaminate the tableware because, in her words, "I was training (DCS A)."
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Interview on 7/14/16 at 7:11 p.m. with DCS A revealed that he did not notice Individual #1 contaminate the tableware because, in his words, "I can't watch (Individual #1) and be trained at the same time." |