Huntingdon Skilled Nursing And Rehabilitation Cent
Inspection history, citations, penalties and survey trends for this long-term care facility in Huntingdon Valley, Pennsylvania.
- Location
- 3430 Huntingdon Pike, Huntingdon Valley, Pennsylvania 19006
- CMS Provider Number
- 395913
- Inspections on file
- 19
- Latest survey
- April 3, 2026
- Citations (last 12 mo.)
- 16
Citation history
Health deficiencies cited at Huntingdon Skilled Nursing And Rehabilitation Cent during CMS and state inspections, most recent first.
The facility failed to follow physician orders and internal policies for several residents, including not documenting required heart rate checks before administering metoprolol to a resident with cardiac disease, not providing ordered PRN constipation medications to a resident despite multiple days without a bowel movement, and giving metoprolol to another resident when systolic BP was below the ordered hold parameter. In addition, a resident with metastatic lung cancer did not receive a scheduled PET scan, and there was no evidence the appointment was completed or rescheduled before the resident required emergency hospital transfer.
The facility did not develop or implement baseline care plans that addressed the specific needs of three residents, including bowel incontinence, dysphagia, and a language barrier, as required upon admission. The DON confirmed these omissions in the care plans.
A resident with diabetes, heart failure, and dementia was admitted and assessed as needing interventions for urinary incontinence, dental care, self-care and mobility, and pressure ulcer. The facility failed to include these areas in the care plan, and the DON confirmed the omissions during interview.
The facility did not ensure that physician's orders were followed for two residents. One resident received blood pressure medication without documented evidence that blood pressure was checked prior to administration, as required. Another resident did not have daily weights documented on several days, despite a physician's order. The DON confirmed the lack of required documentation.
Surveyors observed that trash bags were left outside the dumpster, a used disposable glove was on the ground, and the dumpster lid was open with the container full, indicating improper disposal of garbage and refuse.
Failure to Follow Physician Orders for Medications, Vital Signs, and Diagnostic Testing
Penalty
Summary
The facility failed to implement physician orders and follow its own medication administration policy for multiple residents. For a resident with heart disease and hypertension who was ordered metoprolol tartrate daily with instructions to hold the dose if the heart rate was below 60 beats per minute, February and March 2026 MARs showed no documented evidence that staff obtained the resident’s heart rate prior to administering the medication. Another resident with dementia and constipation had PRN orders for a bisacodyl suppository every 24 hours if no bowel movement occurred in two days, and for MiraLax and Milk of Magnesia if no bowel movement occurred in three days. Bowel movement tracking showed two separate periods of at least three days without a bowel movement, yet the March 2026 MAR reflected that no PRN constipation medications were administered until Milk of Magnesia was given on the night shift of April 1, 2026. A third resident with hypertension had an order for metoprolol twice daily with parameters not to administer the medication if the systolic blood pressure was below 110 mm/Hg or the heart rate was less than 60 beats per minute. Review of the March 2026 MAR showed that staff administered metoprolol on three occasions when the resident’s systolic blood pressure was below 110 mm/Hg. A fourth resident, admitted after hospitalization for shortness of breath, pneumonia, and newly diagnosed metastatic lung cancer, had hospital discharge instructions and subsequent physician documentation indicating the need for a PET scan and follow-up with oncology. The resident had a PET scan scheduled and then rescheduled, but there was no evidence that the facility transported the resident to the rescheduled PET scan appointment or that the appointment was rescheduled again prior to the resident’s emergency transfer to the hospital. The Regional Clinical Director confirmed the lack of required vital sign documentation, failure to administer ordered PRN constipation medications, administration of metoprolol outside ordered parameters, and failure to complete or reschedule the PET scan appointment.
Failure to Develop and Implement Baseline Care Plans Addressing Individual Needs
Penalty
Summary
The facility failed to develop and implement baseline care plans that addressed the individual needs of three residents upon admission. For one resident admitted with diabetes, heart failure, and muscle weakness, the baseline care plan noted bowel incontinence but did not include interventions or goals to address this issue. Another resident admitted with diabetes and dysphagia did not have a baseline care plan developed at all following admission. A third resident, admitted with depression and diabetes, was documented by nursing staff and a social worker as having a language barrier that required family members to translate. However, there was no evidence that this communication barrier was addressed in the baseline care plan. The Director of Nursing confirmed that these care areas were not documented in the residents' baseline care plans.
Plan Of Correction
F 0655 Residents 10, 13, and 19 care plans were updated to accurately reflect the resident's initial plan of care and families were made aware. All the residents have the potential to be affected by the deficient practice. All other residents in the facility were audited to ensure that baseline care plans are initiated within 48 hours of admission. All the pertinent departments will be educated on the policies and policies relating to the proper initiation of baseline care plan and accurate reflection of the baseline plan of care. Audits will be completed by the DON/Designee once a week for at least 3 residents for 3 months to ensure that the care plans are done for all new admissions within 48 hours of admission. All findings will be reported and reviewed by the QAPI committee monthly. Date of Compliance: 08/26/2025
Failure to Develop Comprehensive Care Plan for Resident with Multiple Needs
Penalty
Summary
A deficiency was identified when a facility failed to develop and implement a comprehensive care plan for a resident with multiple medical conditions, including diabetes, heart failure, and dementia. The resident was admitted on July 15, 2025, and the Minimum Data Set assessment and Care Area Assessment summary dated July 21, 2025, indicated that the resident's urinary incontinence, dental care, self-care and mobility, and pressure ulcer required care plan interventions. However, a review of the clinical record revealed that there was no evidence these care areas were addressed in the resident's care plan. During an interview, the Director of Nursing confirmed that there was no documented evidence that the identified care areas were included in the care plan for this resident. This lack of documentation and failure to address the resident's assessed needs in the care plan constituted noncompliance with the requirement to develop and implement a comprehensive, person-centered care plan based on the resident's comprehensive assessment.
Plan Of Correction
NotSpecified Resident 18 was updated to accurately reflect the goals of admission, preference for and potential for future discharge, discharge plan, and services provided in the facility. Resident's updated care plan included interventions for the following: to address Resident 18's urinary incontinence, dental care, self-care, mobility, and pressure ulcer. All residents have the potential of being affected by the deficient practice. All other residents were audited to ensure that the care plans are comprehensive and reflective of the goals of admission, preferences for and potential for future discharge, as well as discharge plans. Comprehensive care plans will be reviewed within days of the resident's RAI assessment. All pertinent disciplines will be educated on the policies and procedures that reflect care plans which are reflective of the goals of admission, potential for future discharge, and the discharge plans. An audit will be completed by the DON/Designee once a week for at least 3 residents for 6 weeks to ensure an accurate plan of care for residents that is reflective of the goals of admission, preferences/potential of discharge, and discharge plans. All findings will be reported and reviewed by the QAPI committee monthly. Date of Compliance: 08/26/2025
Failure to Follow Physician Orders for Medication Administration and Monitoring
Penalty
Summary
The facility failed to ensure that physician's orders were implemented for two residents. For one resident with diagnoses including hypertension, heart failure, anemia, and kidney disease, a physician ordered blood pressure medication to be administered twice daily and at bedtime, with the stipulation that the medication should not be given if the systolic blood pressure was less than 100 mmHg. However, documentation showed that staff administered the medication 28 out of 29 times without recording any evidence that the resident's blood pressure was assessed prior to administration, as required by the physician's order. Another resident, admitted with hypertension, atrial fibrillation, and dysphagia, had a physician's order for daily weight monitoring. The clinical record lacked documentation that the resident's weight was obtained on several specified days. The Director of Nursing confirmed that there was no documented evidence that the required assessments and monitoring were performed according to the physician's orders for both residents.
Plan Of Correction
Physicians' orders were reviewed for all antihypertensive medications to ensure orders reflect parameters prior to medication administration. Physicians' orders were also reviewed for all weights to ensure that orders are carried out and reported as ordered. All residents with antihypertensive medication and daily weights orders have the potential to be affected by the deficient practice. All other residents were audited to ensure that parameters are documented before medication administration and weights are documented and reported to accurately reflect the doctor's orders. Nursing staff will be re-educated on the policies and procedures of medication administration and documentation to accurately reflect the doctor's orders. An audit will be completed by the DON/Designee on all new admissions once a week for at least 3 residents for 6 weeks to ensure that physician's orders are accurately reflected on the MAR/TARS. All findings will be reported and reviewed by the QAPI committee monthly for 3 months. Date of Compliance: 08/26/2025
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to properly dispose of garbage and refuse as required. During an observation of the dumpster area, three full trash bags were found outside the dumpster, and a used disposable glove was observed on the ground. Additionally, the top lid of the garbage dumpster was open and the dumpster itself was full of trash bags. These findings indicate that trash and refuse were not contained or disposed of in accordance with regulations at the time of the observation.
Plan Of Correction
Based on observation during a Jul 28, 2025 survey tour, it was determined that the facility failed to dispose of trash and refuse properly. 1. The facility staff disposed of the trash and refuse immediately after the surveyor made the leadership team aware of the alleged deficiency on July 28, 2025. 2. No residents were affected by this alleged deficient practice. An initial audit was completed by the Facility Administrator or designee on Jul 28, 2025. 3. Re-education was provided to the facility leadership staff, the Dietary Department, Maintenance Department, and the Housekeeping department. The facility will conduct audits to ensure trash and refuse is disposed of properly. 4. The Facility administrator will conduct random weekly audits for 3 months. The Administrator will report findings to the Quality Assurance Performance Improvement Committee monthly for three months. The Performance Improvement Committee will evaluate and determine the effectiveness of the plan to ensure compliance is achieved and determine if further monitoring and evaluation is required. Date of Compliance: 08/26/2025
Latest citations in Pennsylvania
Failure to provide and document respiratory care: A resident with a trach had no documented evidence of respiratory rate, depth, and quality being monitored each shift and as needed, despite oxygen orders and trach care needs. Other residents with CPAP, nebulizer, and oxygen therapy had respiratory equipment left out of required storage, missing CPAP settings and care details in orders and care plans, and MAR entries signed by nursing staff even when respiratory staff reportedly completed the equipment changes.
Failure to Coordinate Hospice Services in Care Plans: The facility failed to coordinate hospice services with facility services for three residents receiving hospice care. One resident’s care plan did not include hospice needs despite hospice enrollment, and two residents’ comprehensive care plans lacked hospice agency contact information and access to the hospice 24-hour on-call system. The RNAC confirmed the omissions during interview; the residents had diagnoses including HTN, heart failure, kidney disease, diabetes, hypokalemia, and vitamin D deficiency.
Cross contamination occurred during a dressing change when an LPN placed a resident’s foot directly on the wheelchair seat without a barrier and did not clean the bedside table after the procedure. The facility also lacked infection surveillance documentation for several months, and its Legionella water management plan was incomplete, with no mapping of high-risk areas, no temperature logs, and no documented preventive measures for unused areas.
Failure to implement an antibiotic stewardship program. The facility’s infection control policy stated that antibiotic use protocols and a system to monitor antibiotic use would be part of the infection control program, but the Infection Control Program lacked documented evidence of antibiotic monitoring or review of appropriate antibiotic use for 3 months. The RN IP stated she had taken over the program, was also supervising the building, and had not been able to complete the program work or review the binders; administration confirmed the lapse.
Failure to Use Resident’s Preferred Name: A resident with HTN, anxiety, and depression had a preferred name documented in the care plan and MDS, but the name tag at the room entrance did not reflect that preference. When staff greeted the resident using the name on the door, the resident stated she did not like being called that and gave her preferred name. Staff interviews confirmed the preferred name was not listed at the door, and the ADON and DON acknowledged the omission.
A resident's confidential medical information was left visible on the East med cart computer screen at the nurses station when the cart was unattended. An RN confirmed the observation and acknowledged that resident personal and clinical information was exposed to anyone passing by.
The facility failed to provide written bed-hold policy notice to two residents or their representatives during hospital transfers. One resident had HTN, kidney disease, and hypokalemia, and another had hyperlipidemia, CHF, and a right femur fracture; records showed hospital transfers, but no documentation that the required bed-hold information was given at the time of transfer.
Failure to monitor weight and individualize nutrition care plans: one resident did not have a required monthly weight recorded, despite facility policy requiring monthly weights by the 7th day of each month, and two residents had care plans that did not reflect their specific nutritional needs. One resident had dx including HTN, PVD, and a thyroid disorder with orders for a renal diet, mechanical soft texture, and Magic Cup BID, while another resident had documented significant wt loss, a regular lactose-free diet, and nutritional juice with meals. Staff confirmed the missing weight and the lack of individualized care plan interventions.
Unlocked treatment cart and improper medication storage were observed in multiple areas. An unlocked, unattended treatment cart was found in a hallway, and the East Medication Room contained personal items mixed with medication supplies. Opened Tubersol vials in two refrigerators and multiple opened meds in the A Hall and C Hall medication carts were not dated, and an LPN confirmed several of the findings.
Failure to Maintain a Qualified Infection Preventionist: The facility did not maintain a consistent qualified onsite IP responsible for infection prevention and control for one month after the former IP resigned. An RN assumed the role while also supervising the building, reported limited time to perform the duties, and could not produce a certificate for completion of the Nursing Home Infection Preventionist Training Course.
Failure to Provide and Document Respiratory Care
Penalty
Summary
The facility failed to ensure appropriate respiratory care was provided and documented for residents with tracheostomy, oxygen, CPAP, and nebulizer needs. Facility policy required respiratory treatments and equipment care to be based on physician orders, care plans, and diagnoses, and required documentation of services provided, including date, time, and the name and title of the person providing care. The respiratory therapy job description stated respiratory staff assumed primary responsibility for respiratory care modalities, conducted therapeutic procedures, maintained resident records, and documented patient care services. Resident R3 had diagnoses including traumatic brain injury and respiratory failure and had a physician order for oxygen at 10 liters per minute continuously, titrated to maintain oxygen saturation above 90%. The resident’s MDS indicated tracheostomy care was required. During observation, R3 was receiving oxygen via face mask to the trach and pulse and oxygen saturation were being monitored. However, review of the clinical record failed to show evidence that the resident’s respiratory rate, depth, and quality were monitored and documented each shift and as needed. Staff interviews confirmed that nurses were responsible for reviewing care plans, monitoring respiratory status, and documenting changes, and that the facility failed to document and monitor R3’s respiratory rate, depth, and quality each shift and as needed. Resident R67 had obstructive sleep apnea, heart failure, and diabetes, with an order for CPAP at hour of sleep at home settings. The order did not include the setting or any care for the CPAP machine, and the care plan also did not include the CPAP settings or care needed for the machine. During observation, the resident’s CPAP mask was sitting on top of the bedside stand and was not stored in a bag as required. Resident R69 had emphysema and was ordered albuterol nebulizer treatments four times a day, but during observation the handheld nebulizer was sitting on top of the machine and not stored in a bag as required. Resident R11 and Resident R32 both had oxygen therapy orders requiring nasal cannula changes every two weeks, but the MAR showed changes documented by nursing staff while interviews confirmed respiratory staff actually performed the changes and that staff signed off even when they had not personally completed the task. The interviews also reflected confusion about who was responsible for the equipment changes and documentation.
Failure to Coordinate Hospice Services in Care Plans
Penalty
Summary
The facility failed to ensure coordination of hospice services with facility services to meet the end-of-life care needs of three residents. Review of the facility’s hospice policy showed that coordinated care plans for residents receiving hospice services were to include the most recent hospice plan of care and the care and services provided by the facility. For Resident R9, the record showed admission to hospice with a diagnosis of hypertensive heart disease, and the MDS indicated hospice care was received while a resident; however, the current care plan did not include a hospice care plan. During interview, the RNAC confirmed the facility failed to implement a care plan for Resident R9’s hospice needs. For Resident R24 and Resident R78, the records showed physician orders to admit each resident to hospice services. Their current comprehensive care plans did not include coordination details for hospice services, including contact information for the hospice agency or how to access the hospice’s 24-hour on-call system. During interview, the RNAC confirmed the facility failed to include this information in the plan of care and failed to ensure coordination of hospice services with facility services for these residents. Resident R24’s diagnoses included high blood pressure, kidney disease, and hypokalemia, and Resident R78’s diagnoses included high blood pressure, kidney disease, and vitamin D deficiency.
Cross Contamination During Dressing Change and Infection Control Program Deficiencies
Penalty
Summary
Cross contamination occurred during a dressing change for Resident R24. The resident was admitted to the facility and had diagnoses including peripheral vascular disease and diabetes. A physician order dated 4/27/26 directed the right lateral foot to be cleansed with normal saline, patted dry, treated with Santyl ointment, and covered with a dry dressing daily and as needed. During observation of the dressing change on 5/5/26, the LPN prepared a clean area on the resident’s over-bed table with a barrier and supplies, cleansed the foot, then placed the resident’s right foot directly on the wheelchair seat without placing a barrier before applying the ointment and dressing. After the dressing was completed, the LPN gathered and discarded supplies, removed the barrier from the over-bed table, and exited the room. During interview, the LPN confirmed that a clean barrier had not been placed on the wheelchair seat before the resident’s foot was placed there and confirmed that the bedside table was not cleaned after the supplies and barrier were removed. The LPN also confirmed the failure to prevent cross contamination during the dressing change. The facility also failed to maintain infection control surveillance for three months, as the infection control documentation did not show tracking of resident infections for February 2026, March 2026, and April 2026. When asked about the surveillance system, the RN who had taken over the program stated she had not done anything since taking over on 4/4/26 and had not looked at the infection control binders. The NHA confirmed the facility failed to implement an infection control program that included a system of surveillance to identify possible communicable diseases or infections for those months. In addition, the facility’s Legionella water management plan lacked mapping of high-opportunity areas, water temperature logs, and evidence of preventive measures for areas not in use, and staff could not provide logs or explain required temperatures during interviews.
Failure to Implement Antibiotic Stewardship Program
Penalty
Summary
The facility failed to implement an antibiotic stewardship program for 3 of 10 months, specifically February 2026, March 2026, and April 2026. The facility’s Infection Control Plan, Program and Committee policy, last reviewed on 1/6/26, stated that an antibiotic stewardship program would be part of the overall infection control program and that antibiotic use protocols and a system to monitor antibiotic use would be implemented. However, review of the Infection Control Program for February 2026, March 2026, and April 2026 found no documented evidence that antibiotic monitoring or review of appropriate antibiotic use was completed. During a telephonic interview on 5/6/26, the RN infection preventionist stated she took over the Infection Control program on 4/4/26, was also supervising the building, had only been looking at records for reportable issues, had not been able to do the program since starting, and had not seen the binders. Nursing home administration confirmed during an interview on 5/6/26 that the facility failed to implement an antibiotic stewardship program for those 3 months.
Failure to Use Resident’s Preferred Name
Penalty
Summary
The facility failed to treat a resident with respect by not addressing the resident by the preferred name. Review of the resident’s care plan showed the name the resident preferred to be called, and the MDS also documented that preferred name. The resident had diagnoses of high blood pressure, anxiety, and depression. During an observation and interview, the resident’s name tag at the entrance of the room did not show the preferred name, and when the resident was greeted using the name listed on the door, the resident stated she did not like being called that and stated the preferred name. Staff interviews confirmed that residents are asked about name preferences on admission and that preferred nicknames are included in the care plan, but the Activities Director was unsure who was responsible for ensuring the preferred name was listed at the door. A nurse aide stated nurses are usually responsible for placing the name tag at the entrance of the door, though aides sometimes do it. Subsequent observations confirmed the preferred name was still not listed on the door, and the ADON and DON both confirmed that the resident’s preferred name choice was not listed at the entrance of the door.
Failure to Protect Confidential Resident Information
Penalty
Summary
The facility failed to maintain the confidentiality of a resident's medical information on the East Medication Cart. Facility policy titled Quality of Life - Dignity, dated 1/6/26, stated that staff shall maintain an environment in which confidential clinical information is protected. During an observation on 5/4/26 at 11:38 a.m., the East Medication Cart at the nurses station was left unattended with the computer screen open, and identifiable resident personal and confidential information was visible to anyone passing by. During an interview at the same time, RN Employee E9 confirmed the observation and acknowledged that the facility failed to maintain the confidentiality of residents' medical information.
Failure to Notify Residents of Bed-Hold Policy During Hospital Transfers
Penalty
Summary
The facility failed to notify the resident or the resident’s representative of its bed-hold policy for two hospital transfers. Facility policy stated that at the time of transfer for hospitalization or therapeutic leave, the facility would provide written notice explaining the duration of the bed-hold policy and information about the resident’s return to the next available bed, and that in an emergency transfer the notice would be provided within 24 hours. For Resident R24, who had diagnoses including high blood pressure, kidney disease, and hypokalemia, the record showed a hospital transfer on 3/31/26 and return on 4/5/26, but there was no documented evidence that written bed-hold information was provided at the time of transfer. For Closed Resident Record CR87, the record showed diagnoses including hyperlipidemia, congestive heart failure, and a right femur fracture. On 2/6/26, staff received venous doppler results indicating a nonocclusive thrombus in the right common femoral vein, relayed the results to the CRNP, and obtained orders to increase Eliquis temporarily and repeat an ultrasound. After the resident’s daughter called and staff reported the situation to the CRNP, the resident was sent to the hospital around 5:50 p.m. The emergency room transfer form and the clinical record did not include documented evidence that CR87 or the representative were provided written information about the facility’s bed-hold policy at the time of transfer.
Failure to Monitor Weight and Individualize Nutrition Care Plans
Penalty
Summary
The facility failed to properly monitor weight and nutrition status for two residents. For one resident, no monthly weight was recorded for April 2026, even though the facility policy required monthly weights to be obtained by the 7th day of each month and documented in the electronic medical record. That resident’s record showed diagnoses of high blood pressure, PVD, and a thyroid disorder, and the physician had ordered a renal diet, mechanical soft ground meat texture with a low fat diet for low protein, and Magic Cup twice daily for additional nutrition. A nurse aide confirmed that the monthly weight was not obtained. The facility also failed to individualize care plans to address resident-specific nutritional concerns for two residents. For one resident, the care plan identified potential nutritional problems related to dysphagia and the need for a mechanically altered and therapeutic diet, but it did not include resident-specific interventions for the ordered renal diet, mechanical soft diet, or supplements. For the second resident, the MDS indicated a 5% or greater weight loss in the last month or 10% or greater in 6 months, and the resident was not on a physician-prescribed weight loss regimen. That resident had orders for a regular lactose-free diet and nutritional juice with meals, but the care plan only included a general intervention to serve the diet as ordered and did not address the weight loss or the ordered diet and supplement needs. An RNAC confirmed the care plans were not individualized for these nutritional concerns.
Unlocked Treatment Cart and Improper Medication Storage
Penalty
Summary
The facility failed to properly secure a treatment cart while it was not in use and failed to properly store medications in the East Medication Room, the A Hall Medication Cart, and the C Hall Medication Cart. Facility policies reviewed indicated medication carts are to be kept closed and locked when out of sight of the medication nurse, and compartments containing drugs and biologicals are to be locked when not in use. The policy also stated that when opening a multi-dose container, the date opened shall be recorded on the container. During an observation on the East side, the treatment cart was found in the hallway near a room, unlocked and unattended. An LPN confirmed the cart had been left unlocked and unattended. In the East Medication Room, surveyors observed personal items and clothing stored with medication-related supplies, including cups, a tote bag, sweaters, pants, blankets, wheelchair cushions, and leg rest bags. The East first hall and second hall refrigerators each contained two opened vials of Tubersol solution that were not labeled with a date. In the A Hall Medication Cart, surveyors observed opened Nystatin liquid, Latanoprost eye drops, and a Trelegy Ellipta inhaler that were not dated, along with a coffee cup, pastry, sliced red peppers, and a personal cell phone in the cart compartment; an LPN confirmed the items belonged to her. In the C Hall Medication Cart, surveyors observed opened Robitussin cough suppressant, Milk of Magnesia, Miralax powder, and lactulose liquid that were not labeled with a date, and an LPN confirmed the findings.
Failure to Maintain a Qualified Infection Preventionist
Penalty
Summary
The facility failed to designate a consistent qualified individual onsite who was responsible for implementing programs and activities to prevent and control infections for one of 10 months, identified as April 2026. The facility’s Infection Control Plan, Program and Committee policy, last reviewed on 1/6/26, stated that the designated Infection Preventionist is responsible for oversight of the infection control program and serves as a consultant to staff on infectious diseases, resident room placement, isolation precautions, staff and resident exposures, and surveillance and epidemiological investigations. During interviews, Human Resource staff stated that the former Infection Preventionist resigned, with the last day of employment on 4/4/26. A Registered Nurse who took over the infection control program stated she assumed the role on 4/4/26, was also supervising the building, looked at records to see if any were reportable, and had not been able to fully do the work since starting, estimating about 12 hours per week. She also stated that her infection control training and certification had been completed long ago and she would need to find it. Review of the facility-provided certification courses showed training completed in 2022, but there was no certificate for completion of the Nursing Home Infection Preventionist Training Course. Nursing Home Administration confirmed the facility failed to designate a consistent qualified individual onsite responsible for infection prevention and control during that month.
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