Observations Based on a staff interview conducted on March 16, 2021, the facility failed to file a written unusual incident report with the Department within 3 business days following an outbreak of COVID 19. Six residents and three staff members tested positive between February 20, 2021 and March 1, 2021.
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Plan of Correction After consultation with DDAP auditor, clarity was achieved regarding contradictory information as provided by the CDC site. Incident reports have been submitted as requested.
In the event of a future circumstance requiring incident reporting, the Facility Director will submit incident reports according to regulatory guidance. |