Inspection Report
Annual Inspection
Deficiencies: 1
Nov 21, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility on November 21, 2023.
Findings
The facility failed to ensure that 2 of 3 sampled residents (#2 and #3) completed the required two-step Tuberculosis (TB) testing within 14 days of admission, as mandated by the Commission for Public Health.
Deficiencies (1)
| Description |
|---|
| Failure to ensure 2 of 3 sampled residents completed required two-step Tuberculosis testing in compliance with control measures. |
Report Facts
Residents sampled: 3
Residents non-compliant: 2
Days for second step TB test: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| House Manager | Interviewed regarding TB testing and record maintenance | |
| Administrator | Interviewed regarding TB testing procedures and record maintenance |
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