Bringing transparency to federal inspections
Tag No.: A0749
Based on document review and interview it was revealed the facility failed to ensure the guidelines for quarantine and return to work were followed for thirty-four (34) of two hundred and twenty-seven (227) employees who were listed as having been exposed to COVID 19 on the United Hospital (UHC) COVID 19 Response Employee Exposure Worksheet from 11/1/20 to 12.8/20 (Employee #'s 1, 22, 23, 26, 32, 39, 47, 74, 77, 80, 92, 104, 107, 118, 120,123,128, 131, 134, 138, 140, 146, 147, 151, 154, 156, 163, 165, 175,176, 179, 191, 192 and 223). The failure to follow the guidelines has the potential to adversely affect all employees, patients and visitors.
Findings include:
1. A review of the Center for Disease Control (CDC) article entitled 'Options to Reduce Quarantine for Contacts of Persons with SARS-Cov-2 Infection Using Symptom Monitoring and Diagnostic Testing,' updated 12/2/20, revealed in part: "Local health authorities determine and establish the quarantine options for their jurisdictions ...the following options to shorten quarantine are acceptable alternatives. Quarantine can end after day 10 with no testing and if no symptoms have been reported during daily monitoring ...
2. A review of the Harrison County Health Department's (local health authority) website revealed the CDC and West Virginia (WV) Division of Infectious Disease Epidemiology were listed as resources.
3. A review of the facility document entitled 'Asymptomatic Employee COVID Screening Tool,' revised 11/1/20, revealed in part: "Did the HCP or the confirmed/documented COVID-19 person wear a mask within 3 feet of each other for 15 minutes or longer? If no, they must self-quarantine/self-monitor for 5 days from the date of exposure, then come to work with surgical mask and other appropriate PPE ..." "Did the HCP have close contact with a confirmed/documented COVID-19 person while undergoing aerosolizing procedure who did not wear a respirator level protection (PAPR, CAPR, fit-tested N-95) and protective eye wear? If yes, self-quarantine/self-monitor for 5 days, then return to work if asymptomatic ..." "I was in close contact with a relative or friend who recently tested positive for COVID-19 and neither of us were wearing a mask within 3 feet of each other for 15 minutes or longer. What should I do? They must self-quarantine/self-monitor for 5 days from the date of exposure, then come to work with surgical mask and other appropriate PPE ..."
4. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/1/20 employee #1 was exposed to a positive patient in a nursing home but wore personal protective equipment (PPE) and was quarantined for five (5) days from 10/29/20 to 11/3/20.
5. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/8/20 employee #22 was exposed to COVID-19 and was quarantined for five (5) days from 11/8/20 to 11/13/20.
6. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/8/20 employee #23 was exposed to COVID-19 and was quarantined for five (5) days from 11/5/20 to 11/10/20.
7. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/9/20 employee #26 was exposed to COVID-19 and was quarantined for five (5) days from 11/8/20 to 11/13/20.
8. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/10/20 employee #32 was exposed to COVID-19 while traveling and was quarantined for five (5) days from 11/10/20 to 11/15/20.
9. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/10/20 employee #39 was exposed to COVID-19 and was quarantined for five (5) days from 11/9/20 to 11/14/20.
10. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/11/20 employee #47 was exposed to COVID-19 and was quarantined for five (5) days from 11/9/20 to 11/14/20.
11. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information', run date 12/28/20, revealed employee health was notified on 11/16/20 employee #74 was exposed to COVID-19 and was quarantined for five (5) days from 11/16/20 to 11/21/20.
12. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/16/20 employee #77 was exposed to COVID-19 and was quarantined for five (5) days from 11/13/20 to 11/18/20.
13. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/1/20 employee #80 was exposed to COVID-19 and was quarantined for five (5) days from 11/14/20 to 11/19/20.
14. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/19/20 employee #92 was exposed to COVID-19 and was quarantined for five (5) days from 11/19/20 to 11/24/20.
15. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/19/20 employee #104 was exposed to COVID-19 and was quarantined for five (5) days from 11/19/20 to 11/24/20.
16. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/20/20 employee #107 was exposed to COVID-19 and was quarantined for five (5) days from 11/20/20 to 11/25/20.
17. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/22/20 employee #118 was exposed to COVID-19 and was quarantined for five (5) days from 11/21/20 to 11/26/20.
18. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/23/20 employee #120 was exposed to COVID-19 due to "did not wear proper PPE" and was quarantined for five (5) days from 11/23/20 to 11/28/20.
19. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/23/20 employee #123 was exposed to COVID-19 due to "did not wear proper PPE" and was quarantined for five (5) days from 11/23/20 to 11/28/20.
20. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/24/20 employee #128 was exposed to COVID-19 and was quarantined for five (5) days from 11/24/20 to 11/29/20.
21. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/25/20 employee #131 was exposed to COVID-19 and was quarantined for five (5) days from 11/25/20 to 11/30/20.
22. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/27/20 employee #134 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
23. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #138 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
24. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #140 was exposed to COVID-19 and was quarantined for five (5) days from 11/30/20 to 12/5/20.
25. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #146 was exposed to COVID-19 and was quarantined for five (5) days from 11/29/20 to 12/4/20.
26. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #147 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
27. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #151 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
28. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #154 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
29. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/1/20 employee #156 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
30. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/1/20 employee #163 was exposed to COVID-19 and was quarantined for five (5) days from 11/29/20 to 12/4/20.
31. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/1/20 employee #165 was exposed to COVID-19 and was quarantined for five (5) days from 12/2/20 to 12/7/20.
32. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/2/20 employee #175 was exposed to COVID-19 and was quarantined for five (5) days from 12/1/20 to 12/6/20.
33. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/2/20 employee #176 was exposed to COVID-19 and was quarantined for five (5) days from 11/30/20 to 12/5/20.
34. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/2/20 employee #179 was exposed to COVID-19 and was quarantined for five (5) days from 11/30/20 to 12/5/20.
35. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/4/20 employee #191 was exposed to COVID-19 and was quarantined for five (5) days from 12/5/20 to 12/10/20.
36. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/4/20 employee #192 was exposed to COVID-19 and was quarantined for five (5) days from 12/2/20 to 12/7/20.
37. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/8/20 employee #223 was exposed to COVID-19 and was quarantined for five (5) days from 12/8/20 to 12/13/20.
38. A telephone interview conducted with the employee health nurse on 12/29/20 at approximately 2:00 p.m. revealed the employees call the West Virginia University (WVU) COVID hotline and employee health if they have been exposed to COVID-19 or have symptoms. During this telephone interview the employee health nurse stated employees who have had direct exposure to COVID-19 but were asymptomatic were only required to quarantine for five (5) days. If they were not having symptoms they were permitted to return to work.
Tag No.: A0750
Based on document review and interview it was revealed the facility failed to ensure the guidelines for quarantine and return to work were followed for thirty-four (34) of two hundred and twenty-seven (227) employees who were listed as having been exposed to COVID 19 on the United Hospital (UHC) COVID 19 Response Employee Exposure Worksheet from 11/1/20 to 12.8/20 (Employee #'s 1, 22, 23, 26, 32, 39, 47, 74, 77, 80, 92, 104, 107, 118, 120,123,128, 131, 134, 138, 140, 146, 147, 151, 154, 156, 163, 165, 175,176, 179, 191, 192, and 223). The failure to follow the guidelines has the potential to adversely affect all employees, patients, and visitors.
Findings include:
1. A review of the Center for Disease Control (CDC) article entitled 'Options to Reduce Quarantine for Contacts of Persons with SARS-Cov-2 Infection Using Symptom Monitoring and Diagnostic Testing,' updated 12/2/20, revealed in part: "Local health authorities determine and establish the quarantine options for their jurisdictions ...the following options to shorten quarantine are acceptable alternatives. Quarantine can end after day 10 with no testing and if no symptoms have been reported during daily monitoring ...
2. A review of the Harrison County Health Department's (local health authority) website revealed the CDC and West Virginia (WV) Division of Infectious Disease Epidemiology were listed as resources.
3. A review of the facility document entitled 'Asymptomatic Employee COVID Screening Tool,' revised 11/1/20, revealed in part: "Did the HCP or the confirmed/documented COVID-19 person wear a mask within 3 feet of each other for 15 minutes or longer? If no, they must self-quarantine/self-monitor for 5 days from the date of exposure, then come to work with surgical mask and other appropriate PPE ..." "Did the HCP have close contact with a confirmed/documented COVID-19 person while undergoing aerosolizing procedure who did not wear a respirator level protection (PAPR, CAPR, fit-tested N-95) and protective eye wear? If yes, self-quarantine/self-monitor for 5 days, then return to work if asymptomatic ..." "I was in close contact with a relative or friend who recently tested positive for COVID-19 and neither of us were wearing a mask within 3 feet of each other for 15 minutes or longer. What should I do? They must self-quarantine/self-monitor for 5 days from the date of exposure, then come to work with surgical mask and other appropriate PPE ..."
4. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/1/20 employee #1 was exposed to a positive patient in a nursing home but wore personal protective equipment (PPE) and was quarantined for five (5) days from 10/29/20 to 11/3/20.
5. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/8/20 employee #22 was exposed to COVID-19 and was quarantined for five (5) days from 11/8/20 to 11/13/20.
6. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/8/20 employee #23 was exposed to COVID-19 and was quarantined for five (5) days from 11/5/20 to 11/10/20.
7. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/9/20 employee #26 was exposed to COVID-19 and was quarantined for five (5) days from 11/8/20 to 11/13/20.
8. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/10/20 employee #32 was exposed to COVID-19 while traveling and was quarantined for five (5) days from 11/10/20 to 11/15/20.
9. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/10/20 employee #39 was exposed to COVID-19 and was quarantined for five (5) days from 11/9/20 to 11/14/20.
10. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/11/20 employee #47 was exposed to COVID-19 and was quarantined for five (5) days from 11/9/20 to 11/14/20.
11. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information', run date 12/28/20, revealed employee health was notified on 11/16/20 employee #74 was exposed to COVID-19 and was quarantined for five (5) days from 11/16/20 to 11/21/20.
12. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/16/20 employee #77 was exposed to COVID-19 and was quarantined for five (5) days from 11/13/20 to 11/18/20.
13. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/1/20 employee #80 was exposed to COVID-19 and was quarantined for five (5) days from 11/14/20 to 11/19/20.
14. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/19/20 employee #92 was exposed to COVID-19 and was quarantined for five (5) days from 11/19/20 to 11/24/20.
15. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/19/20 employee #104 was exposed to COVID-19 and was quarantined for five (5) days from 11/19/20 to 11/24/20.
16. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/20/20 employee #107 was exposed to COVID-19 and was quarantined for five (5) days from 11/20/20 to 11/25/20.
17. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/22/20 employee #118 was exposed to COVID-19 and was quarantined for five (5) days from 11/21/20 to 11/26/20.
18. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/23/20 employee #120 was exposed to COVID-19 due to "did not wear proper PPE" and was quarantined for five (5) days from 11/23/20 to 11/28/20.
19. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/23/20 employee #123 was exposed to COVID-19 due to "did not wear proper PPE" and was quarantined for five (5) days from 11/23/20 to 11/28/20.
20. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/24/20 employee #128 was exposed to COVID-19 and was quarantined for five (5) days from 11/24/20 to 11/29/20.
21. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/25/20 employee #131 was exposed to COVID-19 and was quarantined for five (5) days from 11/25/20 to 11/30/20.
22. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/27/20 employee #134 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
23. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #138 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
24. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #140 was exposed to COVID-19 and was quarantined for five (5) days from 11/30/20 to 12/5/20.
25. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #146 was exposed to COVID-19 and was quarantined for five (5) days from 11/29/20 to 12/4/20.
26. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #147 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
27. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #151 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
28. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 11/30/20 employee #154 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
29. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/1/20 employee #156 was exposed to COVID-19 and was quarantined for five (5) days from 11/27/20 to 12/2/20.
30. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/1/20 employee #163 was exposed to COVID-19 and was quarantined for five (5) days from 11/29/20 to 12/4/20.
31. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/1/20 employee #165 was exposed to COVID-19 and was quarantined for five (5) days from 12/2/20 to 12/7/20.
32. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/2/20 employee #175 was exposed to COVID-19 and was quarantined for five (5) days from 12/1/20 to 12/6/20.
33. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/2/20 employee #176 was exposed to COVID-19 and was quarantined for five (5) days from 11/30/20 to 12/5/20.
34. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/2/20 employee #179 was exposed to COVID-19 and was quarantined for five (5) days from 11/30/20 to 12/5/20.
35. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/4/20 employee #191 was exposed to COVID-19 and was quarantined for five (5) days from 12/5/20 to 12/10/20.
36. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/4/20 employee #192 was exposed to COVID-19 and was quarantined for five (5) days from 12/2/20 to 12/7/20.
37. A review of the spreadsheet entitled 'UHC COVID-19 Response Employee Exposure Information,' run date 12/28/20, revealed employee health was notified on 12/8/20 employee #223 was exposed to COVID-19 and was quarantined for five (5) days from 12/8/20 to 12/13/20.
38. A telephone interview conducted with the employee health nurse on 12/29/20 at approximately 2:00 p.m. revealed the employees call the West Virginia University (WVU) COVID hotline and employee health if they have been exposed to COVID-19 or have symptoms. During this telephone interview the employee health nurse stated employees who have had direct exposure to COVID-19 but were asymptomatic were only required to quarantine for five (5) days. If they were not having symptoms they were permitted to return to work.