HospitalInspections.org

Based on two observations, an interview, and a document review, it was determined the facility failed to prevent and control the transmission of infections within the hospital, as evidenced by the lack of COVID-19 screening on 01/13/21.

The findings include:

On 01/13/21 at 9:15 am, the surveyor arrived to the facility from the second floor link entrance connecting to the 11th Street parking garage. Staff Member #15, a designated COVID-19 screener greeted the surveyor. At this time, Staff Member #15 simply asked the surveyor for the purpose of entering the facility, and then allowed the surveyor to enter without taking a temperature, asking the COVID-19 symptom questionnaire and offering hand sanitizer. The surveyor asked Staff Member #15 whether the COVID-19 screening could be done, and Staff Member #15 declined, stating, the person who assists with that "is not here today".

On 01/13/21 at 9:45 am, two (2) surveyors returned to the same second floor link entrance connecting the 11th Street parking garage to re-observe this facility entrance. The surveyors made observations inconspicuously of Staff Member #15 for a period of approximately fifteen (15) minutes, and confirmed again that no COVID-19 screening of visitors and patients was being performed at that entrance.

Facility policy titled, "COVID-19 Front Door Team Screening Process" (last updated on 12/18/20) was reviewed on 01/12/21. The policy stated that designated front door COVID-19 screeners should offer hand sanitizer, take a temperature, and ask the COVID-19 questionnaire for all patients and visitors.

The surveyors informed Staff Member #1 of the findings on 10/13/21 at 10:05 am. During the exit conference the survey team discussed the observations also with Staff Members #1 (Regulatory and Accreditation), #22 (CEO) and #23 (Chief of Quality) on 1/14/2021 at 12:00 p.m.