The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

WAGONER COMMUNITY HOSPITAL 1200 WEST CHEROKEE STREET WAGONER, OK 74467 Aug. 19, 2020
VIOLATION: IC PROFESSIONAL ADHERENCE TO POLICIES Tag No: A0776
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and interview, the hospital failed to ensure:

1. Infection surveillance policy was followed for one (Patient #3) of ten patients.
2. EVS Room Cleaning Protocol was followed for any patients in droplet/contact precautions.
This failed practice has the likelihood to place patients, staff, and the community at large at risk of exposure to an infectious agent.

Infection Surveillance

Review of a policy titled "Identification and Management of COVID-19 Patients" documented symptomatic individuals at higher risk for poor outcomes, including those who were 65 or older, were to have a nasopharyngeal swab collected for COVID-19.

Review of the medical record for Patient #3 showed the patient was 65 or older; (MDS) dated [DATE] with a cough; and no nasopharyngeal swab for COVID-19 was collected.

On 08/19/20 at 2:15 PM, Staff C reviewed the medical record for Patient #3 and the Identification and Management of COVID-19 Patients policy and stated the patient should have been tested for Covid-19.


EVS Protocol

Review of a policy "COVID - EVS Room Cleaning Protocol" documented a down time of one hour prior to cleaning an inpatient room following discharge of a patient who had been in airborne respirator/contact precautions.

On 08/19/20 at 11:30 AM, Staff H stated the facility's process was to clean rooms upon notification of patient discharge and there was no wait time before cleaning a room previously occupied by a COVID-19 postive patient.

On 08/19/20 at 2:49 PM, Staff D stated COVID-19 positive patients were put on airborne precautions.