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.
|UNIVERSITY OF VIRGINIA MEDICAL CENTER||1215 LEE STREET CHARLOTTESVILLE, VA 22908||Jan. 14, 2021|
|VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES||Tag No: A0749|
|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.