cms_ME: 71
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
71 | BANGOR NURSING & REHABILITATION | 205020 | 103 TEXAS AVE | BANGOR | ME | 4401 | 2019-07-17 | 880 | E | 0 | 1 | 2DG411 | Based on Infection Control Policy and Procedure review and interviews, the facility failed to perform a risk assessment to identify where waterborne pathogens (Legionella) could grow and spread, failed to develop and implement a water management policy and procedure and failed to specify testing protocols. Finding: On 7/17/19 at 12:19 p.m., the surveyor and the facility's Infection Preventionist (IP) reviewed the facility's infection control policies. There is no policy and procedure for water management. There is no evidence of a risk assessment being completed to determine growth areas for waterborne pathogens such as Legionella or other pathogens. In an interview with the IP, during the policy reviews, she stated she was unaware that Legionella is part of her infection control program and she has never seen a policy and procedure for water management. On 07/17/19 at 12:48 p.m., in an interview with the surveyor, the Administrator stated he was aware of the Legionella testing, but the facility did not have policies and procedures in place. He stated in May, 2019, the local City Water Management drained a fire hydrant outside the facility. He stated the City Water Management took water samples from the facility for testing, but he did not know what those tests were for. The Administrator stated he drafted a Legionella policy at that time in May, but was waiting for the results of the water tests that the City Water Management had taken before developing a water management program. The Administrator stated he does not have the results of the City's water tests and the facility has no documentation of water testing for Legionella. On 7/17/19 at 12:48 p.m., the Administrator confirmed with the surveyor that the facility has not completed a risk assessment to determine potential areas of microbial growth, there is no policy or procedure for Legionella in place and there are no documented results of testing for Legionella or other opportunistic pathogens in water. | 2020-09-01 |