Rest Haven Health Care Center

Inspectors wroteBased on observation, interviews and record review, facility staff failed to ensure one resident (Resident #1) remained free from accidents, when Licensed Practical Nurse (LPN) A heated water in a microwave and gave it to the resident, the resident spilled the hot water on him/herself, which resulted in a burn injury to the resident's legs. Facility staff failed to prevent one resident (Resident #2) from falling, when staff assisted the resident with one staff member and rolled the resident to his/her side during care and the resident fell from his/her bed. The facility's census was 53. The administrator was notified on 05/12/26 of past Non-Compliance which occurred on 05/08/26. [...]

Inspectors wroteBased on interviews and record review, facility staff failed to maintain professional standards of care, when Licensed Practical Nurse (LPN) A administered treatment to one resident's (Resident #1's) burn injury, without obtaining an order from the physician. The facility's census was 53. The administrator was notified on 05/12/26 of past Non-Compliance which occurred on 05/08/26. On 05/07/26, staff were in-serviced on when to notify management of incidents, and to always obtain an order from the physician for treatments, and on 05/08/26, LPN A was in-serviced and counseled on when to obtain orders from the physician for a treatment. 1. Review of the facility's Transcription of Orders/Following Physician's Orders policy, dated 05/18/24, showed the purpose is to ensure that all physician's orders are followed. 2. [...]

Inspectors wroteBased on interview and record review, facility staff failed to ensure one resident (Resident #1) remained free from sexual abuse, when staff found Certified Nurse Assistant (CNA) A in the resident's bed with his/her pants around his/her ankles, resident's pants and underwear off. CNA A admitted he/she sexually assaulted the resident. The facility census was 62. The administrator was notified on 01/06/26 of a past non-compliance immediate jeopardy (IJ) which occurred on 01/04/26. The administrator immediately began an investigation and began in-servicing all staff on abuse and neglect who were on duty and continued in-servicing staff not on duty prior to their shifts. The IJ was corrected on 01/04/26. 1. [...]

Inspectors wroteBased on observation, interview and record review, facility staff failed to store food in a manner to prevent potential contamination and outdated use. Facility staff failed to ensure the dish washing machine operated according to manufacturer's instructions to adequately prevent cross contamination of kitchen wares. Facility staff failed to perform hand hygiene as often as necessary, using approved techniques, to prevent cross-contamination. The census was 64.1. Review of the facility's Resident Food: Storage and Sharing policy, revised 09/16/2024, showed the purpose of the policy is to ensure resident food storage is safe with sanitary storage, handling and consumption. Review showed food items will be dated after opening and prepared food that is dated three days after it is placed in the refrigerator will be discarded. [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to use appropriate infection control procedures to prevent the spread of bacteria or other infectious causing contaminants when facility staff failed change and/or store oxygen and nebulizer tubing in a manner to prevent the spread of bacteria for three residents (Resident #1, #18, and #35) out of three sampled residents. Facility staff failed to maintain proper infection control practices for three residents (Resident # 13, #18 and #25) out of four sampled residents catheters. Facility staff failed to perform appropriate hand hygiene, and glove changes during wound care for one resident (Resident #2) out of two sampled residents. [...]

Inspectors wroteBased on interview and record review, the facility staff failed to designate one or more individuals with specialized training in Infection Prevention and Control (IPC) as the Infection Preventionist (IP) for the facility's infection prevention and control program. The census was 52. 1. Review of the facility's Infection Preventionist Policy, revised 03/05/2025, showed the facility will employ one or more qualified individuals with responsibility for implementing the facility's infection prevention and control program. 2. During an interview on 03/05/25 at 2:43 P.M., the Chief Nursing Director said they do not currently have an infection preventionist (IP). He/She said the Assistant Director of Nursing (ADON) is working on getting certified. During an interview on 03/06/25 at 7:10 A.M., the Director of Nursing (DON) said they do not currently have an IP. [...]

Inspectors wroteBased on observation, interview and record review, facility staff failed to provide a comfortable, safe, and homelike environment for residents, when staff failed to maintain walls, floors, bathrooms, and the building structure of resident occupied rooms and common areas. The facility census was 52. 1. Review of the facility's Safe and Homelike Environment policy, dated 06/0524 showed: - In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. This includes ensuring the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk; [...]

Inspectors wroteBased on observation, interview and record review, facility staff failed to develop a comprehensive person-centered care plan to meet the resident's medical, nursing, mental and psychosocial needs for eight residents (Resident #1, #2, #9, #12, #18, #25, #45 and #258) out of 12 sampled residents. The facility's census was 52. 1. Review of the Facility's Comprehensive Care Plans policy, dated 10/31/24, showed: -It is the policy of this facility to develop and implement a comprehensive person-centered care plan or each resident, consistent with resident rights, that include measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment; -Resident specific interventions that reflect the reisdent's needs and preferences. 2. [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide services to meet professional standards when staff failed to document and obtain orders for hospice services on two (Resident #18 and #45) of three residents who receive hospice services, to obtain orders for an indwelling catheter for three(Resident #12, #13, and #18) out of three sampled residents, failed to document weekly skin assessments for three (Resident #9, #12, and #13) of six sampled residents and failed to document a smoking assessment on one (Resident #9) of five residents who smoked. The facility census was 52. 1. Review of the Coordination of Hospice Services policy, dated 05/18/24, showed the policy did not contain direction to obtain a physician order for hospice. Review of the facility's Indwelling and Suprapubic Catheter Use and Removal policy, dated 06/26/24, showed: [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide care to meet basic hygiene needs for five sampled residents (Resident #11, #12, #13, #27, and #42,). The facility census was 52. 1. Review of the facility's Activities of Daily Living (ADL) policy, dated 05/18/24, showed: -The facility will, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, ensure a resident's abilities in ADL's do not deteriorate unless deterioration is unavoidable; -Care and services will be provided for the following ADL's, toileting, bathing, dressing, grooming and oral care. Review of the facility's Resident Showers policy, dated 06/26/24, showed: -It is the practice of this facility to assist residents with bathing to maintain proper hygiene, stimulate circulation and help prevent skin issues as per standards of practice; [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to lock medication carts when unattended and failed to safely store hazardous materials in a manner to prevent accidents in two of three shower rooms. The facility census was 52. 1. Review of the facility's Medication Storage policy, dated 05/18/24, showed: -All drugs and biologicals will be stored in locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature controls; -During a medication pass, medications must be under the direct observation of the person administering medications or locked in the medication storage area/cart. 2. Observation on 03/03/25 at 11:28 A.M., showed the medication cart at the nurse station unlocked and unattended. Observation showed residents in the hall near the nurses station. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to provide services by sufficient numbers of nurse aides to provide nursing care to eight of 14 sampled residents (Resident #11, #12, #13, #25, #27, #31, #33, and #42) to ensure care and comfort of residents daily needs. The facility census was 52. 1. Review of the resident council meeting notes for December 2024, January 2025, and February 2025, showed the residents expressed concern for lack of staff, staff not answering call lights at night, staff not making the beds, night shift working with only one nurse for the entire building, not receiving ice water every shift and not enough aides to work on the 100 hall. Review of the facility's nurse staff punch detail dated 02/17/25 through 03/05/25 showed: -One licensed nurse and one certified nurse aide (CNA) on duty from 10:49 P.M. to 5:43 A.M. [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to maintain a medication error rate of less than 5% out of 52 opportunities observed, 28 errors occurred, resulting in a 53.85% error rate, which affected three residents (Resident #4, #12, and #258) out of seven sampled residents. The facility census was 52. 1. Review of the Facility's Medication Administration policy, revised 06/26/24, showed: -General medication administration process: -Ensured that the six rights of medication administration are followed: -Right time; -Compare medication source (bubble pack, vial, etc.) with Medication Administration Record (MAR) to verify resident name, medication name, form, dose, route, and time; -Administer within 60 minutes prior to or after scheduled time unless otherwise ordered by the physician. 2. [...]

Inspectors wroteBased on record review and interview, facility staff did not conduct and document a thorough facility-wide assessment to determine what resources are necessary to care for residents during both day-to-day operations and emergencies. The facility census was 52. 1. Review of the facility's Facility Assessment Policy and Tool, dated 06/29/2023, showed: -The facility must update the Facility Assessment monthly and as necessary whenever there is, or the facility plans for, any change that would require a substantial modification to any part of the assessment; [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide thorough orders, monitoring, and ongoing communication with the dialysis (a treatment that cleans the blood when the kidneys fail to function properly) clinic for one of one resident (Resident #48). The facility census was 52. 1. Review of the facility's Dialysis policy, dated 03/18/22, showed the following: -Ongoing assessment of the resident's condition and monitoring for complications before and after dialysis treatments received at a certified dialysis facility; -Ongoing assessment and oversight of the resident before and after dialysis treatments; -Ongoing communication and collaboration with the dialysis clinic, regarding dialysis care and services; a. Coordination of physician services between the nursing facility and dialysis facility. [...]

Inspectors wroteBased on interview and record review, facility staff failed to ensure four out of six nurse aides ((NA) NA C, NA D, NA E, NA F) completed the nurse aide training program within four months of their employment in the facility. The facility census was 52. 1. Review of the facility's Nurse Aide Training policy, dated 05/18/24, showed the policy did not contain NA completion timeline or how to proceed if NA goes beyond the 120 day requirement. Review of the facility's Active Employee list showed: -NA C hired 04/03/24; -NA D hired 07/26/24; -NA E hired 08/30/24; -NA F hired 09/12/24; During an interview on 03/04/25 at 10:00 A.M., NA D said he/she has been working on the floor as an aide for eight months and has not been able to pass the testing required to become certified. He/She has to wait for certified staff or nurses to assist residents with care needs. [...]

Inspectors wroteBased on interview and record review, facility staff failed to implement an Antibiotic Stewardship Program with antibiotic use protocols and a system to monitor and track antibiotic use within the facility. The facility census was 52. 1. Review of the facility's Antibiotic Stewardship Program policy, revised 06/29/23, showed to optimize antibiotic use in our home and reduce unnecessary use of laboratory tests and antibiotics using a systematic approach: -The Antibiotic Stewardship Program (ASP) will comply with state and federal laws and regulations; -The ASP will be run by the facility Antibiotic Steward, who will lead the Antibiotic Stewardship Team (AST). At a minimum, the AST will be comprised of the Director of Nursing (DON), a nurse with administrative duties, and a charge nurse; [...]

Inspectors wroteBased on interview and record review, facility staff failed to review and revise care plans after falls for four residents (#4, #24, #36 and #47) of twelve sampled residents. Staff failed to invite residents to their care conference for two residents (#32 and #35) of twelve sampled of residents. The facility census was 45. 1. Review of the facility's policy titled, Care Plans, Comprehensive Person Centered, revised 10/2016, showed: -A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs is developed and implemented for each resident; -The care plan intervention is derived from a thorough analysis of the information gathered as part of the comprehensive assessment; [...]

Inspectors wroteBased on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN), for at least eight consecutive hours per day, seven days a week. The facility census was 45. 1. Review of the facility's policies showed the facility did not provide a policy for RN coverage. 2. Review of the facility's RN staff schedule, dated October 2023, showed the facility did not have an RN in the building for the dates of: -Sunday 10/01/23; -Saturday 10/14/23; -Sunday 10/15/23; -Saturday 10/28/23; -Sunday 10/29/23. 3. Review of the facility's RN staff schedule, dated November 2023, showed the facility did not have an RN in the building for the dates of: -Saturday 11/04/23; -Sunday 11/05/23; -Saturday 11/25/23; -Sunday 11/26/23. 4. Review of the facility's RN staff schedule, dated December 2023, showed the facility did not have an RN in the building for the dates of: [...]

Inspectors wroteBased on observation, interview and record review, facility staff failed to keep residents medical record accessible and systematically organized in accordance with accepted professional standards for 23 residents (Resident #1, #4, #7, # 9, #13, #14, #17, #21, #23, #24, #26, #28, #31, #32, #35, #36, #37, #40, #41, #44, #47, #48, and #351) out of 23 sampled residents. The facility census was 45. 1. Review of sampled Resident #1, #4, #7, #9, #13, #14, #17, #21, #23, #24, #26, #28, #31, #32, #35, #36, #37, #40,# 41, #44, #47, #48, and #351 medical records showed the medical records for the following areas not accessible for: -Falls; -Skin assessments; -Wound documentation; -Labs; -Gradual Dose Reductions (GDR); -Pharmacy Recommendations; -Immunization Records. [...]

Inspectors wroteBased on interviews and record review, facility staff failed to notify one resident's (Resident #26) representative in a timely manner after a report of potential abuse for one resident (Resident #1) out of twelve sampled residents. The facility census was 45. 1. Review of the facility's policy titled, Abuse Reporting and Investigation, undated, showed if a suspected and/or witnessed account of abuse is reported, such as physical, emotional, sexual, or major injury of unknown origin any of these must be reported to the Administrator, as well as the Director of Nursing (DON), the residents representative, doctor, and the State Agency as immediately but no longer than two hours after suspected incident. 2. Review of Resident #26's Quarterly Minimum Data Set (MDS), a federally mandated assessment tool, dated 04/07/24, showed staff assessed the resident as: -Severe cognitive impairment; [...]

Inspectors wroteBased on record review and interview, facility staff failed to document an accurate Minimum Data Set (MDS) assessment (a federally mandated assessment instrument) when staff coded three (Resident #7, #23, and #40) of three sampled residents took an anticoagulant medication (medication used to thin the blood) when the residents were not prescribed an anticoagulant medication. The facility census was 45. 1. Review of the facility's MDS completion and submission timeframes policy, dated 2010, did not contain direction for coding the MDS assessment. Review of the Resident Assessment Instrument (RAI) manual, dated October 2023, showed: Do not code antiplatelet medications such as aspirin/extended release or clopidogrel (antiplatelet) as an anticoagulant. 2. Review of Resident #7's Quarterly MDS, dated [DATE], showed the MDS coded for use of an anticoagulant in the 7-day lookback period. [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to ensure multi-dose medications contained an open date and/or resident name, dispose of expired medications, and failed to store only medications in the medication storage refridgerator. The facility census was 45. 1. Review of the facility's Storage of Medication policy, revised 04/2007, showed facility staff were directed as follows: -Drugs and biologicals shall be stored in the packaging, containers or other dispensing systems in which they are received; -Drug containers which have missing, incomplete, improper, or incorrect labels shall be returned to the pharmacy for proper labeling before storing; -The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals. All such drugs shall be returned to the dispensing pharmacy or destroyed; [...]

Inspectors wroteBased on interview and record review, facility staff failed to provide one resident (Resident # 32) out of one sampled resident with an appropriate follow-up plan/resolution in response to his/her grievances within 72 hours. The facility census was 45. 1. Review of the facility's policy titled, Resident Concerns and Grievances Policy and Procedures, undated, showed staff were directed to: -Responsed to resident/family shall be made as soon as possible and preferably immediately. Actions taken to resolve the complaint shall be made within 72 hours from the time the Concern/Grievance From was received; -Responsed may be written or verbal, depending on the situation. A Resident/family concern/grievance form is available; -Section three of the form is to be completed by the employee designated to ensure satisfaction with the resolution of complaints; [...]

Inspectors wroteBased on interviews and record review, facility staff failed to report an allegation of physical and verbal abuse to the Department of Health and Senior Services (DHSS) for one resident (Resident #26) within the two hour timeframe. The facility census was 45. 1. Review of the facility's policy, Abuse Reporting and Investigation, undated, showed staff if a suspected and/or witnessed account of abuse is reported, such as physical, emotional, sexual, or major injury of unknown origin any of these must be reported to the administrator, as well as the Director of Nursing (DON), the residents representative, doctor, and the State Agency immediately but no longer than two hours after suspected incident. 2. Review of Resident #26's Quarterly Minimum Data Set (MDS), a federally mandated assessment tool, dated 04/07/24, showed staff assessed the resident with severe cognitive impairment. [...]

Inspectors wroteBased on observation, interview and record review, facility staff failed to serve food in accordance with the nutritionally calculated menus and standardized recipes when facility staff failed to provide the correct portion sizes to three residents (Residents #4, #31, and #44) of three residents sampled who received pureed food items. The census was 45. 1. Review of the facility's policies, showed the policies did not contain instructions for staff to prepare multiple portions of pureed food items. Review of the standardized menu for Week Four, Day Three showed residents receiving pureed food items were to receive one # 10 (3.2 ounces) scoop of beef stroganoff, one #8 (four ounces) scoop of egg noodles, one #10 scoop of green beans, one #10 scoop of sweet dinner roll, one #16 (two ounces) scoop of gooey butter bar and a beverage. [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to perform appropriate hand hygiene and glove changes during incontinence care for one (Resident #14) out of one sampled resident. Facility staff failed to perform appropriate hand hygiene and glove changes during catheter care for two (Resident #4 and #36) out of two sampled residents. Facility staff failed to perform appropriate hand hygiene and glove changes during wound care for one (Resident #44) out of two sampled residents. The facility census was 45. 1. Review of the facility's policy titled, Standard Precautions, undated, showed staff are directed to: -Wash hands after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn; [...]

Inspectors wroteBased on interview and record review facility staff failed to maintain fifteen (15) months of Minimum Data Set (MDS), a federally mandated resident assessment tool, assessments in the resident's active record for eight (Resident #1, #7, #13, #17, #23, #24, #26, and #32) of eight of sampled residents who were admitted greater than 15 months. The census was 54. 1. Review of the facility's MDS completion and submission timeframes policy dated 2010, showed the policy did not contain direction for maintaining MDS assessments. Review of the Resident Assessment Instrument (RAI) manual, dated October 2023, showed that a nursing home must maintain all resident assessments completed within the previous 15 months in the resident's active record and use the results of the assessments to develop, review, and revise the resident's comprehensive plan of care. 2. Review of #1's medical record showed: [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to complete or post required nurse staffing information in an area readily accessible to residents and visitors. The facility census was 45. 1. Review of the facility's policy titled, Posting Direct Care Daily Staffing Numbers, revised 7/2016, showed within two hours of the beginning of each shift, the number of Licensed Nurses (Registered nurses, Licensed practical nurses, and Licensed vocational nurses) and the number of unlicensed nursing personnel (certified nurse aides) directly responsible for resident care will be posted in a prominent location (accessible to residents and visitors) and in a clear and readable format. Observation on 4/22/25 3:32 P.M., showed facility staff did not display the nurse staff posting sheet in an area readily accessible to residents and visitors. [...]

Inspectors wroteBased on interview and record review, the facility staff failed to develop and implement policies and procedures for the inspection, testing, and maintenance of the facility water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD). The facility census was 39. 1. Review of the Centers for Medicare and Medicaid Services (CMS) Survey and Certification (S&C) letter 17-30, dated 06/02/17 and revised on 06/09/17; showed: -The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least [AGE] years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. [...]

Inspectors wroteBased on interview and record review, the facility staff failed to complete the required Minimum Date Sets (MDS), a federally mandated resident assessment, within the required timeframe for four sampled residents (Resident #9, #16, #26 and #39). Facility census was 39. 1. Review of the Resident Assessment Instrument (RAI) manual version 3.0 RAI OBRA-required Assessment Summary showed assessment time frames as follows: -admission (Comprehensive) MDS completion date no later than 14th calendar day of the resident's admission; -Annual (Comprehensive) MDS completion date no later than assessment reference date (ARD) + 14 calendar days; -Quarterly (Non-Comprehensive) MDS completion date not later than ARD + 14 calendar days; -Quarterly assessment for a resident must be completed at least every 92 days following the previous OBRA assessment of any type. 2. [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide care to meet basic hygiene needs for three sampled residents (Resident #2, #9, and #32). The facility census was 39. 1. Review of the facility's Bath, Showers/Tub Policy, revised February 2018, showed the purpose of this procedure are to promote cleanliness, provide comfort to the resident and to observe the condition of the resident's skin; Documentation: -Date and time shower/bath was performed; -Name and title of the individual who assisted the resident with the shower/tub bath; -Assessment data during the shower/tub bath; -How the resident tolerated; -If the resident refused the shower/tub bath, the reason(s). Reporting: -Notify the supervisor if the resident refuses the shower/tub bath. 2. [...]

Inspectors wroteBased on observation, interview and record review, facility staff failed to complete the side rail/bed rail risk of entrapment assessment, complete initial and/or annual entrapment assessments, and/or obtain consent for the use of side rails for five sampled residents (Residents #2, #15 #21 #25, #26). The facility census was 39. 1. Review of the Facility's Bed Rails Policy, revised 12/16, showed staff are directed as follows: -The purpose of these guidelines are to ensure the safe use of side rails as resident mobility aids and to prohibit the use of side rails as restrains unless necessary to treat a resident's medical symptoms. General Guidelines: -An assessment will be made to determine the resident's symptoms, risk of entrapment and reason for using bed rails. When used for mobility or transfer, an assessment will include a review of the resident's: a. Bed mobility; b. [...]

Inspectors wroteBased on interview and record review, facility staff failed to perform Gradual Dose Reductions (GDRs) on psychotropic medications required for two residents (Resident #11 and #22) and failed to ensure that as needed (PRN) psychotropic medication orders were limited to 14 days unless specific duration and clinical rationale were provided for four sampled residents (Resident #14, #16, #21, and #25). The facility census was 39. 1. Review of the facility's Drug Reduction policy, undated, showed the following: -Resident who use antipsychotics drugs must receive a gradual drug reduction, unless clinically contraindicated in an effort to discontinue the use of such drugs; -When a drug reduction program has been implemented, such information shall be entered on the resident's plan of care to ensure that such reduction is closely monitored by the staff; [...]

Inspectors wroteBased on observation, interview, and record review, the facility staff failed to store controlled medications (medications which fall under United States Drug Enforcement Agency (DEA) Schedules II-V, have a potential for abuse, and may lead to physical or psychological dependence) in a separately locked, permanently affixed compartment and failed to discard expired medications. The facility census was 39. 1. Review of the facility's Storage of Medication policy, undated, showed all controlled substances are stored under double-lock and key. Observation on 12/7/22 at 11:18 A.M., showed the locked medication storage room contained the following medication in an unlocked refrigerator: - One 30 milliliter (ml) bottle of Lorazepam (a controlled medication) 2 milligram (mg)/ml concentrate in a plastic see through box closed with a numbered, unbroken, plastic tamper seal; [...]

Inspectors wroteBased on interview and record review, the facility staff failed to provided in writing the transfer/discharge notice to the resident and/or the resident's representative for four sampled residents (Resident #4, #11 #16, and #25). The facility census was 39. 1. Review of the facility's Transfer or Discharge Notice policy, dated 12/2016, showed facility staff are directed as follows: -Under the following circumstances, the notice will be given as soon as it is practicable but before the transfer or discharge: -The transfer is necessary for the resident's welfare and the resident's needs cannot be met in the facility; -An immediate transfer or discharge is required by the resident's urgent medical needs; -The resident and/or representative (sponsor) will be notified in writing of the following information: -The reason for the transfer or discharge; [...]

Inspectors wroteBased on interview and record review, the facility staff failed to designate one or more individuals with specialized training in Infection Prevention and Control (IPC) as the Infection Preventionist (IP) for the facility's infection prevention and control program. The census was 39. Review of the Center for Disease Control (CDC)'s Preparing for COVID-19 in Nursing Homes policy, updated on 11/20/20, showed facilities should assign at least one individual with training in IPC to provide on-site management of their COVID-19 prevention and response activities, because of the breadth of activities for which an IPC program is responsible, including developing IPC policies and procedures, performing infection surveillance, providing competency-based training of health care providers (HCP), and auditing adherence to recommended IPC practices. [...]