CMS Manual System - Louisiana Department of Health and Hospitals

Utilize infection precautions to minimize the transmission of infection;
Identify and prohibit employees with a communicable disease from direct contact
with a resident;
Demonstrate proper hand hygiene;
Properly dispose of soiled linens;
Demonstrate the use of surveillance; or
Adjust facility processes as needed to address a known infection risk.
Potential Tags for Additional Investigation
During the investigation of F441, the surveyor may have identified concerns with
additional outcome, process, and/or structure requirements. The surveyor is cautioned to
investigate these related requirements before determining whether non-compliance may
be present. Examples of some related requirements that may be considered when noncompliance
at F441 has been identified include the following:
42 CFR §483.20(b), F272, Comprehensive Assessments
If the infection or risks were present at the time of the required
comprehensive assessment, determine whether the facility
comprehensively assessed the resident‘s physical, mental, and
psychosocial needs to identify the risks and/or to determine underlying
causes (to the extent possible) of the resident‘s condition and the impact
upon the resident‘s function, mood, and cognition.
42 CFR §483.20(b), F274, Significant Change Assessments
If there was a significant change in the infection or risk to the resident‘s
condition, determine whether the facility did a significant change
comprehensive assessment within 14 days.
42 CFR §483.20(k)(1)(i), F279, Comprehensive Care Plan
Determine if the facility developed a care plan consistent with the
resident‘s specific infection status, risks, needs, behaviors, and current
standards of practice and included measurable objectives and timetables,
and specific interventions/services to prevent the onset and/or transmission
of infection.