Based on observation of laundry storage and laundry procedures, staff interviews, review of facility laundry policy, and facility laundry staff training, the facility failed to ensure that staff were trained in infection control processes related to the laundering of linens and resident clothing to prevent cross-contamination. Both of the facility laundry machines (2 of 2) have been non-functional since at least November 2023. Facility staff are transporting soiled laundry to a local laundromat for washing, then bringing the wet laundry back to dry. However, not all the wet laundry could be dried at once, so some of the clean wet laundry was stored wet, often overnight. The laundry was not being handled, stored, processed, or transported, in a manner to prevent the spread of infection. …
F945
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F945 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F945 finding.
The harm level
How severely F945 is cited
0.6% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L10.6% |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D6338.2% | E6237.6% | F3923.6% |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F945 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review the facility failed to include as part of its infection prevention and control program mandatory training that included the written standards, policies, and procedures for the program for 4 of 14 staff (LVN C, LVN D, CNA E and CNA G) reviewed for training. The facility failed to ensure infection prevention and control training was provided to LVN C, LVN D, CNA E, and CNA G on hire. This failure could place residents at risk to the spread of illness. Findings include: Record review of the personnel file for LVN C indicated she was hired at the facility on 11/12/2025 and did not have training on infection control. …
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