Deficiency Index

Every finding on record at Bond County Treasurer

Greenville, Illinois · CCN 141594

1 finding across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of October 31, 2024

1 finding
L0579

Based on document review and staff interview, it was determined that 3 of 5 (E #2, E #3, and E #4) volunteer personnel files reviewed, the Hospice facility failed to ensure all volunteers had records of Hepatitis and Tuberculosis vaccination. --- Findings include: 1. On 10/30/24 at approximately 2:30 PM, E #2, E # 3, and E# 4s personnel files were reviewed. The files lacked documentation of the Hepatitis and Tuberculosis vaccinations. 2. Per interview on 10/30/24 at approximately 3:30 PM Hospice coordinator (E #1). E #1 reviewed the personnel files and stated, ";We do not have that information." 3. On 10/31/24 at approximately 1:30 PM, the policy ";Bond County Health Department Vaccine-Hepatitis" (revised 05/2024), was reviewed. Under ";Procedure for Vaccinating Employees 1. During the hiring process employee will be asked about their vaccination history. #3. Offer the vaccine... C. Once the employee received training, but no less than 10 days prior to initial patient contact. ... Document whether or not the employee was vaccinated and file in the personnel record." 4. On 10/31/24 at approximately 1:40 PM, the policy, ";Bond County Health Department Tuberculosis Exposure Control Plan," (Revised 03/2024), was reviewed. It noted, ";...H. A two-step Tuberculin Skin Tests will be given to all the personnel upon hire, if no Tuberculin Skin Test has been performed within 12 months of hire date, and thereafter, according to risk assessment."

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Federal survey findings only. State licensure findings for hospices are not shown.

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