Based on interview and record review it was confirmed that facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents. Findings include but not limited to:

During an unannounced site visit on 10/13/2022, Compliance Specialist (CS) interviewed Staff #1 (S1) who reported:

*Facility had a large outbreak of COVID in April and  May 2022 including 18 staff and 18 residents.

*Scheduling was very difficult at that time, and there was a lot of piecing schedules together

*S 1 was unable remember details of phone conversations with Staff #4 (S 4) from 4/28/2022 but stated they could not allow one med tech who was COVID + to go home without having another med tech come in to replace them.

The facility was unable to provide documentation of an exception granted by the public health department to have COVID + staff working on 4/28/2022.

A review of the facility's COVID case log revealed that (S4) tested + on 4/28/2022. A review of facility time cards revealed that S4 worked the following shifts:

4/27/2022: 10:50am-10:14pm

4/28/2022: 5:45am-10:20am, 9:45pm-4:20am

A review of facility's COVID screening logs for 4/27/2022-4/29/2022 revealed that S4 did not complete a COVID screening for any of those shifts.

These findings were reviewed with and acknowledged by S1 by phone on 10/19/2022.