Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 713026 (X3) Date Survey Completed 03/19/2024
Name of Provider or Supplier Bogalusa Rehabilitation Hospital Street Address, City, State 621 Columbia Street, Bogalusa, LA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0750 INFECTION CONTROL SURVEILLANCE, PREVENTION

The infection prevention and control program includes surveillance, prevention, and control of HAIs, including maintaining a clean and sanitary environment to avoid sources and transmission of infection, and addresses any infection control issues identified by public health authorities; and


This STANDARD is not met as evidenced by:
Based on record review and interview, the facility failed to ensure infection control standards were maintained. The deficient practice is evidenced by failure of the facility to maintain separate storage for clean and dirty items. Findings: Tour of the facility on 03/19/2024 at 11:15 a.m. revealed a large storage room with packaged sterile supplies on open shelving units, a large laundry cart with clean laundry in bags, open plastic bags of disposable underpads on the floor, a mop bucket with dirty water, a bottle of bathroom disinfectant, a large floor buffer, 6 broken bedside tables, a box of television routers, a wheel chair, a rolling chair, 3 bedside commodes, a small filing cabinet, and a dirty pedestal fan. In interview at the time of discovery, S2DMCD verified the dirty and clean supplies should not be stored in the same area and the disposable underpads should not have been on the floor.