OSHA Inspection: COUNTY MANOR REHABILITATION AND HEALTHCARE CENTER, LLC

Issued

Aug 8, 2013

Abate by

Sep 12, 2013

Penalty

Initial $4,900 · Current $2,450 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(iv)(B):   The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure:  (a) Establishment: Employees including but not limited to Registered Nurses, Licensed Practical Nurses, Certified Nursing Assistants and Recreational Assistants have exposure to blood and other potentially infectious material in the course of their work, but annual consideration and implementation of effective and safer medical devices to eliminate or minimize occupational exposure was not documented, thus potentially exposing employees to bloodborne pathogens on or about March 13, 2013.

Issued

Aug 8, 2013

Abate by

Sep 12, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(v):   The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls:  (a) Establishment: Employees including but not limited to Registered Nurses, Licensed Practical Nurses, Certified Nursing Assistants and Recreational Assistants had exposure to blood and other potentially infectious material in the course of their work, but input regarding identification, evaluation and selection of effective engineering and work practice controls were not solicited, thus potentially exposing employees to bloodborne pathogens, on or about March 13, 2013.

Issued

Aug 8, 2013

Abate by

Sep 27, 2013

Penalty

Initial $4,900 · Current $2,450 Reduced

General-duty citation text

29 CFR 1910.1030(f)(3)(ii)(A):     The source individual's blood shall be tested as soon as feasible and after consent is obtained in order to determine HBV and HIV infectivity. If consent is not obtained, the employer shall establish that legally required consent cannot be obtained. When the source individual's consent is not required by law, the source individual's blood, if available, shall be tested and the results documented.    (a) Establishment: The source individual's blood was not tested as soon as feasible after an employee was exposed to blood through a percutaneous injury, subsequently delaying provision of results and post-exposure re-evaluation and thus exposing the employee to bloodborne pathogens. Additionally the employer did not establish that legally required consent could not be obtained, on or about March 1, 2013.

Issued

Aug 8, 2013

Abate by

Sep 12, 2013

Penalty

Initial $4,900 · Current $2,450 Reduced

General-duty citation text

29 CFR 1910.1030(f)(5): Healthcare Professional's Written Opinion. The employer shall obtain and provide the employee with a copy of the evaluating healthcare professional's written opinion within 15 days of the completion of the evaluation.  (a) Establishment: A Licensed Practical Nurse reported a percutaneous injury from a needlestick but the employer did not provide the health care professional's written opinion for post-exposure evaluation and follow-up, therefore the employee may not have been informed about medical conditions that could have resulted from the exposure to blood or other potentially infectious materials nor whether or not any further evaluations and treatment was required, thus potentially exposing the employee to illnesses from bloodborne pathogens on or about April 19, 2013.

Issued

Aug 8, 2013

Abate by

Sep 4, 2013

Penalty

Initial $4,900 · Current $2,450 Reduced

General-duty citation text

29 CFR 1910.1030(f)(4)(ii)(D):   The employer shall ensure that the healthcare professional evaluating an employee after an exposure incident is provided the following information: Results of the source individual's blood testing, if available;   a) Establishment: Medical records including but not limited to the source patient's blood test results were not provided to the employee's healthcare provider after a needlestick incident occurred, thus exposing the employee to potential illnesses from bloodborne pathogens, on or about March 1, 2013.

Issued

Aug 8, 2013

Abate by

Sep 25, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(1)(ii)(A): The employer did not ensure that medical evaluations and procedures including the hepatitis B vaccine and vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were made available at no cost to the employee;  (a) Establishment: A Licensed Practical Nurse reported a percutaneous injury from a needlestick but the employer did not ensure Post Exposure evaluation and follow-up including prophylaxis were made available to at no cost to the employee, the employee obtained treatment on her own time and was not compensated for the time by the employer, on or about March 5, 2013.

Issued

Aug 8, 2013

Abate by

Sep 25, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(1)(ii)(B): Made available to the employee at a reasonable time and place;  (a) Establishment: A Licensed Practical Nurse reported a percutaneous injury from a needlestick but the employer did not ensure Post Exposure evaluation and follow-up including prophylaxis were made available to at no cost to the employee, the employee traveled to Englewood Hospital and Hackensack University Medical Center's Center for Occupational Medicine, but was not compensated for the travel by the employer, on or about March 5, 2013.

Issued

Aug 8, 2013

Abate by

Sep 4, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(1)(i):   The employer shall establish and maintain an accurate record for each employee with occupational exposure, in accordance with 29 CFR 1910.1020.  29 CFR 1910.1030(h)(1)(ii):   This record shall include:  29 CFR 1910.1030(h)(1)(ii)(D):   The employer's copy of the healthcare professional's written opinion as required by paragraph (f)(5); and  a) Establishment: The medical records of employees with occupational exposure to bloodborne pathogens did not include the employer's copy of the healthcare professional's written opinion on or about April 25, 2013.

Issued

Aug 8, 2013

Abate by

Sep 27, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(5)(i): The employer shall establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps. The information in the sharps injury log shall be recorded and maintained in such manner as to protect the confidentiality of the injured employee. The sharps injury log shall contain, at a minimum:    29 CFR 1910.1030(h)(5)(i)(A): The type and brand of device involved in the incident,    a) Establishment: The type and brand of the device involved in the percutaneous injury was not recorded on the sharps injury log, on or about July 10, 2013.

Issued

Aug 8, 2013

Abate by

Sep 27, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1020(g)(1): Upon an employee's first entering into employment, and at least annually thereafter, each employer shall inform current employees covered by this section of the following:    29 CFR 1910.1020(g)(1)(i): The existence, location, and availability of any records covered by this section;    a) Establishment: Employees were not made aware of the existence and availability of the records covered by this section and were not aware they had a right to a copy, on or about June 7, 2013.