Vernon Manor

Note: Surveyor reviewed current transmission rates in the region and state.

Surveyor notes that the entire state is listed in as growing number of COVID-19 hospitalization across the State.

Wastewater and hospital admission rates growing for the Western part of the State where the facility is located.

Example 4:

The facility failed to identify the outbreak and implement their COVID-19 policies and procedures.

On 7/31/24 at 11:10 AM, Surveyor interviewed ADON/IP C.

Surveyor asked ADON/IP C if the facility was currently in a COVID-19 outbreak as the facility had a positive staff member. ADON/IP C stated no.

Surveyor asked ADON/IP C how many staff or residents need to positive to facilitate an outbreak. ADON/IP C stated, three.

Surveyor showed ADON/IP C current guidance.

Surveyor asked ADON/IP C based on current guidance would the facility be in an outbreak? ADON/IP C stated, yes.

Example 5:

The facility did not ensure they screened all residents for signs and symptoms of COVID-19 once a staff member tested positive.

On 7/31/24 at 11:10 AM, Surveyor interviewed ADON/IP C.

Surveyor asked ADON/IP C if the facility was screening residents for signs and symptoms of COVID-19. ADON/IP C stated not at this time as we did not believe we were in an outbreak.

Example 6:

The facility failed to ensure that staff who tested positive for COVID-19 did not work.

525562

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 525562 B.

Wing 07/31/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Vernon Manor 310 Fairlane Dr Viroqua, WI 54665