St Andrews

CMS deficiency 0880

Survey date 2025-07-14 - Health

No Actual Harm, Potential More Than Minimal (D)
Corrected
CCN
555218
Deficiency tag
0880
Scope/severity
D
Survey type
Health
Inspection cycle
1
Citation source
Complaint inspection

What the regulator cited

Provide and implement an infection prevention and control program.

What this severity rating means

No actual harm occurred, but a finding has the potential for more than minimal harm if uncorrected.

CMS uses a scope/severity grid (A through L). Letters A-F indicate no actual harm, G-I indicate actual harm, and J-L indicate immediate jeopardy. Scope (isolated, pattern, widespread) is encoded in the same letter.

Resolution status

Corrected on 2025-08-07.Deficient, Provider has date of correction