Penalty

No penalty information released

The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when the Unit Manager (UM) failed to follow Enhanced Barrier Precautions (EBP) while providing care to a resident with an indwelling urinary catheter. During an observed care activity, the UM wore gloves but did not don a gown as required by the facility's EBP policy, despite a visible EBP sign and available PPE supplies outside the resident's room. The resident had multiple diagnoses, including neurogenic bladder and an indwelling catheter, and a current physician's order specified the need for both gown and gloves during high-contact care. The UM later acknowledged not wearing a gown during the procedure, which was inconsistent with the facility's policy for residents with indwelling medical devices.