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 staff failed to implement required infection control practices for a resident with open wounds and an ileostomy who was on Enhanced Barrier Precautions (EBP). Facility policy required staff to wear gowns and gloves when providing high-contact care to residents on EBP, including those with chronic wounds or indwelling catheters. During an observation, a Certified Nursing Assistant (CNA) entered the resident's room to empty a catheter bag without donning a gown, despite a sign posted outside the room indicating EBP precautions were in place. The CNA acknowledged forgetting the need to wear a gown for this resident, and the surveyor confirmed the lapse at the time of the observation.