Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement appropriate enhanced barrier transmission-based precautions for three residents, leading to deficiencies in infection prevention and control. Resident 106, who had bilateral heel pressure ulcers and was receiving wound care and antibiotic treatment, was not placed on enhanced barrier precautions. Observations revealed that there was no signage or personal protective equipment (PPE) available in the resident's room, and staff did not wear gowns during wound care activities, despite the presence of wound drainage. Resident 2, who had a urinalysis indicating ESBL in her urine and was hospitalized, did not have enhanced barrier precautions initiated upon her return to the facility. Similarly, Resident 67, who had a Foley catheter for bilateral obstructive uropathy, did not have appropriate signage or PPE available outside their room. These observations were confirmed during meetings with the Nursing Home Administrator and Director of Nursing, highlighting the facility's failure to adhere to infection control policies.