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F0880
D

Inadequate PPE Use by Housekeeping Staff Under Droplet Precautions

Holmes, New York Survey Completed on 04-04-2025

Penalty

No penalty information released
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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

The facility failed to maintain proper infection control prevention practices, specifically in the use of Personal Protective Equipment (PPE) by housekeeping staff in a room under Droplet Precautions. On March 30, 2025, a housekeeper entered a room marked with a Droplet Precaution sign without wearing a gown and exited wearing gloves, which they did not remove or sanitize after leaving the room. This action was observed on video footage reviewed with the facility Administrator. Additionally, on April 1, 2025, another housekeeper entered the same room wearing a surgical mask instead of the required N-95 mask, as indicated by the Droplet Precaution sign. The housekeeper acknowledged the mistake, stating they forgot to change their mask. The Activities and Housekeeping Supervisor confirmed that all housekeeping staff were educated on transmission-based precautions and the proper use of PPE, including the requirement to wear N-95 masks and perform hand hygiene when exiting rooms with Droplet Precautions.

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