R0102

Hand Sanitizer Unavailable at EBP Isolation Cart

Villa At Borgess PlaceKalamazoo, Michigan Survey Completed on 02-25-2025

Summary

A cognitively intact resident with diagnoses including a pressure wound, neuromuscular dysfunction of the bladder, and obstructive and reflux uropathy was observed to require Enhanced Barrier Precautions (EBP) due to the presence of an indwelling catheter and a pressure wound. Facility policy mandates the use of EBP, including the availability of personal protective equipment (PPE) and hand sanitizer outside the resident's room, to reduce the transmission of multi-drug-resistant organisms (MDROs) during high-contact care activities. During an observation, signage for EBP and an isolation cart with PPE were present outside the resident's room, but both hand sanitizer dispensers located above the cart were empty. An LPN attempted to use the dispensers and confirmed they were empty, stating that housekeeping was responsible for refilling them. The lack of available hand sanitizer at the point of care represented a failure to fully implement the facility's EBP policy as required for infection prevention and control.

Penalty

No penalty information released
tooltip icon
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.
See other R0102 citations

No citations found matching the criteria.

Citation search

Search every citation & Plan of Correction

Go to search
Citation watch

Track new serious citations across Michigan

Get a heads-up on the newest immediate-jeopardy (J–L) citations in Michigan — where surveyors are focused right now.

Free · about one email a month

Trusted data from CMS and state health departments

Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release July 29, 2026) and official state health department websites — never guesswork.

In your survey window? See what surveyors are citing.

The Survey-Prep Report maps your facility's risk from 12 months of CMS and state citation data — what's being cited around you and what to check first. $129 one-time.

Get the Survey-Prep Report
An unhandled error has occurred. Reload 🗙