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F0880
D

Failure to Follow Enhanced Barrier Precautions During High-Contact Care

Augusta, Georgia Survey Completed on 05-04-2025

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

Staff failed to follow the facility's Enhanced Barrier Precautions (EBP) policy during high-contact care activities for a resident with a urinary catheter. Specifically, during an observed episode of urinary catheter care, two certified nursing assistants (CNAs) performed hand hygiene and donned gloves but did not put on gowns as required by the EBP policy for high-contact activities such as device care. The facility's policy, revised on 4/30/2024, clearly states that both gloves and gowns are to be used during such activities to prevent the transmission of multidrug-resistant organisms. The resident involved had a history of urinary incontinence and a current diagnosis of urinary retention, with an order for an indwelling urinary catheter. Supplies for proper personal protective equipment (PPE), including gowns and gloves, were available in the resident's room and in the supply cabinet on the unit. Both CNAs acknowledged after the procedure that they did not don gowns and confirmed their awareness of the EBP requirements. The Director of Health Services also confirmed that gown use is required for high-contact care under EBP guidelines.

See complete original report
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