Failure to Implement Enhanced Barrier Precautions for Residents with High-Risk Conditions
Penalty
Summary
The facility failed to develop and implement Enhanced Barrier Precautions (EBP) policies and procedures as required, specifically for residents with conditions that necessitate such precautions. Record reviews revealed that one resident had an indwelling catheter, another had unresolved wounds, and a third had a stage III pressure ulcer. Observations showed that there were no signs or indicators outside these residents' rooms to alert staff to the need for personal protective equipment (PPE) during high-contact care activities. Interviews with nurse aides indicated inconsistent understanding and application of EBP, with one aide stating EBP was used on everyone, while another denied any residents were on EBP and reported not receiving training regarding PPE use for wounds and catheters. The Director of Nursing and the Administrator both confirmed a lack of awareness and implementation of the EBP regulation, with the DON stating that new regulations are typically monitored by the Administrator, who also denied knowledge of the requirement.