Failure to Consistently Implement Enhanced Barrier Precautions During Resident Care
Penalty
36 days payment denial
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 ensure that enhanced barrier precautions were consistently implemented for a resident requiring such measures. During wound care and incontinent care provided to a resident with neuromuscular dysfunction of the bladder and a stage IV pressure ulcer, a CNA was observed not wearing a gown as required, while the RN did wear a gown during wound care. The resident was assessed as severely impaired for daily decision making and totally dependent on staff for care. Staff interviews confirmed that gowns should have been worn during direct care for residents on enhanced barrier precautions, but this protocol was not followed during the observed care activities.