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F0880
D

Failure to Follow Contact Precautions During Wound Care

Oregon City, Oregon Survey Completed on 04-18-2025

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 proper infection control procedures during a dressing change for a resident with stage 3 and stage 4 pressure ulcers. During the dressing change, the LPN did not change gloves between handling soiled and clean dressings, and improperly removed her PPE gown by coming into contact with the exterior side. The LPN acknowledged awareness of the correct procedures for glove changes and gown removal. The Director of Nursing Services and RN consultant confirmed that the facility's expectation was for gloves to be changed between dirty and clean portions of the procedure and for gowns to be removed properly.

See complete original report
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