Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0880
D

Failure to Maintain Enhanced Barrier Precautions During Tube Feeding

Mattawan, Michigan Survey Completed on 06-12-2025

Penalty

21 days payment denial
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.

Summary

A deficiency was identified when staff failed to maintain enhanced barrier precautions (EBP) during the administration of tube feeding for a resident with a percutaneous gastrostomy tube. The resident, who had a history of stroke and was admitted with a feeding tube, was under EBP as indicated by signage outside her room and documented in her care plan. Despite these precautions, an LPN administered a bolus feeding without wearing a gown, contrary to facility policy and posted instructions. The LPN stated that EBP was only necessary for CNAs and not for nurses, as she believed she did not come into direct contact with the feeding tube. Further interviews revealed inconsistent understanding and application of EBP among staff. One RN reported that EBP was not used during tube feeding administration, while another LPN stated that both gown and gloves were required for such procedures. A CNA indicated that EBP did not apply to her as she did not administer tube feedings. The facility's policy specified that EBP, including gown and gloves, should be used during high-contact care involving indwelling medical devices such as feeding tubes. The failure to follow these precautions during tube feeding administration resulted in a deficiency related to infection prevention and control.

Plan Of Correction

1. The Infection Prevention Nurse provided one-to-one education on enhanced barrier precautions (EBP) with the resident's nurse. 2. All residents have the potential to be affected if they meet criteria for EBP. 3. Education will be provided to clinical employees related to EBP standard work. The following policies were updated to include verbiage related to using the appropriate personal protective equipment (PPE) as ordered, including EBP: Enteral Feeding, Indwelling Catheter, Peripherally Inserted Central Catheter Change, Irrigating Foley Catheter, Peripheral Intravenous Therapy Procedure, Male Straight Catheter, Female Straight Catheter, Care-Cleaning Urinary Drainage Bags, Pressure Injuries and Wound Care, Wound Culture. 4. Five weekly audits will be completed by the Infection Prevention Nurse or designee to ensure compliance with using EBP when appropriate, for the next 12 weeks. 5. The Executive Director is responsible for compliance.

An unhandled error has occurred. Reload 🗙