Failure to Follow Hand Hygiene and Enhanced Barrier Precautions
Penalty
Fine: $74,560
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 hand hygiene protocols during medication administration, as observed when two staff members did not perform hand hygiene before or after passing medications, including administering an insulin injection. Additionally, the facility did not implement enhanced barrier precautions for two residents: one resident with an unstageable wound connected to a wound vac had no signage or supplies indicating the need for enhanced barrier precautions, and another resident with a physician order for enhanced barrier precautions also lacked appropriate signage and supplies at the door. Interviews with staff confirmed a lack of clarity and adherence to precaution protocols for these residents.