Failure to Implement Infection Control Precautions and Proper Equipment Storage
Penalty
Summary
Surveyors identified deficiencies in the facility's infection prevention and control program based on observations, record reviews, and staff interviews. For one resident with polyneuropathy, COPD, type 2 diabetes, and an indwelling urinary catheter, enhanced barrier precautions were not implemented as required by facility policy and a physician's order. Multiple observations revealed the absence of signage and personal protective equipment near the resident's room, and nursing staff could not explain why precautions were not in place despite being aware of the resident's condition and the existing order. For another resident with chronic respiratory failure, COPD, and congestive heart failure, nebulizer equipment was not stored in a manner that would prevent contamination. Observations showed the nebulizer mask was left uncovered on the machine at the bedside, contrary to facility policy, which requires rinsing, drying, and storing the equipment in a plastic bag. Staff interviews confirmed knowledge of the correct procedure, but the practice was not followed, and there was no physician order specifying the cleaning and storage process for the nebulizer equipment.