Failure to Implement Enhanced Barrier Precautions for Resident with Chronic Wounds
Penalty
Fine: $84,160
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 implement enhanced barrier precautions for a resident with chronic pressure ulcer wounds. Record review showed that the resident was admitted with multiple diagnoses, including adult failure to thrive, Alzheimer's disease, anxiety disorder, metabolic encephalopathy, and difficulty walking. The resident's care plan indicated the need for enhanced barrier precautions due to chronic wounds, but there was no corresponding physician order for these precautions during the resident's stay. Additionally, the facility was unable to provide a policy on enhanced barrier precautions. This deficiency was confirmed through interviews and review of facility documentation.