Failure to Follow Enhanced Barrier Precautions During Wound Care
Penalty
No penalty information released
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 a registered nurse provided wound care to a resident with a stage four pressure ulcer without utilizing a gown, as required by the facility's Enhanced Barrier Precautions (EBP) policy. During the observation, the nurse wore gloves but did not don a gown, and there was no EBP signage near the resident's room. The facility's policy specifies that both gown and glove use are required during high-contact care activities for residents with wounds. The resident in question was severely cognitively impaired, as indicated by a BIMS score of three. Both the nurse and the Director of Nursing confirmed that a gown should have been worn during the wound care procedure.