Failure to Follow Infection Control Protocol During Medication Administration
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 Licensed Practical Nurse (LPN) was observed administering Ocusoft lid scrubs to the eyes of Resident 33 without wearing gloves. The facility's infection control policy, last reviewed on January 31, 2025, requires gloves to be worn whenever exposure to mucous membranes, such as the eyes, is planned or anticipated. The Director of Nursing confirmed that gloves should have been used during this procedure. This incident occurred on one of two nursing units (West Wing) and was determined through policy review, observation, and staff interview.