Failure to Maintain Infection Prevention and Control Program
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
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by multiple observed lapses in hand hygiene and glove use by staff. During rounds in resident rooms, a physical therapy assistant was seen entering a resident's room and placing ice packs on the resident without washing hands or wearing gloves. Review of the facility's policy for cold compress placement revealed that it did not include requirements for hand washing or glove use. Additionally, during a medication pass, a registered nurse did not wash her hands on four out of ten opportunities before entering five different resident rooms. These observations were confirmed through staff interviews and policy review.