Infection Control Deficiencies in Sanitation, Staff Grooming, and Hand Hygiene
Penalty
Summary
Surveyors identified multiple failures in infection prevention and control practices within the facility. In two resident rooms, improper storage and disposal of toileting items were observed: a plastic urinal was left open on the floor under a bed with a wet area present, and an adult brief with visible soiling was found on the bathroom floor in front of the toilet. These observations were supported by photographic evidence. Additionally, three staff members, including two RNs and one CNA, were observed with artificial nails longer than the facility's policy limit of 1/4 inch, in violation of the dress code and infection control standards. During a meal service, a CNA was observed serving multiple meal trays and assisting a resident with feeding without performing hand hygiene at any point. The CNA was also seen coughing into her hand and wiping her face, then using the same hand to feed a resident, again without hand hygiene. Interviews with facility leadership confirmed that these actions were not in line with facility policy, which requires hand hygiene when entering or exiting resident rooms, between resident care activities, and specifically while feeding residents.