Failure to Perform Hand Hygiene Between Resident 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
Staff failed to adhere to infection prevention and control practices by not performing hand hygiene before, during, or after providing care to multiple residents. On three separate occasions, a CNA was observed obtaining vital signs—including blood pressure, oxygen saturation, and temperature—for three different residents without performing hand hygiene upon entering, during, or exiting each resident's room. The CNA acknowledged not performing hand hygiene between resident-to-resident care, attributing it to a bad habit. The Director of Nursing confirmed that hand hygiene should have been performed during these care activities.