Infection Control Deficiencies in Shower Room Sanitation and Medication Administration
Penalty
Summary
The facility failed to implement effective infection control practices in two key areas: shower room sanitation and medication administration. During an inspection of a shower room with the Director of Maintenance, it was observed that the shower floor lacked grout between the tiles, creating uneven and potentially unsanitary conditions. Black mold-like substances were visible along the bottom edges of the shower walls, and an adhesive trim on the lower portion of the shower walls was peeling away, with additional black mold-like material found underneath. The Director of Maintenance confirmed the lack of grouting contributed to the unsanitary environment. Additionally, the CEO stated there was no log of who was responsible for cleaning the shower rooms, although they should be cleaned daily. During a medication administration observation, an LPN was seen preparing a subcutaneous injection. After performing hand hygiene and gathering supplies, the LPN placed the injectable pen and alcohol wipes directly on the sink ledge without using a sanitary barrier. She then washed and dried her hands, applied gloves, and administered the injection. The LPN later acknowledged that a paper towel should have been used as a barrier instead of placing the supplies directly on the sink. These actions demonstrate lapses in infection control protocols during both environmental cleaning and direct resident care.