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F0880
D

Failure to Use Required PPE During Wound Care Under Enhanced Barrier Precautions

Rockford, Illinois Survey Completed on 06-05-2025

Penalty

No penalty information released
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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 staff member failed to follow the facility's Enhanced Barrier Precautions policy while providing wound care to a resident with a Stage 4 pressure ulcer. The resident, who had been admitted with this diagnosis, was on Enhanced Barrier Precautions as indicated by signage on her door, which required the use of both a gown and gloves during wound care. During an observed wound care procedure, the staff member wore only gloves and did not don a gown as required. The facility's infection preventionist confirmed that both gown and gloves should have been used for residents with chronic wounds under Enhanced Barrier Precautions, in accordance with the facility's policy last approved in May 2024.

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