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F0880
F

Infection Control and Water Management Deficiencies Identified

Kettering, Ohio Survey Completed on 05-15-2025

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

During a dressing change for a pressure ulcer, a Licensed Practical Nurse (LPN) failed to follow proper infection control practices. The LPN removed an incontinent brief and wiped off old medication from a resident's sacral pressure ulcer using gloved hands, then applied new medication with the same gloves, without changing gloves or performing hand hygiene between the dirty and clean steps. The LPN later acknowledged not leaving the bedside to wash hands and change gloves as required. The resident involved was severely cognitively impaired, dependent on staff for transfers and toileting, and had multiple medical diagnoses including heart failure, renal insufficiency, and malnutrition. Additionally, the facility did not adhere to its Water Management Plan (WMP) as required. Maintenance staff confirmed that monthly monitoring of cold water temperatures and free chlorine levels, as outlined in the facility's policy for Legionnaires Disease prevention, had not been completed. This lapse had the potential to affect all residents in the facility.

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