Failure to Prevent Cross Contamination of Personal Toiletries
Penalty
Summary
The facility failed to prevent cross contamination of residents' personal toiletries in two of five shared bathrooms on the First Floor (Rooms 107 and 118). During a facility tour, surveyors observed multiple unlabeled personal care items, including deodorant, skin protectant, body wash, shampoo, toothpaste, and peri-wash cleanser, stored in shared bathrooms. These items were not marked with residents' names and were accessible to multiple residents, contrary to facility policy requiring personal toiletries to be labeled and not shared. Interviews with nursing assistants confirmed that residents are supposed to have their own labeled toiletries and that these items should not be kept in shared bathrooms. Staff acknowledged that, at times, supplies run out and items are shared among residents. The Nursing Home Administrator also confirmed the failure to prevent cross contamination of personal toiletries in the identified bathrooms. These findings were determined through policy review, clinical record review, direct observation, and staff interviews.