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F0880
D

Failure to Implement Enhanced Barrier Precautions During Resident Care

North Wales, Pennsylvania Survey Completed on 06-20-2025

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

The facility failed to maintain an effective infection prevention and control program related to Enhanced Barrier Precautions for one resident. Specifically, a resident with diagnoses of dependence on renal dialysis and obstructive and reflux uropathy had a physician order for Enhanced Barrier Precautions to be implemented every shift. During an observation, an ophthalmologist was seen providing eye examination care to the resident without wearing a protective gown, which is required as part of the personal protective equipment (PPE) under Enhanced Barrier Precautions. This lapse was confirmed with the staff member involved at the time of the observation. The deficiency was identified through observations, review of facility policies and documentation, clinical record review, and staff interviews, and was cited under 28 Pa Code 201.14(a) and 28 Pa Code 201.18(d).

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