Infection Control Deficiencies in Wound Care, Meal Delivery, and Laundry Practices
Penalty
Summary
Staff failed to maintain infection control practices in several areas. During wound care for a resident, a nurse did not perform hand hygiene before donning gloves and, after holding the resident's leg, continued wound care without changing gloves or performing hand hygiene. Additionally, during meal tray delivery, a CNA repeatedly entered multiple resident rooms, touched various surfaces and residents, and did not perform hand hygiene between room entries or after assisting residents, contrary to facility expectations. The CNA stated that hand hygiene was only performed once during the entire meal pass, and there was confusion about the correct protocol among staff. A review of the laundry room's washer temperature logs revealed multiple days with missing documentation, indicating that regular temperature checks were not consistently completed. The Housekeeping and Laundry Manager confirmed that these checks were necessary to ensure proper sanitation of laundry. The facility administrator also acknowledged that the temperature logs should have been completed as required.