Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0880
E

Failure to Follow Infection Control Protocols for Equipment, PPE, and Resident Care

Monroe, Washington Survey Completed on 05-07-2025

Penalty

No penalty information released
tooltip icon
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

Staff on the Cascade unit failed to follow infection prevention and control protocols regarding equipment sanitation, garbage handling, and use of personal protective equipment (PPE). Multiple staff members were observed not disinfecting mechanical lifts after use between residents, despite facility policy requiring the use of disinfectant wipes or sprays on non-critical items between uses. Staff interviews confirmed knowledge of the requirement but revealed lapses in practice, with staff either forgetting or assuming another staff member would perform the disinfection. Additionally, a staff member was observed leaving a room with enhanced barrier precautions (EBP) signage and not cleaning the lift, even though cleaning supplies were readily available. In another instance, a staff member was observed handling garbage in a resident room with EBP signage without wearing gloves, using bare hands to push down the garbage before removing the bag. The staff member acknowledged not wearing gloves and cited being told not to wear gloves in the hallway, but no further explanation was provided. This action was inconsistent with infection control standards, especially in rooms requiring enhanced precautions. Deficiencies were also noted in the use of PPE during resident care. For a resident with chronic wounds and EBP in place, staff provided high-contact care, including pericare, dressing, and transferring, while only wearing gloves and not gowns as required by the posted EBP instructions. Both staff involved acknowledged after reading the sign that gowns should have been worn but stated they forgot. Additionally, during pericare for another resident, staff failed to change gloves and perform hand hygiene after cleaning the perineal area and before applying a clean brief, and touched clean items and the environment with contaminated gloves. Staff interviews confirmed awareness of the correct procedures but admitted to not following them during the observed care.

An unhandled error has occurred. Reload 🗙