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F0880
D

Failure to Maintain Clean Pill Crushers Compromises Infection Control

Lakeport, California Survey Completed on 06-19-2025

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

Surveyors observed that both pill crushers on separate medication carts were coated with powder-like substances of various colors, including white, black, and brown. During interviews, both LVNs acknowledged that the pill crushers were dirty and should have been cleaned to prevent cross contamination. The DON confirmed that the pill crushers should be cleaned after each use, with any residue removed using bleach wipes before crushing another medication. Review of the manufacturer's cleaning instructions indicated that the pill crushers should be regularly cleaned with a damp cloth and detergent, then wiped dry. The failure to clean the pill crushers as required led to the deficiency in the facility's infection prevention and control program.

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