Failure to Implement Infection Control Practices During COVID-19 Outbreak
Penalty
Summary
The facility failed to implement proper infection control practices during an ongoing COVID-19 outbreak, as evidenced by multiple staff not adhering to mask-wearing protocols and hand hygiene requirements. Specifically, two staff members, an Activity Assistant and a Certified Occupational Therapy Assistant, were observed wearing surgical masks below their noses, only covering their mouths, while in resident care areas. Both staff acknowledged awareness of the ongoing outbreak and their training on proper mask use, but did not maintain correct mask positioning during their duties. Additionally, hand hygiene lapses were observed among staff. A Physical Therapist did not perform hand hygiene after removing gloves and before touching a resident and their wheelchair following a therapy session. The therapist admitted that hand hygiene should have been performed to prevent the spread of germs. Similarly, a Housekeeping staff member failed to perform hand hygiene after handling trash in a restroom and before touching the janitor cart. The staff member acknowledged the lapse and the importance of hand hygiene in infection control. Further, the same Housekeeping staff member was observed transporting four trash bags with bare hands, allowing the bags to come into contact with her clothing. The staff member stated that the bags were heavy and difficult to keep away from her body. The Director of Nursing confirmed that a cart should have been used to prevent cross-contamination. Facility policies and CDC guidelines reviewed during the survey supported the need for proper mask use, hand hygiene, and safe trash handling to prevent the transmission of infectious diseases.