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F0880
D

Failure to Follow Enhanced Barrier Precautions During Resident Care

Los Angeles, California Survey Completed on 09-18-2025

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

A deficiency occurred when staff failed to follow Enhanced Barrier Precautions (EBP) for a resident with a stage 4 pressure ulcer. The resident, who had diagnoses including hepatic encephalopathy, COPD, and dementia, was totally dependent on staff for activities of daily living (ADLs) such as eating, oral hygiene, and toileting. The resident's medical records indicated severely impaired cognitive skills and an inability to make medical decisions. During an observation, a Certified Nurse Assistant (CNA) was seen providing ADL care to the resident without wearing a gown, despite the resident being on EBP due to the presence of an open wound. Interviews with the CNA, Director of Staff Development (DSD), and Director of Nursing (DON) confirmed that EBP protocols require staff to wear gloves, mask, and gown when providing care to residents with wounds or medical devices to prevent the spread of multi-drug-resistant organisms (MDROs). The CNA acknowledged forgetting to use a gown during care. Review of the facility's policy confirmed that gown and glove use is required for high-contact care activities under EBP, such as dressing, bathing, and toileting.

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