Failure to Maintain Infection Control and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices, as evidenced by multiple observed deficiencies. A medication cart was found with personal drinks placed on top, in violation of OSHA Bloodborne Pathogens regulations prohibiting food and drink in areas where there is a risk of exposure to infectious materials. Staff acknowledged that personal drinks should not have been on the medication cart. Additionally, staff did not consistently follow hand hygiene protocols, as one staff member donned gloves before administering an injection without performing hand hygiene, contrary to the facility's policy. Residents with indwelling medical devices and wounds, who had physician orders for Enhanced Barrier Precautions (EBP), were not provided with appropriate signage or personal protective equipment (PPE) supplies outside their rooms. Staff entered these residents' rooms and performed care, including IV medication administration and wound care, without donning required PPE such as gowns. Staff interviews confirmed awareness that EBP protocols, including signage and PPE availability, should have been implemented for these residents, but these measures were not in place at the time of observation.