Failure to Document Enhanced Barrier Precautions in Baseline Care Plan
Penalty
No penalty information released
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
The facility failed to develop a complete baseline care plan for one of three residents sampled for enhanced barrier precautions (EBP), an infection control intervention aimed at reducing the transmission of multidrug-resistant organisms (MDROs). Record review showed that the resident was admitted with a surgical wound to the right hip and required IV access, both of which necessitated EBP as per physician's orders. However, the baseline care plan did not document the need for EBP for the surgical wound and IV access. During an interview, the Director of Nursing confirmed that the resident's baseline care plan was missing the required EBP documentation and acknowledged that the facility team should have included this information.