Failure to Implement Enhanced Barrier Precautions During Wound Care
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 implement its infection control policies for a resident who required Enhanced Barrier Precautions (EBP) due to a pressure ulcer on the left heel and chronic kidney disease. According to the facility's policy, residents with wounds or indwelling medical devices should be placed on EBP unless contact precautions are indicated. Observation revealed that there was no signage on the resident's door indicating EBP, and during a dressing change, the LPN only wore gloves and did not use a gown as required for high-contact activities. The resident's clinical record did not include a physician's order for EBP, and staff interviews confirmed that EBP was not in place at the time of the observation.