Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0880
D

Failure to Use Required PPE During High-Risk Resident Care

Sugar Land, Texas Survey Completed on 11-18-2025

Penalty

No penalty information released
tooltip icon
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

Staff failed to follow established infection prevention and control protocols for a resident with significant medical needs, including chronic wounds and an indwelling Foley catheter. During direct care activities, including Foley catheter care and wound dressing changes, the Assistant Director of Nursing (ADON), a Certified Nursing Assistant (CNA), and a Registered Nurse (RN) entered the resident's room without donning the required disposable gowns, despite clear signage and the availability of personal protective equipment (PPE) at the entrance. All three staff members only wore gloves while providing care, contrary to the facility's Enhanced Barrier Precautions policy, which mandates both gowns and gloves for high-contact care activities involving residents with wounds or indwelling devices. The resident involved had a complex medical history, including paraplegia, chronic wounds to the sacrum and right lower ischium, an intraspinal abscess, osteomyelitis, and an indwelling Foley catheter. The care plan and physician orders specified the need for enhanced infection control measures, and the resident's room was clearly marked with instructions for staff to use gowns and gloves. Observations confirmed that the required PPE was available outside the room, and the staff acknowledged during interviews that they were aware of the need for full PPE but failed to comply due to distraction or forgetfulness. Facility policy, as well as the revised Enhanced Barrier Precautions guidelines, require the use of gowns and gloves during high-contact care for residents with chronic wounds or indwelling medical devices to prevent the transmission of multidrug-resistant organisms. The staff's failure to adhere to these protocols was confirmed through observation, interviews, and record review, and was acknowledged by the Director of Nursing as a breach of infection control standards.

An unhandled error has occurred. Reload 🗙