Failure to Clean Glucose Monitoring Device Between Resident Uses
Penalty
Summary
The facility failed to ensure proper cleaning of the blood glucose monitoring machine after each resident use, as observed during a survey. On the morning of 8/26/2025, a registered nurse used the glucose monitoring device to check the blood sugar of one resident and, without cleaning the machine, proceeded to use it on a second resident. The nurse then placed the uncleaned device back into the medication cart. When questioned, the nurse stated that the machine is cleaned after each shift with disinfectant wipes, rather than after each resident use. Both residents involved had physician orders for blood glucose monitoring, with one also receiving insulin aspart per sliding scale. The facility's policy requires cleaning and disinfecting of blood glucose meters between patient uses to prevent transmission of pathogens.