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F0880
D

Failure to Perform Hand Hygiene During Medication Administration

South Holland, Illinois Survey Completed on 09-12-2025

Penalty

No penalty information released
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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

During a medication pass, a nurse failed to perform hand hygiene between administering medications to two residents. Specifically, after giving morning medications to one resident, the nurse returned to the medication cart and prepared medications for another resident without washing her hands or using hand sanitizer. The nurse acknowledged that she was supposed to clean her hands between residents but stated she forgot to do so. The Director of Nursing confirmed that hand hygiene should be performed between residents during medication administration to prevent the spread of infections. The facility's hand hygiene policy requires hand hygiene before contact with a resident or their environment.

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