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F0880
D

Failure to Provide PPE and Signage for Enhanced Barrier Precautions

West Chester, Pennsylvania Survey Completed on 12-28-2025

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

The facility failed to implement its infection prevention and control policy regarding Enhanced Barrier Precautions (EBP) for residents with wounds or indwelling medical devices. Observations revealed that while PPE such as gowns, gloves, and masks were available outside the doors of rooms 102, 104, 108, and 115, there were no signs posted to notify staff or visitors of the need for EBP as required by facility policy. Additionally, a resident with a tracheostomy and tube feeding did not have PPE available in the room, nor was there any signage indicating the need for EBP. These deficiencies were identified during observations and confirmed through policy review and staff interviews.

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