Failure to Follow Hand Hygiene Policy on Nursing Unit
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
A deficiency was identified when a nurse aide failed to follow the facility's hand hygiene policy on the fourth floor nursing unit. The policy, last reviewed in January 2025, requires staff to sanitize or wash their hands before and after each procedure or task and after handling resident belongings. On November 10, 2025, at 11:50 a.m., the nurse aide was observed exiting one resident's room carrying linens with bare hands, disposing of them in the dirty linen receptacle, and then entering another resident's room without performing hand hygiene. The nurse aide touched the second resident's belongings, obtained clean linens, and re-entered and exited the room again, all without performing hand hygiene at any point during the observation.