Failure to Implement Contact Precautions for Scabies Diagnosis
Penalty
Summary
The facility failed to implement contact precautions for a resident diagnosed with scabies. Review of the resident's clinical record showed a diagnosis of scabies with a start date of October 28, 2025. The facility's policy required affected residents to remain on contact precautions until twenty-four hours after treatment. However, there were no physician orders for contact precautions in the resident's record, and observations of the resident's room revealed no signage indicating that contact precautions were in place. The resident had an order for Permethrin 5% cream, but treatment was to be held until after a dermatology appointment. During interviews, the Assistant Director of Nursing (ADON) stated she was not informed of the resident's recent scabies diagnosis and confirmed that contact precautions should have been implemented upon diagnosis. The ADON also noted that previous dermatology appointments did not indicate scabies. The resident was unavailable for interview due to cognitive impairment. The lack of communication and failure to follow facility policy led to the deficiency in infection prevention and control.