Failure to Maintain Contact Precautions and PPE Availability for Resident with C. diff
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program for a resident diagnosed with enterocolitis due to Clostridium difficile. During observation, there was no signage on the exterior of the resident's room indicating that contact precautions were required, nor was there any personal protective equipment (PPE) available outside the room. Record review confirmed the resident had a history of C. diff infection and was under physician orders for an infectious disease consult. The resident reported ongoing symptoms, including diarrhea, and stated she was in isolation due to her infection. Interviews with facility staff, including the DON, confirmed that the resident was on contact precautions and should have had appropriate signage and PPE available at the room entrance. The DON acknowledged that the PPE cart had been removed for refilling and was not present at the time of observation, and that staff were expected to use gowns and gloves when providing care. Review of the facility's infection control policy did not specifically address the requirement for posting signs on doors but did reference the need for isolation precaution protocols and ensuring protective supplies are readily accessible.