Repeat Failure to Ensure Proper PPE Use During COVID-19 Outbreak
Penalty
Summary
Staff failed to consistently and correctly wear required personal protective equipment (PPE), specifically face masks, during an active COVID-19 outbreak in the facility. Observations on two separate units revealed multiple instances where staff, including licensed nursing assistants and registered nurses, were either not wearing masks at all, wearing masks under their chins, or wearing masks below their noses. These observations occurred both at the nurse's station and in the memory care unit. Interviews with staff and the Infection Preventionist confirmed that universal masking was required at the time due to the outbreak, but staff were not adhering to this protocol. The deficiency was further substantiated by staff interviews, where it was acknowledged that masks were required and that staff were not following the correct procedures. The Infection Preventionist confirmed multiple observations of improper mask use, which did not provide adequate protection against infection for residents or staff. This issue was noted as a repeat deficiency, having been cited in previous recertification surveys.