Failure to Post Required Enhanced Barrier Precaution Signage for Rooms Using PPE
Penalty
Summary
Surveyors identified a deficiency in the facility’s infection prevention and control program related to the implementation of Enhanced Barrier Precautions (EBP). During a random observation on 12/01/25 at 10:22 a.m., PPE was observed hanging on the doors outside rooms 100, 205, 306, 307, and 311, indicating use of precautions; however, EBP signs were not posted outside rooms 205, 306, and 307. Record review of the facility’s infection control policies and procedures dated 07/15/25 showed the facility referred to CDC guidance, and review of CDC’s Enhanced Barrier Precautions in Nursing Homes (Slide 28, Communication) indicated that appropriate and legible EBP signs should be displayed outside the door of rooms where EBP is required, specifying the type of precaution and PPE to be used during high-contact resident care activities. In an interview on 12/05/25 at 11:35 a.m., the Administrator stated that signs should be in place for residents with enhanced precautions. This failure to post required EBP signage occurred in a facility housing 62 residents per the census provided by the Administrator on 12/01/25. The report does not provide specific clinical details or medical histories of individual residents affected, but it establishes that the missing EBP signs were in rooms where PPE use suggested enhanced precautions were in effect, and that the facility’s practice did not align with its referenced CDC guidelines or the Administrator’s stated expectations regarding signage for residents on enhanced precautions.
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