F0880

D

Failure to Follow Enhanced Barrier Precautions During Peri-Care

Raymondville, Texas Survey Completed on 01-21-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to implement its infection prevention and control program, specifically its Enhanced Barrier Precautions (EBP) policy, for a resident requiring EBP during high-contact care. The resident was an older male with dementia, bladder-neck obstruction, urinary incontinence, and an indwelling Foley catheter, and his care plan included catheter-related interventions. EBP signage, gowns, and gloves were present outside his room, and a trash can for discarding PPE was positioned inside the room near the exit. On observation, a CNA exited the resident’s room carrying a clear plastic bag containing a soiled brief and gloves, while the trash can inside the room was empty and there was no used gown in either the bag or the trash can, indicating that a gown had not been used.

In an interview immediately following the observation, the CNA stated she had transferred the resident from the living room to his room and performed peri-care, and admitted she did not don a gown, wearing only gloves because she was in a hurry and forgot to gown up. She acknowledged that not gowning could result in cross-contamination and reported she had been regularly in-serviced on infection control, including EBP. The RN covering the floor and the DON both confirmed that the resident was under EBP due to having an indwelling/foley catheter and that EBP guidelines, including use of gown and gloves, should be followed during high-contact activities such as peri-care. The facility’s EBP policy defined EBP as targeted gown and glove use during high-contact resident care activities and listed changing briefs or assisting with toileting as such activities, establishing that the CNA’s failure to wear a gown during peri-care was not in accordance with facility policy.