Failure to Use Enhanced Barrier Precautions During PICC Line Dressing Change
Penalty
Summary
The facility failed to implement its infection prevention and control program by not using enhanced barrier precautions during intravenous therapy care for Resident #2. On 02/27/2026 at 10:32 AM, an LPN was observed changing Resident #2’s PICC line dressing without wearing a gown. Resident #2 had an IV for antibiotic medications related to a wound infection, and the resident’s care plan dated 02/02/2026 specified that enhanced barrier precautions were to be provided per facility policy. The Director of Nursing stated that Resident #2 should be on enhanced barrier precautions due to the IV and wound, and that the LPN should have worn a gown, while also noting that there was no order for enhanced barrier precautions. The LPN reported not thinking a gown was needed to change a PICC line dressing. Review of the facility’s Enhanced Barrier Precautions policy showed that gown and glove use is required for high-contact resident care activities, including device care such as central lines and wound care for any skin opening requiring a dressing.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.