F0880

D

Failure to Perform Hand Hygiene and Proper Infection Control Between Resident Contacts

Whitestown, Indiana Survey Completed on 02-13-2026

Penalty

No penalty information released

Summary

Facility staff failed to follow hand hygiene and infection control practices during multiple resident assessments and care interactions. On 2/11/26 at 10:57 a.m., a Physician’s Assistant (PA) assessed Resident 28’s leg for a suspected rash by pulling up the pant leg and palpating the skin without performing hand hygiene or wearing gloves. Immediately afterward at 10:58 a.m., the PA went directly to Resident 3 and touched the resident’s clothing and skin to assess bruising without performing hand hygiene between residents. At 10:59 a.m., immediately after contact with Resident 3, the PA approached Resident 65 and wiped the resident’s nose and mouth with a tissue, again without performing hand hygiene between residents.

On 2/11/26 at 11:03 a.m., CNA 7 used a single wet washcloth to wipe food crumbs and wetness from drooling off Resident 65’s soiled sweater, then used the same soiled cloth to wipe the resident’s hands and subsequently her face. On 2/13/26 at 10:30 a.m., the Director of Nursing (DON) acknowledged that it was best practice to perform hand hygiene between resident contacts. The facility’s Handwashing/Hand Hygiene policy dated 5/20/2020, provided by the DON on 2/12/26 at 2:50 p.m., requires use of alcohol-based hand rub or soap and water before and after direct contact with residents. These observations showed staff did not adhere to the facility’s hand hygiene policy during direct resident contact and assessments involving three residents (Residents 28, 3, and 65).