Failure to Sanitize Blood Pressure Equipment for Resident on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain a safe, sanitary environment to prevent transmission of infectious agents when a nurse did not clean and sanitize vital sign equipment after use on a resident under Enhanced Barrier Precautions. During observation on 12/18/25 at 8:24 AM, an LPN took blood pressure measurements for Resident #39, who was on Enhanced Barrier Precautions, and then failed to sanitize the blood pressure cuffs before leaving the resident’s room. The LPN then proceeded to document medication administration on a facility computer located on top of the medication cart without having disinfected the equipment used on the resident. In a subsequent interview at 8:25 AM, the LPN confirmed that she forgot to clean the blood pressure cuffs after using them on Resident #39 and acknowledged that, per facility policy, the cuffs should have been cleaned prior to leaving the resident’s room. The LPN also confirmed that Resident #39 was on Enhanced Barrier Precautions at the time of the incident. The survey findings state that this deficient practice is likely to result in the transmission of infectious agents between residents and staff.
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