F0880

E

Inadequate Infection Control for Peri-Care, Catheter Care, and Shared Equipment

Winfield, Kansas Survey Completed on 04-09-2026

Penalty

No penalty information released

Summary

The deficiency involves failures in infection prevention and control practices related to peri-care, urinary catheter care, and cleaning of shared mechanical lifts. During morning care, a CNA provided incontinence and peri-hygiene care to a resident who was receiving antibiotic treatment for a urinary tract infection. The CNA donned clean gloves, removed a soiled brief, performed peri-hygiene, and then placed a clean brief on the resident. Without changing gloves or performing hand hygiene, the CNA used a gait belt worn over her shoulder, assisted the resident into a wheelchair, opened the resident’s clothing cabinet, handled multiple dresses for the resident to choose from, and assisted the resident into the bathroom before removing the soiled gloves. The CNA later acknowledged she should have changed gloves after peri-hygiene and brief placement, and a licensed nurse present in the room confirmed that gloves should have been changed and hands washed after contact with infectious material.

Another deficiency was identified in the care of a resident on Enhanced Barrier Precautions due to a suprapubic catheter connected to a leg bag. A CNA emptied the leg bag into a urinal for measurement, cleaned the drain spigot with an alcohol pad, and flushed the urine, but did not don a gown while providing this high-contact catheter care, despite the resident reporting that staff usually wore gloves and gowns for his care. Additionally, a mechanical lift used for multiple residents was observed being moved between several rooms without being sanitized between uses. A CNA stated uncertainty about when and by whom the lifts were cleaned, and the facility’s infection control policy required cleaning and disinfection of common equipment before use with another resident.