F0880

E

Failure to Post Enhanced Barrier Precautions Signage for High-Risk Resident

Albuquerque, New Mexico Survey Completed on 03-10-2026

Penalty

No penalty information released

Summary

The facility failed to maintain an infection prevention and control program by not posting required Enhanced Barrier Precautions (EBP) signage for a resident who met criteria for these precautions. The resident was admitted on 12/17/25 and had diagnoses and conditions including gastronomy status, an indwelling catheter, a swallowing disorder requiring a feeding tube, unhealed pressure ulcers, and a continued risk for developing pressure ulcers requiring wound care. Physician orders dated 03/07/26 included enteral feeding every day and night shift, as-needed indwelling catheter changes when occluded or leaking, and daily wound care for pressure ulcers with specific cleansing and dressing instructions.

During multiple observations on 03/09/26 and 03/10/26, the resident was noted to have an indwelling Foley catheter and a feeding tube, and there was no EBP signage posted at the entrance to the room indicating that enhanced precautions were required. The Administrator stated that the resident required EBP because of the indwelling catheter and feeding tube and confirmed that there was no sign posted, acknowledging that there should have been one. The DON also stated that the resident required EBP for direct care and that signage is used to inform staff about required precautions and the type of precautions needed. These observations and interviews showed that the facility did not implement appropriate EBP signage for this resident as part of its infection prevention and control program.