F0880

F

Failure to Implement EBP PPE Use and Disinfection of Shared Equipment

Clayton, New Mexico Survey Completed on 02-13-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to implement an ongoing infection prevention and control program, specifically related to Enhanced Barrier Precautions (EBP) and proper use of personal protective equipment (PPE). On the 200 hall, a resident with an EBP sign posted on the door was observed receiving direct care from two CNAs who did not wear any PPE while in the room. One CNA was already in the room without PPE, and the second CNA entered the room, closed the door, and provided direct care without donning PPE. After approximately five minutes, both CNAs assisted the resident out of the room in a wheelchair. In a subsequent interview, one of the CNAs confirmed that both were providing direct care to the resident, acknowledged that neither wore PPE, and stated they should have done so.

The deficiency also includes failure to clean and disinfect shared resident-care equipment between uses. A resident on EBP was transferred from a wheelchair to a bed using a mechanical lift, and staff providing direct care appropriately donned mask, gown, and gloves. After completing the brief change, the CNAs removed their PPE, performed hand hygiene, and immediately took the mechanical lift to another room without cleaning or sanitizing it. In an interview, both CNAs confirmed they did not follow protocol by failing to clean the mechanical lift after use and stated that all medical equipment is supposed to be wiped down with bleach after each use. The DON, who serves as the facility’s Infection Preventionist, stated that all nursing staff are to perform hand hygiene before and after patient care and follow all infection control precautions, and that all medical equipment is to be cleaned and disinfected after each use.