Failure to Implement Enhanced Barrier Precautions for Resident With Foley Catheter
Penalty
Summary
Surveyors identified a deficiency in the facility’s infection prevention and control program related to enhanced barrier precautions for a resident with a Foley catheter. Record review showed the resident was admitted on an unspecified date and had a Foley catheter care plan dated 03/03/26. During an observation on 03/09/26 at 2:15 p.m., surveyors noted that there was no enhanced barrier precaution sign or PPE available outside the resident’s room, despite the resident’s need for such precautions due to the Foley catheter. In a subsequent interview at 2:18 p.m., the Unit Manager confirmed that the enhanced barrier precautions sign and PPE were not in place and stated that she expected staff to have both in place for this resident because of the Foley catheter. The report further notes that this failure to follow proper infection control practices occurred for one of three residents sampled for Foley catheters and that the facility did not provide the required signage and PPE for staff and visitors to use during high-contact care under enhanced barrier precautions. The deficient practice was identified through observation, interview, and record review, and it was specifically linked to the absence of appropriate infection control measures for the resident with a Foley catheter.
