Failure to Implement Enhanced Barrier Precautions for Wound Care
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a skin wound, despite facility policy requiring gown and gloves for high-contact resident care activities such as wound care for any skin opening requiring a dressing. The resident, admitted with diagnoses including left-sided hemiplegia, history of stroke, type 2 diabetes, depression, congestive heart failure, and hypertension, had a physician’s order dated 02/28/26 for buttocks wound treatment involving cleansing with normal saline, drying, applying calcium alginate, and covering with a dry clean dressing. Record review showed no physician orders for EBPs related to this skin wound and no EBP-related interventions in the resident’s care plan. Observation revealed there was no EBP notification signage or PPE available outside the resident’s room for staff use during care, and during interview an LPN confirmed that EBPs had not been implemented for the resident’s skin wound and acknowledged that EBPs should be in place for a resident with a skin wound. This deficiency was cited under Complaint Number 2726270.
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