F0880

D

Failure to Maintain Closed Door for Resident on Droplet Precautions

Chicora, Pennsylvania Survey Completed on 03-09-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to follow its own infection prevention and control policy for droplet precautions for one resident on isolation precautions. Facility policy titled "Covid Positive Steps" dated 12/1/25 required that a COVID-positive resident have an appropriate sign on the door, the door remain closed, vitals taken every shift while in isolation, isolation maintained for 10 days, and appropriate PPE stationed by the room. The resident, who had diagnoses including hypertension, COPD, and depression, was admitted on an unspecified date and tested positive for COVID-19 on 3/6/26. Physician orders dated 3/6/26 and the resident’s care plan dated 3/6/26 directed that droplet precautions be maintained every shift.

On 3/9/26 at 11:59 a.m., surveyor observation showed that the resident’s door displayed droplet precaution signage but was standing wide open to the outer hallway. At 12:00 p.m., an RN confirmed that the resident was COVID-positive, on droplet precautions, and that the door should remain closed at all times to prevent cross contamination potential. A subsequent observation at 1:17 p.m. again found the door wide open despite the droplet precaution signage. At 1:20 p.m., the DON confirmed that the facility failed to follow droplet precautions for this resident in isolation precautions. The deficiency was cited under 28 Pa Code: 201.14(a), 201.28(b)(1)(e)(1), and 211.10(d).