F0880

E

Failure to Perform Hand Hygiene During Medication Pass

Harrisburg, Pennsylvania Survey Completed on 03-12-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure staff implemented infection control policies related to hand hygiene during medication administration. Facility policy titled "General Dose Preparation and Medication Administration," revised November 15, 2024, requires staff to complete appropriate hand hygiene prior to preparing or administering medications. On March 10, 2026, at 9:41 AM, a Registered Nurse (Employee 2) was observed administering medications consecutively to Resident 92, Resident 100, Resident 93, and Resident 12 without performing hand hygiene at any time during the observation. In an interview on March 3, 2026, at 12:15 PM, the Director of Nursing stated she would expect Employee 2 to complete hand hygiene as needed.

This failure to follow the facility’s hand hygiene policy during a medication pass constituted noncompliance with 28 Pa. Code 211.12(d)(1)(3)(5) related to nursing services.