Failure to Use Required PPE for Contact Precautions
Penalty
Summary
Facility staff failed to follow the facility’s transmission-based precautions policy for contact precautions when entering a resident’s room. During an initial tour, a room with a posted sign instructing staff to use contact precautions, including donning a gown and gloves prior to entry, was observed. Another staff member (OS#1) was seen inside this room wearing only a KN95 mask, with no gown or gloves visible, despite the posted instructions. In a subsequent interview, the unit manager confirmed the expectation that staff wear a gown and gloves when entering such rooms, and OS#1 acknowledged having received education on proper PPE use for contact precautions and stated that a gown and gloves should be worn upon entry. The facility’s written policy on Transmission Based Precautions, effective 12/1/21, states that a gown must be worn when indicated by the type of isolation to protect clothing from contact with contaminated materials and that gloves are to be put on, confirming that the observed practice did not comply with facility policy. No additional resident-specific medical history or condition at the time of the deficiency was provided in the report.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.