Antelope Valley Care Center
ANTELOPE VALLEY CARE CENTER in LANCASTER, CA — inspection on September 17, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 9/17/2025 at 11:18 a.m. with Infection Preventionist (IP), the IP stated RNA 1 failed to utilize PPE indicated for providing care to residents on EBP.
The IP stated that RNA 1 should have worn a gown while assisting Resident 2 with PROM exercise to prevent the spread of infection to other residents.
During an interview on 9/17/2025 at 11:30 a.m. with the Director of Nursing (DON), the DON stated EBP are utilized during high-contact activities such as restorative care.
The DON stated the EBP are utilized for residents who have wounds or indwelling catheters and are designed to prevent the spread of infection to other residents in the facility.
The DON stated RNA 1 failed to follow EBP guidelines which had the potential to spread infection among residents.
During a record review of the facility-provided policy and procedure titled, Enhanced Barrier Precautions, last reviewed on 5/30/2025, the policy and procedure indicated, Enhanced barrier precautions (EBPs) are utilized to prevent the spread of multi drug-resistant organisms (MRDOs) to residents.1.
Enhanced barrier precautions (EBPs) refer to infection prevention and control interventions designed to reduce the transmission of multi-drug-resistant organisms (MRDOs) during high contact resident care activities. 2.
Enhanced barrier precautions apply when: .b. A resident is NOT known to be infected or colonized with any MDRO, has a wound, or indwelling medical devices, and does not have secretions or extractions that are unable to be covered or contained.7. EBPs employ targeted gown and glove use in addition to standard precautions during high contact resident care activities when contact precautions do not otherwise apply. a.
Gloves and gown are applied prior to performing the high contact resident care activity (as opposed to before entering the room). 8.
Examples of high-contact resident care activities requiring the use of gown and gloves for EBPs include:. h. prolonged, high-contact with items in the resident's room, with resident's equipment, or with resident's clothing or skin (e.g., in the shower room, therapy gym, or during restorative care).
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.