Spring Lake Village
Inspection Findings
F-Tag F880
F-F880). This failure had the potential to negatively affect
the facility's ability to maintain a safe environment to prevent the spread of infectious diseases among the 47 residents in the facility.
Findings:
During an interview on 2/12/25 at 2:13 p.m., with Infection Preventionist Registered Nurse (IP/RN) and the Director of Staff Development (DSD), the IP/RN and DSD stated they did not know what EBP was, therefore,
they had not developed a policy and procedure or trained staff regarding EBP.
During a review of the All Facilities Letter (AFL memo issued by the California Department of Public Health), dated 6/13/2024, indicated, skilled nursing facilities should implement EBP per Centers for Disease Control (CDC) guidance as part of infection control for certified skilled nursing facilities.
During a review of the CDC Recommendations, dated 4/2/24, indicated, Enhanced Barrier Precautions are
an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs)
in nursing homes. Enhanced Barrier Precautions involve gown and glove use during high-contact resident care activities (personal hygiene, linen change, providing medications and treatments such as wound dressing change) for residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 25 of 25 555268
SPRING LAKE VILLAGE in SANTA ROSA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.