Laporte City Specialty Care

Review of the Physician Orders for Resident #4 revealed an order initiated 2/21/26 to apply Mepilex to the wound on the resident's sacrum.

Cleanse with soap and water and pat dry with each change.

During an observation 2/25/26 at 2:10 PM observed Staff A, Registered Nurse (RN), complete wound care to Resident #4's sacrum.

Staff A failed to implement EBP prior to and during the completion of the wound care.

The Assistant Director of Nursing (ADON) was present and observing during the initial stages of the wound treatment. On 2/25/26 at 2:22 PM, the ADON acknowledged Staff A did not implement EBP as expected during Resident #4's wound treatment.

During an interview 2/26/26 at 8:15 AM, Staff A acknowledged she did not apply (don) a gown as part of EBP as expected while completing Resident #4's wound care on 2/25/26.

Staff A added they had the EBP supplies readily available in the resident's bathroom.

Review of facility policy titled, Enhanced Barrier Precautions, implemented 3/28/24 revealed EBP will be initiated for residents with chronic wounds such as pressure ulcers.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE