Poplar Care Strategies
Inspection Findings
F-Tag F0880
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to ensure infection control practices were maintained during 1 of 2 observations of care. Staff failed to complete hand hygiene after removal (doffing) of used gloves and prior to putting on (donning) new gloves and staff failed to complete hand hygiene immediately after doffing used gloves and prior to opening a resident's desk drawer and handing
the resident a hair comb. (Resident B)Findings include:During an observation on 8/28/25 at 10:40 A.M., CNA 4 and CNA 5 were assisting Resident B to use the commode in the resident's bedroom bathroom.
Resident B was assisted from a wheelchair to stand in front of the commode. CNA 4 and CNA 5 lowered resident's pants and brief and assisted Resident B to sit on the commode. CNA 4 and CNA 5 then assisted Resident B to stand, and CNA 5 provided perineal care. CNA 5 then encouraged Resident B to keep standing while CNA 5 doffed the gloves used prior and donned new gloves. No hand hygiene was completed between glove changes. CNA 5 then and CNA 4 then assisted Resident B by pulling the resident's pants up and lowering her into a wheelchair. Resident B was assisted to her bedroom. CNA 5 doffed the gloves, opened the resident's bedside table drawer, pulled a hair comb from the drawer and handed it to Resident B. CNA 5 indicated the resident that she needed to wash her hands. During an
interview on 8/28/25 at 11:05 A.M., the Infection Preventionist (IP) indicated staff should change gloves when going from a dirty to clean task, perform hand hygiene between glove uses, should perform hand hygiene immediately after doffing gloves.On 8/28/25 at 12:10 P.M., the Facility Administrator supplied a facility policy titled, Handwashing/ Hand Hygiene, dated 2001. The policy included, This facility considers hand hygiene the primary means to prevent the spread of infections . 7. Use an alcohol-based hand rub containing at least 62% alcohol: or soap . and water for the following situations: .f. Before donning sterile gloves . m. After removing gloves . 8. Hand hygiene is the final step after removing and disposing of personal protective equipment .This citation relates to intake 2596781. 3.1-18(b)3.1-18(l)
Residents Affected - Few
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
POPLAR CARE STRATEGIES in LOOGOOTEE, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LOOGOOTEE, IN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from POPLAR CARE STRATEGIES or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.