Signature Healthcare Of Muncie
SIGNATURE HEALTHCARE OF MUNCIE in MUNCIE, IN — inspection on January 23, 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 observation on 1/15/25 at 11:39 a.m., Resident 66's door had two signs posted.
The first sign was a red stop sign posted on pink paper.
The second sign was instructions regarding how to correctly apply PPE (personal protective equipment).
The door signs did not contain direction regarding what type of isolation the resident was under, what was required to enter the room, when a staff or visitor needed to wear P.P.E.
During an interview on 1/15/25 at 11:42 a.m., QMA 19 indicated Resident 66 was on some type of precautions, however she was unsure of the type and it might be droplet isolation.
She left and quickly returned stating the resident was on Enhanced Barrier Precautions (EBP) or contact isolation due to a rash she used to have.
The QMA indicated she thought staff and visitors were supposed to wear P.P.E. when the resident had a rash and the resident did not currently have a rash.
During an observation on 1/16/25 at 10:28 a.m., a third sign had been added to Resident 66's door.
The third sign indicated the resident was on Enhanced Barrier Precautions and offered instructions to staff and visitors.
During an observation on 1/17/25 at 10:44 a.m., CNA 21 was speaking to Resident 66 as she assisted her to exit the in room bathroom. CNA 21 removed gloves and threw them away.
She then used her bare hands to push the residents wheel chair and assist the residents to don shoes. CNA 21 was not wearing any form of PPE. CNA 21 did not complete hand hygiene.
During an interview at this time, CNA 21 indicated she believed she only needed PPE if the resident had a skin rash.
She had only used gloves when providing toileting care. CNA 21 reviewed the EBP sign posted on the resident's door and indicated she might be wrong.
When the door sign says EBP employees are supposed to wear full PPE during resident care and she had made an error.
The three signs regarding infection control and prevention remained posted on the resident door during the following dates and times: 1/17/27 at 10:03 a.m., 1/17/25 at 10:44 a.m., 1/21/25 at 3:46 p.m., 1/23/25 at 11:47 a.m.
During an interview on 1/21/25 at 3:48 p.m. LPN 20, indicated, the resident had contact isolation due to a history of skin rashes.
The resident did not have to remain in her room.
The resident only had to stay in her room if she had a rash.
Staff were to follow the directions on the posted signs.
Resident 66's clinical record was reviewed on 1/17/25 at 9:29 a.m.
Current diagnoses included candidiasid - unspecified, chronic respiratory failure with hypoxia, and depression.
The resident had current physician's orders which included:
155242
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 155242 B.
Wing 01/23/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Signature Healthcare of Muncie 4301 N Walnut St Muncie, IN 47303