Springbrook Center

Review of Resident #48's medical record had Special Instructions: MDRO: MRSA [Methicillin-resistant Staphylococcus aureus], PSEUDOMONAS AERUGINOSA (Enhanced Barrier Precaution).

Outside the entrance to Resident #48's bedroom was a stop sign stating, Enhanced Barrier Precaution instructing nursing to wear gown and gloves prior to . wound care: any opening requiring a dressing and face protection may also be needed if preforming activity with risk of splash or spray. A cart with PPE was available outside of the room which contained gowns, masks and eye protection.

On 9/23/24 at 9:10 a.m., the surveyor observed Resident #48's tracheostomy care with the Licensed Practical Nurse (LPN).

The LPN entered the room, preformed hand hygiene and applied sterile gloves.

She completed the tracheostomy care which included suctioning the tracheostomy cannula, removing the soiled split sponge, cleaning around the stoma, removing the inner cannula and replacing with a new cannula and applying a new splint sponge around the stoma all without the use of the appropriate Personal Protective Equipment (PPE) of a gown and face/eye protection. At this time, surveyor asked the LPN if she is to wear a gown, face/eye protection while preforming tracheostomy care. LPN stated, she does not wear a gown and or face/eye protection, only gloves when she performs the trach care.

205068

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 205068 B.

Wing 07/19/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Springbrook Center 300 Spring St Westbrook, ME 04092