The Estates At Twin Rivers Llc

During an interview on 3/26/26 at 11:03 a.m., RN-A stated hand hygiene and changing gloves was necessary after removing wound dressings and between providing care for each wound to reduce potential spread of infection.

During an interview on 3/26/26 at 10:42 a.m., the NP stated hand hygiene and changing gloves was expected after cares and between wounds because infection could ensue.

During an interview on 3/26/26 at 11:24 a.m., the director of nursing (DON)/infection prevention (IP) nurse stated gloves should be changed when going from dirty to clean areas and hand hygiene should be performed after removing gloves by using hand sanitizer or washing with soap and water to prevent infection.

The facility Wound Care Treatment Procedure, dated 2/2024, indicated:Remove the previous dressing.Dispose of previous dressing in designated container.Remove your gloves and complete hand hygiene.Clean the wound according to the physician's orders.Remove gloves, dispose of them in the designated container, and complete hand hygiene.Apply clean gloves and complete the residents dressing change while following the provider's order.

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