Pelican Valley Health Center
PELICAN VALLEY HEALTH CENTER in PELICAN RAPIDS, MN — inspection on March 25, 2026.
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 interview on 3/25/26 at 9:08 a.m., director of nursing (DON) verified
IJC. EBP precautions were important to protect staff and residents from MDROs.
Review of facilty policy titled enhanced barrier precaution policy dated 4/11/24, revealed Enhanced Barrier Precautions (EBP) refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in conjunction with contact precautions and expand the use of PPE to donning of gown and gloves during high-contact resident care activities that provide opportunities for transfer of MDROs to staff hands and clothing.
Enhanced barrier precautions (EBPs) are used as an infection prevention and control intervention to reduce the spread of multidrug-resistant organisms (MDROs) to residents. EBPs employ targeted gown and glove use during high-contact resident care activities when contact precautions do not otherwise apply.
Gloves and a gown are applied prior to performing the high-contact resident care activity (as opposed to before entering the room).
Personal protective equipment (PPE) is changed before caring for another resident.
Face protection may be used if there is also a risk of splash or spray.
Examples of high-contact resident care activities requiring the use of gown and gloves for EBPs include: dressing, bathing/showering, transferring, providing hygiene, changing linens, changing briefs or assisting with toileting, device care or use (central line, urinary catheter, feeding tube, tracheostomy/ventilator, etc.); and, wound care (any skin opening requiring a dressing). In general, gowns and gloves would not be recommended when performing transfers in common areas such as dining or activity rooms, where contact is anticipated to be shorter in duration.
EBPs are indicated (when contact precautions do not otherwise apply) for residents with wounds and/or indwelling medical devices regardless of MDRO colonization.
Wounds generally include chronic wounds, not shorter-lasting wounds, such as skin breaks or skin tears covered with an adhesive bandage (e.g., Band-Aid(R)) or similar dressing.
Examples of chronic wounds include, but are not limited to: pressure ulcers, diabetic foot ulcers, unhealed surgical wounds, venous stasis ulcers.
Indwelling medical device examples include: central lines, urinary catheters, feeding tubes, and tracheostomies. A peripheral intravenous line (not a peripherally inserted central catheter) is not considered an indwelling medical device for the purpose of EBP.
Staff are trained prior to caring for residents on EBPs.
Signs are posted in the door or wall outside the resident room indicating the type of precautions and PPE required. PPE will be available outside of the resident rooms, and alcohol-based hand rub is readily accessible to staff.
Residents, families and visitors are notified of the implementation of EBPs throughout the facility.