Middleton Oaks Health And Rehabilitation

Review of the facility policy titled, Enhanced Barrier Precautions, with an effective date of 9/01/22, revealed the following: Policy: Enhanced barrier precautions (EBP) is used to reduce the spread of Multidrug-resistant organisms (MDROs) among residents by utilizing gloves and gowns for high-contact resident care activities .

High-contact care activities provide opportunities for the transfer of MDROs to staff hands and clothing .

High-contact care activities include: feeding tube care, wound care .

Record review of facility's letterhead revealed, This facility does not have a policy on storage of a biliary tube bag.

Resident #11

During an observation and interview on 3/26/25 at 10:35 AM, the Wound Care Registered Nurse (RN) and Certified Nursing Assistant (CNA) #5 performed wound care for Resident #11.

The RN performed the wound treatment on the resident's sacral area and CNA #5 assisted.

Neither staff used enhanced barrier precautions (EBP) during the wound care procedure.

During an interview on 3/27/25 at 8:15 AM, the Wound Care RN revealed she was unaware of the EBP guidelines and did not dress out during her wound care treatments.

She stated she had now been in-serviced on EBP and the purpose to decrease the risk for infection.

Record review of Resident #11's Admission Record revealed the facility admitted the resident on 12/7/23.

Diagnoses included pressure ulcer to sacral region and type 2 diabetes mellitus.

Record review of Minimum Data Set (MDS) Section C with Assessment Reference Date (ARD) of 2/21/25 revealed the resident was rarely or never understood.

255171

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 255171 B.

Wing 03/27/2025

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

Winona Manor Health Care and Rehabilitation Center 627 Middleton Road Winona, MS 38967