Elevate Health And Rehabilitation
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and she insisted that she did, but she wasn't sure about doing hand hygiene after removing her gloves. The Treatment Nurse stated that she received education on hand hygiene, but she would need to check the facility's infection policy before answering any more questions. The Treatment Nurse stated that she knew
she needed to wash her hands before and after providing care but was not sure whether she had to do hand hygiene after removing gloves and before putting new gloves on.b. An observation of wound care for Resident #8 by the Treatment Nurse was made on 12/22/25 at 10:28 AM. Resident #8's room door did not have a sign for enhanced barrier precautions. The Treatment Nurse entered the room without wearing a gown. She washed her hands and put gloves on. Resident #8 had dressings around both ankles. The Treatment Nurse cut the dressings off from each ankle. She sprayed the left ankle wound with wound cleanser and then sprayed the right ankle wound with wound cleanser and started wiping the right ankle wound with a gauze. The Treatment Nurse then sprayed another gauze with wound cleanser and wiped Resident #8's right ankle wound. Without removing gloves and performing hand hygiene, the Treatment Nurse proceeded to spray another gauze with wound cleanser and wiped Resident #8's left ankle wound.
The Treatment Nurse removed her gloves from both hands and without doing hand hygiene, put on new gloves to both hands. She applied collagen powder to the right ankle wound, placed a petrolatum-based gauze on the wound bed, covered it with a non-stick wound pad and wrapped the right ankle with rolled gauze. The Treatment Nurse then proceeded to apply collagen powder to the left ankle wound, place a petrolatum-based gauze on the wound bed, cover it with a non-stick wound pad and wrap the left ankle with rolled gauze. She then removed both gloves and washed her hands with soap and water at the sink.An
interview with the Treatment Nurse on 12/22/25 at 10:47 AM revealed Resident #8 was recently admitted with wounds to both ankles which she obtained from a motor vehicle accident back in August 2025, but she couldn't find an order for enhanced barrier precautions for Resident #8. The Treatment Nurse stated she wasn't sure whether Resident #8 was supposed to be on enhanced barrier precautions which was why she did not wear a gown when providing wound care to Resident #8. She also stated that she knew she was supposed to change her gloves after cleaning Resident #8's wound, but she wasn't sure about doing hand hygiene after cleaning each wound and after removing her gloves. The Treatment Nurse stated that she received education on hand hygiene, but she would need to check the facility's infection policy before answering any more questions. The Treatment Nurse stated that she knew she needed to wash her hands
before and after providing care but was not sure whether she had to do hand hygiene after removing gloves and before putting new gloves on.An interview with the Director of Nursing (DON)on 12/22/25 at 3:33 PM revealed she was also the facility's Infection Preventionist. The DON stated they only placed residents with wounds on enhanced barrier precautions if they had chronic wounds, and that they were still verifying whether Resident #7's pressure ulcer was chronic or not. The DON stated that she did not think Resident #7 needed to be on enhanced barrier precautions because he was just admitted to the facility with his pressure ulcer. The DON also stated that she did not think Resident #8 should be on enhanced barrier precautions because her wounds started out as trauma wounds. The DON further stated that hand hygiene
during wound care should be done before starting the procedure, between taking off old dressing and putting a new dressing on, and after removing gloves. She added that the Treatment Nurse should have performed hand hygiene whenever she removed old dressings, after removing her gloves and prior to putting on new gloves.
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Elevate Health and Rehabilitation in Asheville, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Asheville, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Elevate Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.