Brian Center Hlth & Rehab
Inspection Findings
F-Tag F880
F-F880: Based on observation, record review and staff interview, the facility failed to: a.) follow their infection control practices and procedures for Enhanced Barrier Precautions (EBP) during high contact care for a resident with a chronic wound when Nurse #1 and Nurse Aide (NA) #1 provided wound care without wearing gowns for 2 of 2 staff observed for infection control (Nurse #1 and NA #1) and b.) to implement their policy for EPB for the 41 residents that required the precautions due to chronic wounds or indwelling medical devices.
An interview was conducted with the Assistant Director of Nursing (ADON) on 5/28/25 at 12:11 PM. The ADON revealed she was responsible for training staff on infection prevention but had yet to start a training program.
In an interview with the Director of Nursing (DON) on 5/28/25 at 12:31 PM. She indicated she was unaware staff were not trained or competent in the use of EBP.
An interview was conducted with the Administrator on 5/28/25 at 1:38 PM. She stated she was unsure if staff received training on EBP at any time.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 8 of 8 345339
F-Tag F880:
control practices and procedures for Enhanced Barrier Precautions (EBP) during high contact care for a resident with a chronic wound when Nurse #1 and Nurse Aide (NA) #1 provided wound care without wearing gowns for 2 of 2 staff observed for infection control (Nurse #1 and NA #1) and b.) to implement their policy for EPB for the 41 residents that required the precautions due to chronic wounds or indwelling medical devices.
An interview was conducted with the Assistant Director of Nursing (ADON) on 5/28/25 at 12:11 PM. The ADON revealed she was responsible for training staff on infection prevention but had yet to start a training program.
In an interview with the Director of Nursing (DON) on 5/28/25 at 12:31 PM. She indicated she was unaware staff were not trained or competent in the use of EBP.
An interview was conducted with the Administrator on 5/28/25 at 1:38 PM. She stated she was unsure if staff received training on EBP at any time. 08/26/2025