Skyview Care And Rehab At Bridgeport
Skyview Care and Rehab at Bridgeport in Bridgeport, NE — inspection on August 18, 2025.
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
18 revealed the following:- RN-A had gathered the supplies and placed on a bedside table next to the nurse's station. RN-A then pushed the bedside table down the hall without protection covering the supplies to Resident 18's room.- RN-A entered Resident 18's room and washed their hands, without donning any proper PPE. - After positioning and providing privacy, RN-A utilized ABHR. RN-A then placed a trash bag down on the resident's bed and donned gloves. RN-A then used both gloved hands to move the bedside table into a better position, contaminating their gloves.- RN-A then pushed Resident 18's incontinence brief further down with their gloved hands. RN-A then used their gloved hands to remove the old dressing. RN-A removed their gloves.- RN-A applied new gloves without the benefit of performing hand hygiene prior.
Using the gauze with normal saline, RN-A cleansed the wound beginning at the area surrounding the wound working their way to the middle of the wound.
The same gauze pad was utilized for the entire cleansing of the wound. - RN-A removed soiled gloves, applied ABHR, and applied new gloves. RN-A opened the Alginate with their gloved hands, cutting the packet open. RN-A opened the skin prep and dressing packages that had been exposed to potential contamination when brought down the hallway, contaminating their gloves. RN-A applied the skin prep around the edge of the wound, applied the Alginate, and then the dressing with the same gloved hands. An interview on 8/6/2025 at 10:10 AM with RN-A confirmed EBP had not been implemented for Resident 18. RN-A was unaware of the contamination during the wound care treatment procedure. C. A record review of the facility's undated policy Handwashing/Hand Hygiene revealed hand hygiene should be completed with an ABHR or soap and water in the following situations:Before and after coming on duty- Before and after direct contact with residents- Before preparing or handling medications- Before donning gloves- After contact with objects in the immediate vicinity of the resident A continuous observation on 8/5/2025 beginning at 8:27AM of Mediation Aide (MA) - B revealed the following:- At 8:25 AM, MA-B had completed medication administration to a previous resident. At 8:27 AM, MA-B began preparing Resident 3's medication without the benefit of performing hand hygiene. MA-B did not sanitize the medication cart preparation surface prior to beginning. - MA-B used scissors to cut Resident 3's lidocaine patches in half. MA-B then utilized the scissors to cut open Resident 3's arginaid packet without sanitization of the scissors beforehand. - MA-B prepared Resident 3's medication, dispensing Resident 3's tums into a separate medication cup and the remainder into another. MA-B then sat the other medication cup on top of the medication cup with the Tums, touching the bottom of the medication cup to the Tums. - MA-B then applied gloves and proceeded to Resident 3's door, using their gloved hands to open the door. MA-B then assisted Resident 3 with applying their medicated cream to their hip as ordered with the same gloved hands.
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