Cortland Center

Review of the facility policy titled Enhanced Barrier Precaution Policy, revised 05/19/25, included EBP were intended to prevent the transmission of multi-drug-resistant organisms (MDRO) via contaminated hands and clothing of healthcare workers to high-risk residents during high contact activities. EBP were indicated for high contact care activities for high-risk residents and for all those colonized or infected with a MDRO currently targeted by the CDC.

Other MDRO's may be included at the discretion of the facility Infection Control Committee unless required by state guidance.

High-risk residents include those with chronic wounds and indwelling devices such as central lines, urinary catheters and trachs and for all those colonized or infected with an MDRO currently targeted by the CDC.

High contact care activities that may result in transfer of MDRO's to hands and clothing of healthcare personnel, even when blood and body fluid exposure was not anticipated.

These included dressing, bathing, showering, transferring, providing hygiene, changing linens, changing briefs, assisting with toileting, device care or use, and wound care.

Staff engaging in high-contact activities would don both gloves and gown before initiating the activity and remove PPE before exiting the room or area where the activity occurred.

Signage indicating the appropriate type of precautions and indicating that visitors should stop at the Nurse's Station before entering would be placed on the resident's door.

Staff would educate visitors regarding donning appropriate Personal Protective Equipment while adhering to the resident's right for privacy protection.

This deficiency represents noncompliance investigated under Master Complaint Number 2728869.

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