Jersey Shore Skilled Nursing And Rehabilitation Ce

Findings included:

Review of the memo entitled Enhanced Barrier Precautions (EBP, gown and glove use) in Nursing Homes to Prevent the Spread of Multi-drug Resistant Organisms released by the Center for Medicaid and Medicare Services (CMS) on March 20, 2024, with an implementation date of April 1, 2024, revealed that nursing care facilities are to use EBP for residents with chronic wounds or indwelling medical devices (i.e., indwelling urinary catheters) during high-contact resident care activities regardless of their multidrug-resistant organism status.

High-contact activity would include things like dressing, transferring, changing linens, providing hygiene, changing briefs, wound care, or device care.

Review of the facility's current policy entitled Enhanced Barrier Precautions, revealed it is the facility's policy to use EBP in addition to Standard Precautions (infection control practices used for all patients) when Contact precautions (heightened infection control measures to prevent the spread of infections) do not otherwise apply, or when a resident has a targeted multi-drug-resistant organisms (MDROs - bacteria that have developed resistance to one or more antimicrobial drugs).

The policy also indicated when EBP are needed an appropriate EBP sign will be placed on the patient's room door, and personal protective equipment (PPE) should be readily accessible and located outside the patient's room.

The PPE is to be used during high contact patient care activities such as dressing, bathing, transferring, providing hygiene, changing linens or briefs, device care, or assisting with toileting.

Before exiting the room, the PPE is to be placed in the trash and hand hygiene performed upon exiting the room.

An observation of Resident 52's room on May 13, 2025, at 10:50 AM revealed the resident was out of the room. A sign was observed on the door to the room indicating Stop - Standard Precautions plus Droplet Precautions (infection control measures to prevent the spread of diseases that are transmitted through respiratory droplets), and to wear a gown, gloves, and mask to enter the room.

There were no PPE bins containing gowns or masks outside the room or near the room, nor were any PPE disposal bins observed in the room or directly outside the door to the room.

In an interview with Employee 7, nurse aide, on May 13, 2025, at 11:21 AM who was working in the hallway where Resident 52 resided, indicated she was not sure why the sign was on Resident 52's door and was not aware Resident 52 or any of his roommates were on any precautions, and indicated the sign may not have been removed from flu season.

In an interview with the Nursing Home Administrator on May 13, 2025, at 12:33 PM it was determined that neither Resident 52 nor any of his roommates were to have Droplet Precautions and the sign was from an old instance and had not been removed from the door, but Resident 52 is to have EBP in place due to a history of an MDRO per the facility policy.

395359

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 395359 B.

Wing 05/16/2025

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

Jersey Shore Skilled Nursing and Rehabilitation Ce 1008 Thompson Street Jersey Shore, PA 17740