Keeping nursing home patients safe from an outbreak calls for excellent infection control. But government health inspectors found violations at many nursing homes, especially those with fewer staff.
last April at the Kirkland nursing home after inspectors there observed a registered nurse treating a patient whose feet were touching the floor, even though one heel had a pressure sore that the resident's daughter said she feared was infected."It was unhygienic," the daughter told inspectors.
"We are also following infection control recommendations, including proper hand-washing techniques and wearing masks, gowns and gloves when caring for any symptomatic patients," the statement said. The facility declined to discuss its previous citation. Hunter, the Washington state ombud, said that during her recent visits to 14 nursing homes in three Northwestern states, she observed that aides were generally good about using hand sanitizer but rarely washed residents' hands. Not every resident room had a sink, she said."I haven't seen one resident have their hands washed during lunchtime or dinnertime," she said.
In 2016, CMS updated and expanded its infection-control rules, requiring among other things that each facility appoint one person to be in charge of infection control. CMS required the employee in that position, known as an infection preventionist, to complete specialized training and work at the facility either part time or full time. The Trump administration has proposed eliminating the on-site requirement.
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