Royal Of Cotuit

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed as being at risk for falls, had physical limitations in both upper and lower extremities due to contractures, and was dependent on staff for mobility including bed mobility, the Facility failed to ensure they developed an individualized comprehensive plan of care that included the number of staff members required during care, to appropriately meet his/her care needs. Findings include:Review of the Facility's Policy titled, Comprehensive, Person-Centered Care Plans, dated as revised May 2025, indicated the Facility will develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and all services that are identified in the resident's comprehensive assessment and meet professional standards of quality. The Policy further indicated that the comprehensive care plan…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews for one of three sampled residents (Resident #1), who on 5/22/25 sustained a fall, the Facility failed to ensure care and treatment provided by nursing met professional standards of practice. When after Nurse #1 was notified by Certified Nurse Aide (CNA) #1 that Resident #1 slid out of bed and was on the floor in his/her room, Nurse #1 instructed the CNA's to put Resident #1 back to bed. There was no supporting documentation including assessments or nurse progress notes in Resident #1's medical record related to the fall, no incident report, and the oncoming shift nurse and the Physician were also not notified of the fall. The next day, Resident #1 was noted with swelling to his/her right hip/thigh area and was transferred to the Hospital Emergency Department (ED) for evaluation and was diagnosed with a right hip and femur (thigh bone) fractures and was admitted . Findings Include:Pursuant to Massachusetts General Law (M.I.T.), chapter 112, individuals are given the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to utilize the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, with no nurse staffing waivers in place as required, placing all residents at risk for not having their clinical needs met either directly by the RN or indirectly by the Licensed Practical Nurse (LPN) or Certified Nurse Aides (CNA) that the RN was responsible for overseeing with the provision of resident care. Specifically, the facility failed to provide RN services on 1/11/25 and 1/12/25. Findings include: Review of the facility's policy titled Staffing, undated, indicated but was not limited to the following: -Facility maintains adequate staffing on each shift to ensure that our residents' needs and services are met based on Facility Assessment. Licensed nursing staff are available to provide and monitor the delivery of care services. Review of the as worked nursing schedules for 1/6/25 through 2/6/25 indicated but was not limited to the following: -Saturday, 1/11/25, there was no RN coverage for the 24-hour…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a resident group meeting, staff interviews, and document review, the facility failed to ensure grievances and concerns from the Resident Council were documented to ensure they were acted upon timely and included the facility response and rationale for response and to ensure residents were able to hold meetings without staff present unless they desired to invite staff. Findings include: Review of the facility's policy titled Resident Council Meetings, dated as last reviewed/revised [DATE], indicated but was not limited to the following: -The Activity Director shall be designated, if approved by the group, to serve as a liaison between the group and the facility's administration and any other staff members. -The designated liaison shall be responsible for providing assistance with facilitating successful group meetings and responding to written requests from the group. -The facility shall act upon concerns and recommendations of the Council, make attempts to accommodate recommendations to the extent…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and interview, the facility failed to follow the grievance process for resident concerns reported at Resident Council, to ensure all grievances filed were thoroughly investigated with a documented resolution, and for two Residents (#6 and #29), out of a total sample of 18 residents. Specifically, the facility failed: 1. To ensure concerns brought forth during Resident Council including multiple concerns for missing laundry had a grievance filed on their behalf and were investigated through the grievance process; 2. To ensure grievances filed by residents/resident representatives/family/friends were thoroughly investigated with a documented resolution; 3. For Resident #6, to initiate an investigation when his/her cell phone was determined to be missing, file a grievance for the missing cell phone, and follow the grievance process; and 4. For Resident #29, to ensure a grievance was filed for missing clothing and was investigated through the grievance process with an adequate resolution. Findings include: Review of the facility's policy titled…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interviews and record review, the facility failed to ensure one Resident (#64), out of a total sample of 18 residents, received care and treatment to promote healing of pressure injuries. Specifically, the facility failed to implement wound care orders per physician recommendations for a Stage I pressure injury (localized area of non-blanchable redness on intact skin, usually over a bony prominence) to the left medial knee. Findings include: Review of the facility's policy titled Prevention of Pressure Ulcers/Injuries, dated as last revised May 2024, indicated but was not limited to the following: -Identify any signs of developing pressure injuries (non-blanchable erythema) -Inspect pressure points -Evaluate, report and document potential changes in the skin -Review the interventions and strategies for effectiveness Review of the facility's policy titled Charting and Documentation, dated as last revised May 2023, indicated but was not limited to the following: -All services provided to the resident, progress toward the care plan goals, or any changes in the resident's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure sufficient staffing to assure residents attain or maintain the highest practicable physical, mental, and psychosocial well-being. Specifically, the facility failed to have sufficient staffing on the weekends as indicated on the payroll-based journal (PBJ) report submitted to Centers for Medicare and Medicaid Services (CMS) for Fiscal Year (FY) Quarter 4, 2024. Findings include: Review of the PBJ Staffing Data Report, CASPER Report 1705D FY Quarter 4, 2024 (July 1 - September 30) indicated the following: This Staffing Data Report identifies areas of concern that will be triggered (e.g., requires follow-up during the survey). -Excessively Low Weekend Staffing - Triggered = Submitted Weekend Staffing data is excessively low. Review of the facility's healthcare Facility Assessment (FA), revised 1/7/2025, indicated the following: Part 1: Resident Profile -Number of residents you are licensed to provide care for - 98 -Average daily census: 88-92 Staffing Plan 3.2 Total Number Needed or Average or Range of Staff: -…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interviews and documentation review, the facility failed to ensure packages were delivered in a timely manner to one Resident (#29), out of a total sample of 18 residents. Findings include: Resident #29 was admitted to the facility in June 2020. Review of the Minimum Data Set (MDS) assessment, dated 1/9/25, indicated Resident #29 scored 15 out of 15 on the Brief Interview for Mental Status (BIMS), which indicated the Resident was cognitively intact. Review of Physician's orders indicated Resident #29's Healthcare Proxy (HCP) was invoked 6/15/2023. Review of a Social Service progress note, dated 1/15/25, indicated but was not limited to the following: -Social Service Care Plan meeting, present at the meeting was HCP, dietitian, executive director, assistant director of nurses and director of social services. Review of mail delivery, and review of purchases and extra clothes in the room. During an interview on 2/05/25 at 4:52 P.M., Resident #29 said he/she had a meeting with the Administrator about his/her missing clothing, and he/she was told to donate some clothes. During a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to report allegations of abuse within the State mandated time frame for two Residents (#29 and #609), in a total sample of 18 residents. Specifically, the facility failed to: 1. For Resident #29, ensure an allegation of misappropriation of resident property by staff of withholding packages until the Resident cleaned out his/her room was reported to the State Survey Agency; and 2. For Resident #609, ensure an allegation of harassment by the Administrator was reported to the State Survey Agency. Findings include: Review of the facility's policy titled Abuse Policy, undated, indicated but was not limited to the following: Policies and procedures regarding investigation and reporting of alleged violations of federal or state laws involving mistreatment, neglect, abuse, injuries of unknown source, and misappropriation of resident's property. -Such violations will also be reported to state agencies in accordance with existing state law. -The facility will investigate each alleged violation thoroughly and report the results of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to investigate an allegation of misappropriation of personal property for one Resident (#29), in a total sample of 18 residents. Specifically, the facility failed to investigate Resident #29's allegation that his/her packages were not delivered over Christmas until his/her room had items removed. Findings include: Review of the facility's policy titled Abuse Policy, undated, indicated but was not limited to the following: -Policies and procedures regarding investigation and reporting of alleged violations of federal or state laws involving mistreatment, neglect, abuse, injuries of unknown source and misappropriation of residence property. -Such violations will also be reported to state agencies in accordance with existing state law. -The facility will investigate each alleged violation thoroughly and report the results of the investigation to the executive director or his or her designee, as well as to state agencies as required by state and federal law. -Protection: -If the suspected perpetrator is an employee, the executive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and interview, the facility failed to provide dental services for one Resident (44), out of a total sample of 18 residents. Specifically, the facility failed to schedule a dental appointment for new dentures as requested by the Resident. Findings include: Review of the facility's policy titled [Facility Corporation] Dental Services, dated May 2023, indicated but was not limited to: Routine and emergency dental services are available to meet the resident's oral health services in accordance with the resident's assessment and plan of care. - If dentures are damaged or lost, Residents will be referred for dental services within three days. - If the referral is not made within three days, documentation will be provided regarding what is being done to ensure that the resident is able to eat and drink adequately while awaiting the dental services; and the reason for delay. Resident #44 was admitted to the facility in November 2023 with diagnoses including chronic obstructive pulmonary disease, dysphagia, and vitamin B12 deficiency anemia. Review of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who had new physicians orders for wound care treatment to newly developed pressure injuries, the Facility failed to ensure they maintained a complete and accurate medical record when nursing failed to transcribe wound care orders that were obtained on 04/29/24 and 04/30/24, onto his/her Treatment Administration Record (TAR). Findings include: Review of the Facility's policy, titled Skin Integrity Management, dated December 2023, indicated the following: -Residents with actual skin breakdown are identified, assessed and provided treatment according to standards of practice; -perform and document wound assessment upon initial identification of altered skin integrity; -develop a comprehensive care plan to include wound treatments; -document all treatments per facility policy. Review of the Facility's policy, titled Medication and Treatment Order and Administration, undated, indicated that orders for treatments will be consistent with principles of safe and effective order writing. The Policy…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, policy review, and interview, the facility failed to follow their policy and assess a smoker for safety to smoke with staff and provide smoking times when family was not available for one Resident (#16), out of a total sample of 20 residents. Findings include: Review of the facility's policy titled Smoking Policy and Procedure, dated May 2023, indicated but was not limited to the following: -It is the policy of the facility to provide a safe environment for residents, staff, and visitors through the enforcement of the smoking policy designed to reduce risk to residents who smoke tobacco products, reduce the risks of passive smoking for others and reduce the risks of fire. -Supervised Smoker: A resident who has been assessed to need supervision will follow these guidelines. A staff member will accompany the supervised smoker supervised smoking residents during the smoking time for safety. Each smoke break will be held for 15 minutes. -All residents expressing the desire to smoke tobacco products or use of E-cigarettes will be assessed upon…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on policy review, review of Resident Council Minutes, and resident and staff interviews, the facility failed to ensure that staff addressed and promptly resolved repeated grievances brought forward during Resident Council Meetings held from 5/22/23 through 10/31/23. Findings include: Review of the facility's policy titled Resident Council, last revised May 2023, included but was not limited to: -Documentation will be kept of issues and their resolution. The facility department related to any issues will be responsible for addressing the item(s) of concern. Review of the Facility's Complaint/Grievance Policy and Procedure, undated, included but was not limited to: -All residents and their responsible representative will have a mechanism to voice grievances and complaints to the Grievance Official to facilitate communication and timely resolution of the matter. -Voiced grievances (e.g., those about treatment, care, management of funds, lost clothing, or violation of rights) are not limited to a formal, written process and may include a resident's verbalized complaint to facility…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interviews, the facility failed to ensure residents' rights to personal privacy and confidentiality was promoted and protected for five Residents (#13, #273, #38, #274, and #23), from a total sample of 20 residents. Specifically, the facility failed to ensure: 1. For Resident #13, personal privacy of his/her own physical body was maintained during a medical examination; 2. For Resident #273, personal privacy of his/her own physical body was maintained during a medical examination. 3. For Residents #38, privacy was provided during psychotherapy sessions conducted by the facility's consultant psychotherapist in the Resident's room; 4. For Resident #274, privacy was provided during psychotherapy sessions conducted by the facility's consultant psychotherapist in the Resident's room; and 5. For Resident #23, privacy was provided during psychotherapy sessions conducted by the facility's consultant psychotherapist in the Resident's room. Findings include: 1. On 11/29/23 at 9:56 A.M., the surveyor observed Nurse Practitioner (NP) #1 enter Resident #13's room and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, policy review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to: 1. Ensure food was stored, labeled, and dated in one of two kitchenette refrigerators observed; 2. Handle ready-to-eat food (food which does not require cooking or further preparation prior to consumption) utilizing proper hand hygiene and prevent cross contamination. In addition, ensure the use of gloves was limited to a single use task; and 3. Maintain a professional routine service contract for the juice dispensing machine and identify and replace enclosed tubing that has become discolored to avoid contamination of the juice. Findings include: Review of the facility's policy titled Food Storage and Retention Guide, undated, indicated but was not limited to: -Specialty items - Shakes, Supplements, Thickened Beverages. Dry Storage per Manufacturer Guidelines. -Also refer to manufacturer's instructions for product…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, policy review, and record review, the facility failed to follow their policy and track grievances through the conclusion, lead investigations, and review findings with the resident/responsible person for one Resident (#57), out of a total sample size of 20 residents. Findings include: Review of the facility's policy titled Complaint Grievance Policy and Procedure, dated September 2023, indicated but was not limited to the following: -All residents and their responsible representative will have a mechanism to voice grievances and complaints to the grievance official in order to facilitate communication and timely resolution of the matter. -Residents and/or their representatives shall complete the form. -If a resident is unable to complete the form, a staff member shall assist them. -Staff shall complete a grievance form when residents or responsible representatives make verbal complaints, if not completed by the complainant. -Completed forms should be forwarded to the grievance official and notify the Executive Director. -The grievance official will oversee the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on policy review, record review, and interview, the facility failed to ensure staff implemented the facility's abuse policy for one Resident (#57), out of a total sample of 20 residents. Specifically, the facility failed to report the alleged misappropriation of $120 to the state agency within two hours on 2/22/23. Findings include: Review of the facility's policy titled Abuse Policy, dated April 2017, indicated but was not limited to the following: -It is the policy of this facility to take appropriate steps to prevent the occurrence of abuse, neglect, injuries of unknown source and misappropriation of resident's property and to ensure that all alleged violations of federal and state laws which involve mistreatment, neglect, abuse, injuries of unknown source and misappropriation of resident property (alleged violations), are reported immediately to the Executive Director of the facility. Such violations will be reported to the state agencies in accordance with existing state law. -An employee who suspects an alleged violation shall immediately notify the executive director or…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, policy review, and record review, the facility failed to ensure an individualized plan of care was followed for Resident #16, in a total sample of 20 residents. Specifically, the facility failed to ensure a care plan for smoking preferences and times was developed. Findings include: Review of the facility's policy titled Smoking Policy and Procedure, dated May 2023, indicated but was not limited to the following: -All residents expressing the desire to smoke tobacco products or use of E-cigarettes will be assessed upon admission to the center when there is a change in status and quarterly. Once the facility has assessed the resident, safety interventions will be implemented and added to the Resident's plan of care. -A specific care plan will be designed to meet the individual needs of the resident and will be reviewed quarterly and/or with changes in condition. All appropriate safety interventions will be included in this care plan, such as smoking apron, adaptive devices, etc. Resident #16 was admitted to the facility in September 2020 with the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, policy review, and interview, the facility failed to ensure that staff provided care and services according to accepted standards of clinical practice for three Residents (#38, #44, and #23), out of a total sample of 20 residents. Specifically, the facility failed to ensure: 1. For Resident #44, the Resident's pacemaker was monitored and evaluated as per the facility policy and standards of practice; 2. For Resident #38, a. the Resident's pacemaker was monitored and evaluated as per the facility policy and standards of practice, and b. a physician's order was obtained for the provision of psychotherapy services; and 3. For Resident #23, a physician's order was obtained for the provision of psychotherapy services. Findings include: Review of the facility's policy titled Care of a Resident with a Pacemaker, dated May 2023, included but was not limited to: -The purpose of this procedure is to provide information about and guidance for the care of a resident with a pacemaker. -Pacemakers are electronic devices that artificially stimulate the heart…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, policy review, and manufacturer's guidelines, the facility failed to store and label medication according to facility policy. Specifically, the facility failed: 1. For 1 of 2 medication carts observed, to ensure all medications were labeled when opened; and 2. For Resident #52, to ensure all drugs and biologicals were stored in locked compartments when not in use. Findings include: 1. Review of the facility's policy titled Administering Medications, dated as revised May 2023, indicated but was not limited to: -The expiration/beyond use date on the medication label is checked prior to administering -When opening a multi-dose container, the date opened is recorded on the container On 12/4/23 at 1:00 P.M., the surveyor observed the Santuit long hall medication cart with Nurse #1. The surveyor observed one bag containing four boxes/bottles of eye drops as follows: -Lumigan 0.01% (used to lower the pressure in the eye), not labeled with open or beyond use date. -Latanoprost 0.005% (used to lower the pressure in the eye), not labeled with open or beyond…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and policy review, the facility failed to adhere to infection control practices reducing potential transmission of infection by ensuring that the appropriate hand hygiene was preformed and personal protective equipment (PPE) was worn by staff when providing care for residents on Transmission-Based Precautions (TBP, used for patients who may be infected or colonized with certain infectious agents requiring additional precautions to prevent the spread of infection). Findings include: Review of the facility's policy on TBP (untitled), revised May 2023, indicated but was not limited to: - Transmission Based Precautions are the second tier of basic infection control and are used in addition to standard-based precautions for patients who may be infected or colonized with certain infectious agents for which additional precautions are needed. - Contact transmission precautions is infection spread through direct contact with an infectious person (e.g., touching during a handshake) or with an article or surface that has become contaminated.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.