Every finding on record at Hospicio Luz De Esperanza Inc

Based on observation, three Home Visit (H.V.) review of policy and procedure, it was determined that the facility failed to ensure that nursing personnel provide care with accepted standards of practice of infection control during the ulcer care and body bath care, for 2 out of 3 Home Visit (H.V #1, H.V. #3). --- 2. H.V. #1 is a 84 year old female patient admitted on 11/18/2024 with diagnosis of Chronic Health Failure maintain oxygen by nasal canula. The patient was visited 01/14/2025 at 11:50 AM accompanied by the facility nurse supervisor (employee #1) and the the licensed practical nurse (LPN) ( employee #3 ). The LPN wash her hands with soap and water then dry her hands and put a gloves then prepare the area and two bath basing then disinfected the thermometer and sphygmomanometer removed the gloves and discard and performed hand washing with water then take patient vital sings, removed gloves wash her hands, dry and put a clean pair of gloves. Initiate a body bath and change the water according to the bed bath procedure and end the body bath without problems. Dressed, combed the patient and fixed and organized patient's bed. However the LPN (employee #3) did not change gloves and finish, she removed the gloves discard and wash her hands with an alcohol based solution. The nurse failed to wash her hands when ended the bed bath with soap and water. 1. HV #3 is an 87-year-old male admitted on 08/06/2024 with a diagnosis of Alzheimer disease, Malignant neoplasm of prostate, Chronic obstructive. The patient was visit on 01/14/2025 at 12:00 PM until 1:20PM accompanied with a register nurse (employee #6), of this facility. During the visit it was observed that the patient is not conscious, bedridden and totally dependent of activities of daily living (ADL). The patient has a Sacral ulcer stage II that is clean every 2-3 days. The patient was receiving visit of the employee #6 to provide ulcer care. a) It was observed that during the ulcer treatment procedure, employee #6 removed the dirty bandage and using those same gloves proceeded to clean the ulcer with a wound cleaning spray, once the ulcer was cleaned, she removed her gloves and washed her hands with an alcohol-based solution. b) On 1/15/2025 at 2:00 PM the nursing supervisor (employee #1) that provided the facility's wound and pressure ulcer care policy and procedure was reviewed in 11/2024 and states in sections #13 and #14 that dirty bandages must be carefully removed, and bandages and gloves must be disposed of in a plastic bag or trash after infection control measures. It also states in sections #18, #20, and #21 that once the ulcer is cleaned, dirty gloves must be removed, disposed of in the trash, and hands washed according to agency procedure. The hands washed policy reviewed on 01/15/2025 at 3:00 PM states that must be with water and soap. c) The employee #6) failed to perform handwashing in 2 out of 5 opportunities to perform handwashing.