Health inspection·July 15, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and records review, the facility failed to implement infection prevention and control practices in accordance with the facility's policy related to Enhanced Barrier Precautions (EBP) for one (Resident # 2) out of two sampled residents, as evidenced by staff failure to wear required Personal Protective Equipment (PPE) during central line care. There were two residents residing in the facility receiving IV therapy at the time of the survey. The findings included:On 7/15/25 at 2:06 PM, a medication administration observation for Resident #2 was completed with Staff A, Registered Nurse (RN) in the presence of the Risk Manager; Staff A, RN verified the physician orders, gathered supplies, entered room and explained procedure to the resident and provided privacy. Staff A, RN performed hand hygiene, and donned gloves; Staff A, RN then removed an orange-colored cap from Resident #2's IV (Intravenous) site on left arm, cleansed the IV site and port with an alcohol swab, administered normal saline solution into IV line, connected the IV medication and began the therapy.Record review Resident #2's Physicians Orders Sheet for July 2025 revealed orders for Daptomycin Intravenous Solution Reconstituted (Daptomycin is an antibiotic), in the morning for Osteomyelitis, Ceftriaxone Sodium Solution Reconstituted (Ceftriaxone is an antibiotic) 2 grams every 24 hours for infection and Sodium Chloride Solution Use 10 ml (milliliters) intravenously in the morning for flush before and after medication and as needed.Record review of Resident #2's demographic sheet revealed the resident was admitted on [DATE] with diagnosis that included Osteomyelitis of vertebra.Record review of a care plan initiated on 07/15/2025 revealed Resident #2 was receiving Antibiotic therapy for Thoracic osteomyelitis with interventions that included: Enhanced Barrier Precautions.Interview on 7/15/25 at 2:16 PM, the Risk Manager was asked if Resident #2 was under any infection control precautions and what Personal protective equipment is required; the Risk Manager stated: Yes, Enhanced Barrier Precaution.the staff should have worn a gown during IV administration.On 7/15/25 at 3:30PM, Staff A, RN, was asked about the required Personal Protective equipment while caring for Resident #2. Staff A, RN replied, I usually wear a gown when administering IV therapy for a resident under enhanced barrier precaution to protect the resident and myself however I did not don (put on) a gown today because I was nervous.On 7/15/25 at 3:42 PM, the Risk Manager revealed the facility's protocol for residents under Enhanced Barrier Precautions. EBP is used to reduce transmission of MDRO (Multi Dose Resistant Organisms). The EBP involves the use of gowns and gloves when we are involved in high contact areas. A resident with an open area such as an IV line which is a source of cross contamination is placed on EBP, and staff has been educated to wear gloves and gown before giving care for residents who are under EBP. We make sure those residents are identified by a sign on the door and a caddy with PPE.Record review of a policy titled, Enhanced Barrier Precautions implemented 08/16/2022 indicates the following. Policy: It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms. Explanation and Compliance.Guidelines:1. Prompt recognition of Residents Affected - Few Page 1 of 2 105610 105610 07/15/2025 Palm Garden of Aventura 21251 E Dixie Highway North Miami Beach, FL 33180

F 0880 Level of Harm - Minimal harm or potential for actual harm need:All staff receive training on enhanced barrier precautions upon hire and at least annually and are expected to comply with all designated precautions.All staff receive training on high-risk activities and common organisms that require enhanced barrier precautions.Clear signage will be posted on the door or wall outside of the resident room indicating the type of precautions, required personal protective equipment (PPE), and the high-contact resident care activities that require the use of gown and gloves. Residents Affected - Few 105610 Page 2 of 2