Health inspection·May 31, 2024

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observations record review and interviews the facility failed to follow standard precaution protocols to prevent the spread of infections for two residents (Resident #512 and Resident #133) out of seven residents sampled as evidenced by staff not cleaning blood pressure cuff between residents. There were 199 residents residing in the facility at time of survey. Residents Affected - Few The findings included: On 05/28/24 at 7:26 AM Staff B, Certified Nursing Assistant (CNA) was observed measuring Resident #512's vital signs. using a blood pressure machine and cuff. Staff B, CNA removed the blood pressure cuff from the resident's arm, placed cuff into a basket that was attached to the blood pressure machine, and left the room. On 05/28/24 at 7:28 AM Staff B, CNA entered Resident#133's room with the same blood pressure machine and cuff used on Resident #512, verbalized intention to take vital signs and proceeded to place cuff on Resident #133. Staff B, CNA stopped by surveyor. During an interview on 05/28/24 at 7:37 AM, (translated by Staff A, Licensed Practical Nurse (LPN)) Staff B, (CNA) revealed, when using the blood pressure machine on different residents the correct procedure is to clean the machine and the cuff using the bleach wipes located inside the basket attached to the machine. Staff B, CNA also stated: I didn't wipe the cuff between residents because I was nervous. On 5/30/24 at 12:47 PM; the Assistant Director of Nursing (ADON) stated: The blood pressure cuff should be cleaned using bleach wipes between residents. Review of the facility' Policy and Procedure indicated: Policy No.140 Dated 1/16/18 review date 11/16/23 revised date 12/7/23 Title: Infection Prevention and Control Surveillance Program I. Purpose: a) It is the policy of the facility to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infection. II. Scope: a) Covers all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement. V. Policy: a) The Infection Control Program is designed to prevent, identify, report, investigate Page 1 of 2 106094 106094 05/31/2024 Riviera Health Resort 6901 Yumuri Street Coral Gables, FL 33156

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few and control the spread of infections and communicable diseases for all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement; provide a safe, sanitary and comfortable environment; and to help prevent the development and transmission of disease and infection, in accordance with date and Federal Regulations, and national guidelines. Vi. Procedure 10. All shared medical equipment will be cleaned using an EPA- approved disinfectant wipe effective against TB and Hepatitis B. Standard Precautions: Also, equipment or items in the resident environment must be handled in a manner so as to prevent transmission of infectious fluids or other potentially infectious matter must be handled in a manner so as to prevent transmission of infectious agents. 106094 Page 2 of 2