Health inspection·August 22, 2024

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure safe infection control practices were followed when staff did not properly wear a surgical mask (face covering) and a Certified Nurse Assistant (CNA) drank water while walking down a hallway that contained COVID-19 positive residents. Residents Affected - Few This failure had the potential to spread COVID-19 to other residents, potentially leading to a decline in health status. Findings: A review of an undated document titled, Important Reminders, indicated, the Proper way to wear a mask, was for the mask to cover the nose, mouth, and chin. Important Reminders indicated, Personal food and drink was not allowed in hallways or at nurse ' s station. The image of a properly worn mask, that was included in the Important Reminders, included a person wearing a surgical mask. During an observation on 8/21/22 at 2:00 pm, located on Cherry Hall (the name of the unit that contained residents who tested positive for COVID-19), CNA B was observed walking down the entire length of Cherry Hall wearing a surgical mask that did not cover her nose. While CNA B walked down the hallway, CNA B was observed pulling the surgical mask below her chin and drinking water from a cup that had no lid, on three separate occasions. During an interview on 8/21/24 at 2:06 pm, CNA B stated, surgical masks were required to be worn by staff on Cherry Hall due to COVID-19 positive residents. CNA B confirmed, the surgical mask was not being worn properly and stated, it should have covered her nose and was not. CNA B was asked about removing mask from face to drink water while walking down Cherry Hall, and CNA B stated, unawareness that CNA B could not drink water while walking down Cherry Hall. During an observation on 8/21/24 at 2:33 pm, the facility ' s Treatment Nurse (TN, performed resident wound care treatments), had been observed standing at the nurse ' s station, located on Cherry Hall. TN was observed talking to Licensed Nurse (LN A) and two other staff members at the nurse ' s station. TN's surgical mask was not covering the nose for the entirety of the observation. TN was observed walking away from the nurse ' s station. After TN walked past a room with an open door, TN pulled the surgical mask up and covered TN ' s nose. The sign located outside of the room with an open door indicated, the resident was positive for COVID-19. During an interview on 8/21/24 at 3:10 pm, TN stated, surgical masks should cover the nose, mouth, and chin. TN was asked about the observation made while TN was at the nurse ' s station on Cherry Hall. TN confirmed, having a conversation with facility staff at the nurse ' s station and stated, the Page 1 of 2 555316 555316 08/22/2024 Copper Ridge Care Center 201 Hartnell Avenue Redding, CA 96002

F 0880 observation made, of TN wearing the surgical mask under her nose, was incorrect. Level of Harm - Minimal harm or potential for actual harm During a concurrent observation and interview, on 8/21/24 at 3:45 pm, LN A was observed standing at the nurse ' s station on Cherry Hall. LN A ' s surgical mask was not covering the mouth or nose. Upon arrival to the nurse ' s station, LN A repositioned the surgical mask and covered up the mouth and nose. LN A confirmed, LN A ' s mouth and nose was not covered and should have been. LN A confirmed being present at the observation made earlier at 3:10 pm. LN A confirmed, while TN was at the nurse ' s station, TN ' s nose was not covered by the surgical mask. Residents Affected - Few During an interview on 8/22/24 at 4:08 pm, Director of Staff Development (DSD, responsible for training staff and was also the CNA supervisor) stated, education had been provided to the facility staff regarding proper use of the surgical mask. DSD stated, the surgical mask should cover the nose, mouth, and chin. DSD stated, staff should not drink water in the hallways of the facility and stated, CNA B should have utilized the staff ' s breakroom. During a concurrent interview and record review on 8/22/24 at 12:38 pm, Infection Preventionist (IP), stated, on 8/7/24 an in-service training was provided to staff regarding infection control. IP stated, a properly worn surgical mask covered the nose, mouth, and chin. IP confirmed, facility staff were not permitted to eat or drink at the nurse ' s station or in the facility hallways. 555316 Page 2 of 2