Health inspection·July 19, 2024

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 observation, interview, and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 5 (Resident #3) r esidents reviewed for infection control in that: Residents Affected - Few The facility failed to dispose of Resident #3's dirty brief and wipes smeared with feces that were left on the room floor wrapped in a linen. This failure could place residents at risk for cross contamination resulting in acquired infection. Findings included: Record review of Resident #3 's face sheet dated 07/19/24 reflected a [AGE] year-old female who was admitted to the facility on [DATE] with diagnosis of dementia. Record review of Resident #3's annual MDS assessment dated [DATE] reflected her cognitive was severely impaired. During an interview on 07/12/24 at 4:09 pm, Resident #3's family member was at bedside and denied any concerns with care provided. Resident #3's family member stated the facility kept her room clean and was provided with good care. During an observation on 07/19/24 at 10:59 am revealed Resident #3 was asleep in her bed. 1 brief and 3 wipes were noted at Resident #3's bedside on the floor. The brief and 3 wipes had feces and were wrapped in a linen. During an interview on 07/19/24 at 11:01 am, CNA A stated she was the CNA responsible for Resident #3 and had recently changed her brief. CNA A stated she forgot she left the dirty brief and wipes on the floor, wrapped in a dirty linen. CNA A stated she had intended to pick up but got busy with getting Resident #3 a fresh pitcher of water. CNA A stated she received training upon hire regarding infection prevention during perineal care and included disposing of dirty briefs in a trash bag and keeping dirty linen in a plastic bag to be sent to laundry. CNA A stated she received infection prevention training upon hire and quarterly. CNA A stated risk for leaving dirty brief on the floor was cross contamination. CNA A stated CNAs were responsible for ensuring dirty brief were properly disposed after completing perineal care. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 676428 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676428 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/19/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ignite Medical Resort El Paso, LLC 3421 Joe Battle Boulevard El Paso, TX 79936 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)