Based on observation, interview, and record review the facility failed to ensure infection prevention measures were in place to ensure linen was properly handled and stored. These deficient practices had the potential to impact all residents who resided at the facility. In addition, the facility failed to ensure proper glucometer sanitization occurred. This deficient practice had the potential to impact all residents who received glucometer testing at the facility. Findings include:During a tour of the laundry area on 7/29/25 at 12:31 p.m., the lead housekeeping staff (HS-A) stated dirty laundry was brought to laundry in clear plastic bags from all areas. Their process was to remove the plastic bags and sort laundry in the dirty linen area of laundry. Staff were to always wear gloves when they sorted linen. Staff would also wear a gown or a jacket when they sorted linen that was obviously soiled. HS-A confirmed staff were not required to wear a gown/jacket over their clothing for routine linen sorting, it was their process to wear gloves for routine linen sorting and then gown up for laundry that was visibly soiled. During a tour of the clean linen storage area on 7/29/25 at 12:35 p.m., wooden shelves and metal carts lined the walls of the linen room. On the right wall, the bottom wooden shelves were less than an inch think and flush to the floor. The bottom shelves contained mattress pads and blankets, some directly touching the floor. During an interview on 7/29/25 at 12:49 p.m., HS-A stated laundry should not be stored so close to the floor because it could become contaminated. HS-A removed the linen from the bottom shelves and stated they would need to re-wash the linen before it could be used. During an interview on 7/30/25 1:50 p.m., the director of nursing (DON) stated they were not sure if it was an infection prevention requirement for staff to wear a gown and gloves or just gloves when sorting linen. They would have to look at the facility policy to know for sure. During an interview on 7/30/25 at 2:02 p.m., environmental services aide EVS-A stated they also got assigned to laundry. On laundry days they were responsible for sorting dirty linen, washing, drying, and folding linen. EVS-A stated they had to always wear gloves to sort dirty laundry. When they had yellow or red bags of linen that needed to be sorted, they also wore a gown or a jacket in addition to their gloves. EVS-A confirmed they were instructed they only needed to wear gloves to handle dirty linen unless it was from a yellow or red linen bag. During an interview on 7/31/25 at 9:51 a.m., the infection preventionist (IP) stated for infection prevention the laundry staff should be wearing gown and gloves at all times when sorting dirty laundry. The laundry policy should include direction to wear gown and glove at all times for laundry sorting. Gowning and gloving when sorting linen should be done to prevent cross contamination of the clean laundry. Laundry should not be stored where it can touch the floor and become contaminated. The facility policy Departmental (Environmental Services) - Laundry and Linen dated 11/2014, section: Sorting Linen, instructed employees sorting or washing linen must wear a gown and gloves. During an interview on 7/30/25 at 1:37 p.m., registered nurse (RN-B) stated blood sugars were normally done by the night staff at 5:30 a.m. so they hadn't had to clean the glucometer. RN-B picked up the oxiver wipes and stated if they had to clean the glucometer, they would wipe it down with oxiver wipes and make sure the glucometer remained wet for the dwell time of 1 minute. The ADON was present and stated they would use the oxiver wipes to sanitize the Accu-Chek inform II between residents. The ADON pulled the infection control manual to see how to clean the glucometer, then left, returned, and shared cleaning instructions for the Accu-check Inform (not the instructions for the current glucometer Accu-Chek Inform II) The instructions instructed not to use bleach.During an interview on 7/31/25 at 9:21 a.m., the IP stated they were not sure what the requirements were for cleaning the facility glucometer, as the nurse managers and the ADON did the glucometer training. The IP indicated the infection prevention program should include oversight of the training of staff to ensure staff were using the right products and processes to clean patient care for equipment for infection prevention and control. During an interview on 7/31/25 at 11:24 a.m. the DON stated the IP was responsible for setting the policies and procedures for equipment cleaning and then nursing was responsible for the training/teaching which took place in orientation. The DON indicated they would expect training to occur when new equipment was put into use, however they were not certain when the newer glucometer model was put into use. The DON stated they were not aware what wipes were being used by staff for the glucometer, but they would expect the IP would do periodic audits on equipment sanitization including the glucometer.The facility policy Cleaning of Non-Critical and Semi-Critical Reusable Resident Care Equipment in North Shore Living Care Center dated 8/23/24, identified the glucometer as equipment staff was to clean. The policy directed it was the responsibility of the person using the equipment to ensure it was properly cleaned before and after use. Alcohol wipes could be used on equipment with smooth, hard surfaces, and thermometers. Equipment should be left to air dry after wiped down. The facility policy Blood Glucose Testing dated 12/30/24, instructed blood glucometer meters should be cleaned and disinfected after every use. Attached manufacturer information recommended the use of Clorox Germicidal wipes. The attached document Maintenance and Care, how to clean and disinfect the ACCU-Check Inform II system, page 129, number 3, directed: use a Clorox Germicidal Wipe or a Super Sani-Cloth Germicidal Disposable Wipe to clean the meter.