Pest Control Deficiency in Resident Care Areas
Penalty
Summary
The facility failed to maintain an effective pest control program across three nursing floors, as evidenced by multiple observations and interviews. In one resident room, live and dead roaches were found inside a nightstand drawer, along with what appeared to be pest droppings. The room was also noted to have trash and food particles on the floor. A resident reported seeing a mouse emerge from a hole in the baseboard and frequently observed roaches in his room. Another resident demonstrated a roach infestation problem by showing live roaches inside a dresser drawer. The room was cluttered, and food waste was present on the floor. Additionally, a resident had placed traps under the dresser, which caught numerous dead and live roaches. The pest control reports reviewed indicated ongoing issues with roach activity and recommended improvements in sanitation and decluttering in specific rooms and the kitchen area. The reports highlighted positive roach acceptance on monitors placed under the dishwasher area and recommended fixing leaks and improving sanitation practices. Despite these recommendations, the facility continued to experience pest issues, as evidenced by the observations and resident reports. The facility's failure to address these recommendations and maintain cleanliness contributed to the persistent pest problem.
Plan Of Correction
Rooms 218, 311, and 421 were cleaned and treated by pest control. Rooms 226, 232, 410, and 425 were cleaned, decluttered, and treated by pest control. The elevator and tracks were cleaned. The kitchen and dishwasher area were cleaned, leaks were fixed, and treated by pest control. Current residents' rooms were audited; targeted rooms were identified. Current staff were re-educated on the homelike environment and the process for pest management and control. The NHA or designee will conduct 5 random room audits per week to ensure rooms are cleaned, orderly, and free of debris and bugs per policy. Results will be reviewed during the facility's monthly QAPI meeting. The NHA or designee will conduct a weekly review of pest management reports to ensure recommendations are followed through. Results will be reviewed during the facility's monthly QAPI meeting.