Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program in the kitchen and one of the nursing units, specifically the 3rd Floor Nursing Unit. Observations and interviews revealed that a resident had gnat flies in their room, and staff confirmed ongoing issues with gnat flies. Despite the Maintenance Director's claim of weekly pest control treatments, records showed treatments were conducted only twice a month. Additionally, there was no documentation of gnat fly treatment in the affected room, and pest control logs did not reflect the reported gnat activity. The kitchen area was found to have significant maintenance and cleanliness issues, contributing to pest problems. The flooring under the dish machine was heavily soiled, with pooling water and food debris, and the area had water damage and missing tiles. The ceiling tiles above the dish machine and hot food preparation area were dirty, providing food sources for pests. Equipment such as the preparation sink and steam table were leaking, further facilitating pest access. Pest control reports indicated active roach and mice observations in the kitchen, highlighting the facility's failure to effectively manage pest control.
Plan Of Correction
A - The flooring directly underneath the dish machine was scrubbed and cleaned. Floor in dish machine area was cleaned and repaired with new tiles. The adjacent alcove was repaired and free from any holes and wall board fastened. Pipe fixed and realigned to floor drain. B - Preparation sink in the main kitchen being repaired by outside plumbing vendor. C - All state educated on pest control interventions and utilization of the pest control binders to report concerns to the pest control service technician. D - Weekly x 4 then monthly x 2 audits by maintenance director of pest control binders to ensure concerns are addressed and audits of the kitchen floor for maintenance concerns. Results discussed in QAPI meetings.