Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program as required, resulting in ongoing issues with small black flies, gnats, and ants in resident rooms and common areas across two nursing units and a resident dining/lounge area. Multiple residents reported persistent sightings of these pests, and direct observations by surveyors confirmed the presence of flying insects in hallways, resident rooms, and near food service areas such as the pantry and around the garbage can and ice machine. Resident council meeting minutes and interviews further documented that these pest issues had been ongoing for several months, despite the facility being informed by residents. A review of the facility's pest control policy and contract revealed that while routine pest control services were in place, the contract specifically excluded certain pests such as gnats and other free-flying insects. Pest control invoices showed treatments were performed, but lacked detailed descriptions of services, follow-up actions, or outcomes. The facility was unable to provide documentation of consistent follow-up or contractor recommendations to resolve the persistent pest issues. The Nursing Home Administrator acknowledged the ongoing pest problems despite treatments.
Plan Of Correction
The facility cannot go back and retro-correct the pest control concern. Pest control strips were added to the community to decrease pest concerns. NHA has pest control services on a weekly/as needed schedule to tour the facility to ensure that pest control techniques are effective. This has the ability to affect all residents. To prevent this from recurring, NHA/designee will educate staff on the Pest Control Policy. NHA has pest control services on a weekly/as needed schedule to tour the facility to ensure that pest control techniques are effective. To monitor and maintain ongoing compliance, NHA/designee will complete weekly rounds with the pest control technician weekly x 4, then monthly x 2, to ensure that pest control techniques are effective. NHA/designee will interview 5 alert and oriented residents to verify that the techniques are effective. Results will be reported to QAPI for recommendations and follow-up.