Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple observations of flies in resident and staff areas. On several occasions, flies were seen in the dining area, nutrition kitchenette, nurse's station, and kitchen, including on plates and bowls. Residents were observed swatting flies before meals, and one resident reported that her table partner brings a fly swatter to meals due to the persistent presence of flies. Staff interviews confirmed the ongoing issue, with a Certified Medication Aide noting that flies enter through the patio, especially when wheelchair residents take time to go outside to smoke. Further interviews revealed a lack of awareness and action regarding the fly problem among nursing staff and administration. A Licensed Nurse stated she was unaware of a pest control program specifically for flies, and the Administrative Nurse indicated she was not aware of the issue, believing maintenance should address it. The facility's pest control policy requires a written agreement with an outside pest service for regular, comprehensive pest control, but the last documented pest control service was several months prior, and no evidence was provided of ongoing or targeted efforts to address the fly infestation.