Failure to Maintain Effective Pest Control and Sanitation
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of rodents and evidence of rodent activity on three of four resident-use floors. Multiple observations revealed dead mice in traps, rodent droppings in resident rooms, and physical damage to room structures such as crumbled walls and exposed insulation. Food debris, such as cookie wrappers and crumbs, was found in resident drawers and on floors, often mixed with rodent droppings. Staff and residents reported recent and ongoing sightings of live mice in resident rooms, with some residents stating that rodents had been an issue for several months. Interviews with staff, including CNAs, the Housekeeping Supervisor, LPNs, and the DON, indicated inconsistent awareness and response to the rodent problem. Some staff were unaware of the extent of the droppings and dead rodents, while others acknowledged the need for immediate cleaning and pest control. The Housekeeping Supervisor was newly promoted and unfamiliar with the deep cleaning schedule, and the DON had not personally observed rodents but recognized the health concerns associated with their presence. Maintenance staff reported that rodent traps were checked and changed, and a licensed exterminator serviced the building every two weeks, but evidence of rodent activity persisted. The exterior of the facility, particularly the garbage compactor area, was found to be littered with food waste, soiled items, and garbage, attracting flies and creating conditions conducive to pest infestation. Interviews with the Food Service Director, Regional Maintenance Director, and Administrator revealed shared responsibility for maintaining the garbage area, but also a lack of clear policies on pest control and garbage disposal. Internal records and exterminator reports documented ongoing issues with food spillage, accessible garbage, and rodent activity, with some improvement noted after changing exterminators, but continued deficiencies in maintaining a pest-free environment.