Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple incidents involving three residents. In one case, a resident with a history of atherosclerotic heart disease, osteoarthritis, and asthma, and who had impaired cognition, was observed to have multiple large black flying insects in their room. This observation was confirmed by the unit manager. In another instance, a resident with chronic atrial fibrillation, major depressive disorder, vascular dementia, and anorexia, also with impaired cognition, was found to have a gnat flying inside their meal container. This was confirmed by both the resident and an LPN, who noted the meal tray was unappealing due to the presence of the gnat. Maintenance staff reported that pest issues were to be communicated to the pest control company when notified by staff. Additionally, a third resident with anemia, congestive heart failure, hypertension, and diabetes mellitus was observed to have multiple flies on their motorized wheelchair. The presence of flies in the resident's room was verified by an LPN, but maintenance staff were not aware of this issue. Review of the facility's pest control policy indicated that the facility was responsible for eradicating and containing common household pests, but the observed incidents demonstrated a failure to implement this policy effectively.