Failure to Maintain Pest-Free Environment
Penalty
Summary
The facility failed to maintain an environment free from pests, as evidenced by the presence of ants and gnats affecting two residents. One resident, who was dependent for all activities of daily living and had a tracheostomy, was found with ants crawling on her bed, body, and tracheostomy area. Staff statements confirmed that ants were observed on the resident and her personal blanket, which was subsequently bagged. The presence of ants was also captured in a video provided by the resident's family, showing ants on and around the tracheostomy. Staff interviews revealed that the incident was not promptly reported to facility leadership, as the DON and Administrator were only made aware after being contacted by the resident's family. The facility's pest control policy required notification of the contractor for unscheduled visits if a pest situation was reported, but the initial staff response did not include such notification. Another resident reported the presence of gnats in her room, and facility observations confirmed gnats flying around the building, particularly in the ventilator unit. Multiple staff members, including an LPN and a housekeeper, acknowledged seeing ants and gnats in the facility at various times. Review of pest control invoices indicated that the facility received monthly pest control treatments, but pests were still present and observed by both residents and staff. The deficiency was substantiated through medical record review, staff and resident interviews, direct observations, and review of facility documentation and video evidence.