Failure to Assess and Treat Resident After Scabies Exposure
Penalty
Summary
The facility failed to assess and treat a resident after exposure to scabies, following the positive diagnosis of the resident's roommate. Despite the resident's history of diabetes mellitus and anxiety disorder, as well as impaired cognitive skills and dependence on staff for personal care, there was no documented skin assessment in the medical record. The resident reported persistent itching and a rash, which she identified as scabies, and stated that staff did not assess her skin or address her symptoms. Observation confirmed the presence of a red rash, and the resident indicated she had informed staff of her condition. Interviews with staff revealed that the treatment nurse was not aware of the resident's skin issues and had not been notified of the rash, despite acknowledging that monitoring should have begun after the roommate's positive scabies result. The infection preventionist nurse admitted to not assessing or isolating the exposed resident, and the DON confirmed that exposed residents should be isolated and assessed. The facility's policy required assessment and isolation of residents exposed to scabies, but these procedures were not followed, resulting in the resident experiencing ongoing discomfort and an increased risk of transmission.