Failure to Implement Effective Pest Control Program
Penalty
Summary
The facility failed to implement an effective pest control program, as evidenced by the presence of live roaches in two resident rooms located in separate halls. Observations revealed several roaches behind a nightstand and under an armoire/closet in one room, as well as flies and a food tray left on a resident's bed in another. Staff interviews confirmed ongoing sightings of roaches in these areas, with staff reporting that pests persist despite regular exterminator visits. Staff also indicated that they often notify maintenance verbally but do not document pest sightings in the designated logbooks, contrary to facility policy. Additionally, staff were observed using unapproved pesticide sprays inside the facility, and personal resident items were exposed to these chemicals during attempts to control pests. A review of pest sighting logbooks showed inconsistent and incomplete documentation, with exterminator invoices noting a lack of reported activity and requesting improved use of the logbooks. The facility's policy requires staff to report and document pest sightings, use only approved pest control measures, and remove residents from affected areas until control measures are implemented. However, interviews with staff and the NHA revealed that these procedures were not consistently followed, and grievances regarding pest issues remained unresolved at the time of the survey.