F0925

F

Inadequate Bed Bug Pest Control in Facility Environment

Belleville, Illinois Survey Completed on 01-09-2026

Penalty

No penalty information released

Summary

The facility failed to provide adequate pest control services for bed bugs in the physical environment, with the potential to affect all 107 residents in the building. During observations of multiple unoccupied rooms, surveyors noted approximately seven dead bed bugs on a glue board and one live bed bug on a mattress in one room, as well as live bed bugs on a baseboard and mattress sheet in another room, and several dead bed bugs on baseboards in a third room. These findings occurred despite the rooms being designated as not housing any residents at the time of observation.

Interviews with facility staff revealed discrepancies between reported bed bug activity and the surveyors’ observations. The Maintenance Director stated that the facility had not had residents with bed bugs for a while, that the facility sprays for bed bugs three times per week, and that only dead bed bugs had been found on sticky traps, with no recent live sightings. The Administrator reported that when she started in November, the facility was finishing bed bug treatment and that she was not aware of any live sightings since then, aside from a dead bed bug found on one hall in December. CNAs and housekeeping staff acknowledged there had been a bed bug problem in the past, with one CNA reporting having seen bed bugs in resident rooms on certain halls, though not recently.

The pest control service technician confirmed that the facility has ongoing bed bug issues, though improved from prior levels, and described that recent treatments had been performed in specific rooms due to identified bed bug activity, including dead bed bugs found in one room the prior week. The technician explained that the facility uses chemical spray treatment rather than heat treatment, and outlined the required room preparation and resident removal process for active bed bug treatment. The facility’s written Bed Bug Policy describes procedures for handling bed bugs in resident rooms, including bagging and laundering resident belongings at temperatures greater than 115°F, notifying pest control, vacating and thoroughly cleaning the room, removing or replacing mattresses, vacuuming furnishings and crevices, performing resident body checks, notifying the physician and infection control, and reporting to the state health department when indicated. Despite these policies and reported practices, survey observations documented live and dead bed bugs in multiple rooms, demonstrating inadequate pest control services for bed bugs in the facility environment.