Failure to Maintain Effective Pest Control and Sanitary Environment
Penalty
Summary
The facility failed to maintain a clean, sanitary environment free from pests on the C hall, affecting the room of Resident #42 and potentially all 12 residents residing on that hall. On two separate observations, live cockroaches were seen in Resident #42’s room. Resident #42 reported that he sees cockroaches all the time, that they sometimes crawl in his bed and keep him from sleeping, and that he sees them on the walls. A progress note dated 10/03/25 by LPN #182 documented that Resident #42’s room had been treated by an exterminator after insects and bugs were observed throughout the room. LPN #129 confirmed that there were currently live cockroaches in Resident #42’s room, and CNA #210 and CNA #132 reported seeing cockroaches crawling on his bedside table and in his bed when delivering his meal tray. Two other residents (#26 and #34) also reported seeing live cockroaches in the C hallway. Review of pest control invoices dated 09/18/25, 10/06/25, 11/14/25, 12/30/25, 01/09/26, 01/30/26, and 02/20/26 showed no documentation of cockroaches as a target pest, despite the ongoing observations and reports of cockroaches in Resident #42’s room and the C hallway. The facility’s pest control policy, last revised in May 2008, stated that the facility shall maintain an effective pest control program and an ongoing program to continuously eliminate insects and rodents, but the documented presence of cockroaches and lack of corresponding identification on pest control invoices demonstrated a failure to implement this policy effectively.
