F0925

F

Failure to Maintain Effective Pest Control in Kitchen, Dining, and Resident Areas

Wewoka, Oklahoma Survey Completed on 03-05-2026

Penalty

Fine: $130,240

Summary

Failure to maintain an effective pest control program was identified based on multiple observations of mice and roach activity in food service and resident care areas. During a tour of the kitchen and dining room, surveyors observed a pile of mouse droppings mixed with chewed wall particles on the floor under the dishwasher, dead roaches along the baseboards in the kitchen and dining room, and dead roaches inside the ice machine. Live roaches were also seen crawling on the floors and walls around tables storing coffee cups and near the ice machine. On a later observation, live roaches were again seen around the ice machine and on the walls and floors in the dining room. The facility’s pest sighting log documented mice and roach sightings in resident rooms and the dining room over several months, and showed the last preventive treatment date, but did not document that every pest sighting recorded on the log was treated.

In a resident room, surveyors observed dead roaches and mouse droppings on the floor and sticky traps in the closets and bathroom, as well as a live roach crawling inside the room refrigerator. The resident in that room had been admitted with dysphagia, hemiplegia, sequelae of cerebral infarction, chronic pain syndrome, suprapubic catheter status, and an open wound of the buttocks, and was care planned as bed/chair bound and requiring moderate assistance with all ADLs, with a BIMS score indicating intact cognition. The facility had a written pest control policy stating it would maintain an ongoing program to keep the building free of insects and rodents. Staff interviews confirmed awareness of a roach and mouse problem, and the pest sighting log and staff statements showed that pest activity had been ongoing and not consistently addressed in accordance with the facility’s stated pest control program.