Failure to control pest activity and maintain sanitary conditions. Live pests were observed in resident rooms and a common area, and residents reported seeing roaches in their rooms for months. Pest logs documented repeated roach sightings, pest control reports noted heavy German roach activity and recurring entry points such as cracks, voids, and gaps around pipes, and a critical work order for pest control and hole closure was never completed. The Administrator confirmed live pests were present, and the DPO stated the repair recommendations were not being addressed.
Pest Control Program Failure in Nutritional Pantry: Small dark pellets and live roaches were observed inside pantry cabinets and along the baseboard in 1 of 2 nutritional pantries. The Dietary Manager identified the insects as roaches, and the Maintenance Director confirmed the pellets were from cockroaches. The Facility Administrator stated the Dietary Manager was responsible for keeping the pantry clean and stocked, and the Dietary Manager acknowledged the cabinets were not cleaned properly.
The facility did not maintain an effective pest control program, as evidenced by repeated observations of live and dead insects in resident bathrooms, hallways, and areas adjacent to and within the kitchen and dishwashing room where food contact items are processed. Staff reported that pest issues were referred to Maintenance, which coordinated with a contracted pest control company that made weekly visits and reviewed pest logs. Despite these measures and documented exterminator reports noting recurring pest concerns across all wings and the kitchen, staff, including an LPN, continued to see roaches on the units, showing that the facility’s pest control efforts were not successfully preventing ongoing pest activity.
Pest control was ineffective, with live flying insects observed in resident rooms, hallways, the conference room, and bathrooms, including flies on walls, curtains, ceilings, and a resident’s washcloth. A resident and family member reported ongoing flies, and staff including the DON, NHA, RHD, and Maintenance Director stated the problem had persisted for weeks to years and that treatments were not working. Pest control invoices and sighting logs documented repeated service calls for gnats and flies in rooms, drains, and the kitchen, with notes that the issue was worsening and likely tied to an underlying source.
Ineffective Pest Control Program: Repeated live roaches and fruit flies were observed in resident rooms and hallways, and staff confirmed daily pest sightings. An LPN reported roaches and flies were seen daily, another LPN observed small flies in a resident room, and the Maintenance Director said the pest treatment every two weeks was not adequate. Pest logs and pest control records also documented roach and fly activity, including a broken or missing kitchen tile that allowed food and water to collect underneath.
Kitchen Pest Control Lapses: Live insects were observed in the dishwasher room and kitchen pantry, including a swarm that flew up when an equipment cart was moved and insects flying and resting on pantry shelves. A caddy in the pantry had sticky yellow residue and debris, and the DMD stated flies should not be present. The DMD and NHA were unaware of ongoing pest control and monitoring, no pest policy was provided, and vendor logs showed no fly treatment for two months.
Ineffective Pest Control Management: A resident stated that rooms had pests and help was needed to keep bathrooms and rooms clean. A CNA said bug sightings were not being entered in the bug book, and the RMD stated the pest log was not being used as it should be, live bugs were still being found throughout the building, and room round audits were not being completed or entered into the electronic reporting system. Surveyors observed a broken, overflowing toilet with flying pests in one room and live spiders in the East Wing hallway and exit area.
The facility did not maintain an effective pest control program, resulting in ongoing cockroach and ant infestations in resident rooms, bathrooms, and common areas. Multiple residents and staff reported and observed live pests, pest droppings, and black bio growth in personal spaces and on belongings. Pest control services were inconsistent due to unprepared rooms and unresolved structural and sanitation issues, leading to persistent pest problems and resident distress.
A resident reported persistent cockroach infestations in her room, with glue pads placed under the AC unit capturing both dead and live roaches on repeated observations. The Maintenance Director acknowledged ongoing pest issues despite recent changes in pest control methods and regular service visits. Pest Sighting Logs documented numerous roach sightings across multiple halls, demonstrating that the facility's pest control program was ineffective.
Two residents experienced ant infestations in their rooms, with ants observed near food debris and on a bathroom windowsill. Despite prior complaints and facility policy requiring documentation and prompt action, staff did not log the pest sightings or ensure targeted treatment, resulting in ongoing pest issues.
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