The facility failed to maintain a pest-free environment in the kitchen dishwashing area, where staff repeatedly observed cockroaches under and around the dishwasher and on the floor, and multiple glue traps contained live and dead cockroaches. Maintenance staff documented ongoing cockroach activity and performed repeated extra insect treatments, and an external pest control company later identified live cockroaches and cockroach eggs in the dishwashing room, requiring ongoing weekly treatments and trap replacement. A local health department inspection also observed a live cockroach on the dishwasher and additional cockroaches in traps beneath the dishwasher and drying racks, confirming persistent infestation despite the facility’s stated pest control policy.
The facility failed to maintain an effective pest control program and a clean, sanitary environment on one hall, where live cockroaches were repeatedly observed in a resident’s room and reported by multiple residents and staff. A resident stated that cockroaches were present all the time, including in the bed and on the walls, and CNAs reported seeing cockroaches on the bedside table and in the bed when delivering meal trays. An LPN had previously documented that the room was treated by an exterminator after insects and bugs were observed throughout the room, and another LPN confirmed the ongoing presence of live cockroaches. Two other residents reported seeing cockroaches in the same hallway. Despite these observations, review of multiple pest control invoices over several months showed no documentation of cockroaches as a target pest, contrary to the facility’s written pest control policy requiring an ongoing program to eliminate insects and rodents.
Surveyors identified a persistent cockroach and insect infestation throughout the facility, with dead insects observed in dining and common areas and a live cockroach seen in a shower room. Multiple residents reported seeing cockroaches in their rooms, hallways, and near the kitchen, with some killing several roaches daily and describing the building as heavily infested. Staff, including maintenance and dietary leadership, acknowledged ongoing cockroach problems, and a severe infestation was found in the room of a hoarding resident, requiring targeted extermination, while pest control records showed repeated treatments focused on cockroach eradication.
The facility did not maintain effective pest control, resulting in persistent flies, gnats, and mice in resident rooms and common areas. Staff and residents reported frequent pest sightings, and staff used fly swatters during care. Despite recommendations from the pest control vendor for more aggressive treatment and environmental repairs, the facility relied on in-house remedies, leaving several issues unresolved.
Multiple residents were observed with flies and gnats in their rooms, including one with flying insects on their bed and another with fly paper and a fly swatter due to a persistent fly problem. Staff and an administrator confirmed the presence of pests and pest control devices not supplied by the facility, indicating a lack of effective pest control measures.
Multiple residents were observed with house flies present in their rooms, including flies on bed covers and windowsills, and one resident was seen swatting at flies near her face. Staff confirmed that flies were a persistent issue throughout the facility. Pest control records showed ongoing fly activity linked to poor sanitation in resident bathrooms, with recommendations for regular cleaning and sanitizing not adequately implemented.
The facility did not ensure the kitchen was free of pests, as multiple gnats were observed around the dishwasher and trash cans. Both the Administrator and a Dietary Aide confirmed the ongoing issue, which had persisted for several weeks, in violation of the facility's pest control policy. This affected all residents except for three who did not receive food from the kitchen.
Multiple observations revealed gnats and ants present on food trays and in dining areas, with trays left out from previous meals and pests confirmed by the DON, residents, and LPNs. Despite a pest control policy and cleaning schedules, pests were found on trays, food, and juice machine spouts, indicating ineffective pest management.
Surveyors found that the facility did not maintain a pest-free environment, with cockroaches, unidentified bugs, fruit flies, and house flies observed in resident shower and bathroom areas. Staff confirmed ongoing pest issues, water leaks, and water damage that contributed to the infestation, and a resident reported being bothered by the bugs.
A resident with multiple chronic conditions and a foot ulcer was found to have maggots in a wound, with flies observed in the room and hallway during care. Staff interviews revealed the resident frequently hoarded food and trash, requiring regular cleaning, but flies persisted, indicating a lack of effective pest control.
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