Failure to Maintain Effective Pest Control and Document Pest Activity
Summary
The deficiency involves the facility’s failure to maintain an effective pest control program to prevent and address roaches and other pests, resulting in multiple resident complaints and direct observations of pests by surveyors. During a Resident Council meeting with the President and four other regular attendees, all participants agreed the facility was not a safe, clean, comfortable, and homelike environment. Several cognitively intact residents, as evidenced by Brief Interview for Mental Status (BIMS) scores of 14–15, reported seeing large flying roaches throughout the facility, including in their rooms and shower areas, and described the shower room as unclean. One resident stated roaches crawled on ceilings and walls and made it difficult to sleep and reported not seeing pest control treat their room. Another resident, who had a BIMS score of 0 but was described by staff and through interviews as alert and oriented times four, reported that flying roaches were present during the day and night and that the problem had worsened since construction began. A visitor in the dining room also reported seeing roaches in the building and expressed concern that the older section of the facility needed attention. In one resident’s room and bathroom, surveyors directly observed four roaches on the bathroom floor (two dead and two alive on their backs), and the Maintenance Director did not remove them during the observation. The same room contained two roach bait houses and a plastic container under the toilet’s on/off valve that had collected standing water, which the Maintenance Director acknowledged was related to a flooding bathroom and likely attracted roaches. The resident reported having told housekeeping about how dirty the room was and that roaches crawled and flew around the room and bathroom; when the surveyor and housekeeper re-entered the bathroom later, roaches were again observed and then removed by the housekeeper. Additional pest-related issues were identified on another unit, where two residents in a shared room reported the presence of wasp nests by the window and stated the nests had been there for about three weeks and that staff were aware. Visual inspection revealed two wasp nests between the screen and glass, one with multiple round, greyish-white egg-like sacs and a live wasp on an empty cell, and a second smaller nest, along with a quarter-inch gap between the outside screen and the window that allowed outside air to be felt and contained what appeared to be a dead wasp. During the end-of-day debriefing, facility leadership was informed that a gap at the threshold from the hallway door to the courtyard could be a point of entry for insects and roaches. It was also noted that contracted pest control services were not completed for two months due to a lapse in vendor payment processing, and that the Maintenance Director had destroyed pest control logs across all units, leaving them blank and failing to document the roach sightings and the wasp nests reported by residents and observed by surveyors.
Penalty
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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.
Failure to Maintain Pest-Free Dishwashing Area in Kitchen
Penalty
Summary
The facility failed to maintain a pest-free environment in the kitchen dishwashing area, affecting all 68 residents who received food from the kitchen. Maintenance work orders documented that staff observed cockroaches under the dishwasher on 11/22/25 and a large number of cockroaches scattering on the floor in the dishwashing room when the lights were turned on on 03/03/26. Pest control service logs showed that facility maintenance staff performed multiple extra insect treatments with spray and dust applications in the kitchen and dishwashing room over several months. Invoices from an external pest control company documented initial treatment for live cockroaches and cockroach eggs in the dishwashing room, followed by weekly treatments and replacement of monitoring traps due to continued live cockroach activity. A local health department kitchen/food inspection noted a live cockroach running across the top of the dishwasher and back under its components, as well as live and dead cockroaches in several glue traps under the dishwasher and drying racks. During a survey observation of the dishwashing room, multiple insect glue traps were seen along the baseboards and under the dishwasher and drying rack, with several dead cockroaches visible in the traps. Interviews with the dietary supervisor and maintenance supervisor confirmed that cockroaches had been present in the dishwashing room for several months, that maintenance staff had been treating the area, and that there continued to be cockroaches in the dishwashing room despite these efforts. The facility’s written pest control policy stated that it was the facility’s policy to prevent infestation of pests and rodents to protect residents’ quality of life.
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.
Widespread Cockroach and Insect Infestation Throughout Facility
Penalty
Summary
The facility failed to maintain an environment free from pest infestation, specifically cockroaches and other insects, affecting resident rooms, hallways, dining, shower, and common areas. Surveyors observed multiple dead insects, including those resembling spiders and cockroaches, along the walls near windows in the first-floor dining room and on a second-floor windowsill near the memory care entrance. A live cockroach was observed crawling up the wall in the third-floor shower room, and German cockroaches were identified in at least one resident room and by the Regional Maintenance Director. Pest control work orders over several months documented repeated treatments of individual rooms and common areas, with the primary focus on cockroach eradication. Multiple residents reported ongoing cockroach activity throughout the building. One resident stated that roaches were so prevalent that it felt like the residents were living with them, describing roaches coming out when housekeeping mopped and climbing walls, causing fear they would fall on her. Another resident reported seeing cockroaches in her room, hallways, and coming from the kitchen, killing about half a dozen per day and wishing the entire building had been fumigated. Other residents described seeing one or two cockroaches in their rooms but more in hallways, feeling the insect issues were bad, or saying the place was “roached out” with roaches everywhere, especially at night. A resident reported seeing roaches come from under her bed, and another called the cockroaches his biggest complaint because they were repulsive. The Maintenance Director and Dietary Supervisor acknowledged cockroach issues, though they felt the situation was improving, and the Regional Maintenance Director reported finding a cockroach infestation in the room of a hoarding resident, requiring exterminator intervention.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to ensure effective pest control, resulting in the presence of flies, gnats, and mice in multiple areas, including resident rooms and common spaces. Staff interviews revealed that excessive numbers of flies were present in the halls, and both staff and residents reported frequent sightings of mice, particularly in two residents' rooms. Staff resorted to using fly swatters during medication passes and in resident rooms, and residents who were able kept fly swatters at hand. Reports of mice in resident rooms were made to administration, and staff noted that the pest control measures in place were not effective. Observations confirmed the presence of multiple flies and gnats in at least one resident's bedroom, with flies seen on drinking cups and bedside tables. Residents reported direct encounters with mice, including a mouse on a bed and daily sightings in their rooms. Maintenance staff acknowledged ongoing issues with mice and flies, and stated that organic peppermint oil spray was used in an attempt to address the problem, but mice continued to be seen. The pest control vendor had provided recommendations for more aggressive treatment, but the facility opted to try in-house remedies instead. Review of pest control records showed that while monthly standard services were performed, several recommendations from the pest control vendor remained unaddressed by the facility. These included repairing door gaps, fixing water leaks, cleaning debris, and cutting overgrown vegetation, all of which were identified as the facility's responsibility. The facility's pest control policy stated that appropriate chemicals and methods would be used to control pests, but the ongoing presence of pests and unaddressed recommendations indicated a failure to maintain an effective pest control program.
Failure to Maintain Pest-Free Environment
Penalty
Summary
The facility failed to maintain a pest-free environment, as evidenced by multiple observations and interviews involving three residents. One resident with a history of psychosis, schizophrenia, and narcolepsy was observed in bed with flying insects on his sheet and privacy curtain, which was confirmed by the Activities Director. Another resident, who was cognitively intact and diagnosed with alcohol-induced pancreatitis, essential tremor, and major depressive disorder, had fly paper hanging from the ceiling with several dead insects and kept a fly swatter in bed. This resident reported a significant fly problem, stating that a nurse had provided the fly trap about a month prior, and described the area under his bed as a "graveyard" for dead insects. Staff and the Administrator confirmed the presence of the fly paper and dead insects, with the Administrator noting that the facility did not supply such pest control devices. A third resident, also cognitively intact and with diagnoses including cerebral infarction, diabetes mellitus, psychotic disorder, vascular dementia, and hypertension, was observed with multiple gnats and flies in his room. The resident stated that flies or gnats were always present in his room. Further observation confirmed flies on his comforter and gnats on his pillow, which was verified by a housekeeper. These findings demonstrate a lack of effective pest control measures in the facility, directly affecting the living conditions of the residents involved.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple observations of house flies in several resident rooms. On multiple occasions, flies were seen on windowsills, bed covers, and flying around residents, with one resident observed swatting at flies near her face while awaiting meal service. Residents reported persistent fly presence in their rooms, and staff confirmed that flies were a recurring issue throughout the facility, particularly in certain rooms. Review of pest control records indicated that the facility had been treated for fly activity in both the kitchen and resident rooms. The pest control company identified poor sanitation in resident bathrooms, specifically the presence of urine and fecal matter, as a contributing factor to the fly problem and recommended regular cleaning and sanitizing. The facility's pest control policy required frequent treatments and prompt reporting of pest issues, but monitoring and sanitation practices were not sufficient to prevent ongoing fly activity.
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