complaint·July 16, 2021

Regarding the allegation: resident contracted scabies while in care, incident report stated that R1 was sent to hospital on 6/23/21 for generalized weakness and skin rash. Hospital discharge papers stated that the problem areas were scabies, rash, and anemia. The assistant administrator stated that R1 had suspected scabies but was seen by a dermatologist and was not diagnosed with scabies. All staff interviewed denied that any resident had scabies. Three (3) out of five (5) residents stated that they were not aware of any residents with itching or redness. F1 said that R1 does not have a history of scabies and verified with the dermatologist that R1 does not have scabies. The dermatologist (PA) stated that R1 had gone through two precautionary treatments for scabies that R1 didn’t respond to which caused them to rule out scabies and is more consistent with an allergy to medication. A review of the records revealed that the doctor’s visit notes from 5/25/21 say that R1 gets frequent rashes and was referred to a dermatologist. Based on dermatologist visit notes, R1 was seen by the dermatologist on 6/12/21, 6/14/21, and 6/22/21 and underwent a patch allergy test and biopsy to determine the cause of the rash. Per biopsy report dated 7/7/21, the formal diagnosis was dermatitis unspecified and allergic reaction. MAR logs showed that R1 is not currently being treated with Elemite (Permethrin) cream which is used to treat scabies. Based upon interviews and records reviewed, the findings indicate that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted with administrator and a copy of the report was provided.