complaint·April 16, 2025

Allegation: Staff did not seek timely medical attention for resident. It is being alleged that staff sis not seek timely medical attention to resident in care. On 04/16/25 from 11am- 12:10 pm LPA conducted interviews with C1-C8 regarding the allegation above, 6 of 8 clients interviewed denied the allegation above, 1 of 8 clients interviewed reported having to wait 2 hours for EMT services, 1 of 8 clients interviewed reported not having to need any medical attention. On 04/16/25 from 1:00pm-1:30pm LPA conducted interview with ED, regarding the allegation above, ED denied the allegation above. On 04/16/25 from 1:30pm-2:35pm LPA conducted interviews with S1-S4 regarding the allegation above, 4 of 4 staff interviewed denied the allegation above, 2 of 4 staff interviewed added that a client will be assessed by med tech, ALW nurse, or Wellness director prior to 911 being called. Allegation: Staff are not mitigating the spread of infectious outbreaks in the facility. It is being alleged that a client in care was bitten by insects that felt like bed bugs. On 04/16/25 from 11am- 12:10 pm LPA conducted interviews with C1-C8 regarding the allegation above, 7 of 7 clients interviewed denied the allegation above, 1 of 8 clients interviewed reported being pocked by an unknown bug. On 04/16/25 from 1:00pm-1:30pm LPA conducted interview with ED, ED denied the allegation above and reported that there are procedures in place for if bed bugs were observed at the facility. Per ED, pest control services the facility once a month, but are called for additional service if needed. On 04/16/25 from 1:30pm-2:35pm LPA conducted interviews with S1-S4 regarding the allegation above, 4 of 4 staff interviewed denied the allegation above and reported that if bed bugs were observed client(s) in the bedroom would be isolated, provided with treatment, mattress would be bagged, all laundry would be washed, and pest control would be contacted as needed. Per 4 of 4 staff interviewed reported body checks are conducted by caregivers, med techs, or ALW nurse. On 04/16/25 LPA conducted tour of 5 bedrooms and checked 10 mattresses. The mattresses in the following rooms were checked, 111, 123, 209, 213, and 214, LPA observed all mattresses to be clean and in good condition, have a mattress cover, rooms were cleaned, no insects or bed bugs were observed. On 04/16/25 LPA conducted a review of C1's file, there are no body checks documented as C1 does not require assistance with showers. On 04/16/25 LPA conducted a review of Orkin service reports dated: 01/17/25, 02/20/25, and 3/28/25, there is no indication that the facility has been treated for bed bugs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, and a copy of this report was provided.