complaint·February 26, 2025

cleared up. R2 said the staff came to check their chest and determined it was a rash. R2 alert charting report does not show anything about scabies except for a roommate disturbance at night. Also, R2 shows no treatment for scabies in their file. One of the residents, Resident 3 (R3) who denied they had scabies showed on their alert charting report that they were treated for possible scabies. R3 said they felt itchy but there were no pest or mites in their room. LPA Tea reviewed their medical file and there is no paperwork indicating scabies. LPA spoke to the Health and Wellness Director (HWD), Brittainy Prieto, that since the 8 months she’s been here there has not been any residents diagnosed with scabies. Despite there is one resident who is diagnosed with scabies by the doctor there are no other indications showing there is an infestation. It was alleged that facility is not administering resident’s medication as prescribed. The investigation determined the following: LPA checked and audited medications for R1 and Resident 4 (R4). All medications were accounted for and checked. LPA Tea checked the Medication Administration Record (MAR) which shows medication was given to residents as prescribed. Any discontinuation of medication and resident refusal was noted and documented correctly. HWD Prieto indicated there is no mismanaging of medications. Per interview with MedTech 1 (M1), stated they give medication as prescribed in the MAR and they follow and go by it. R1 stated that their medication was given as prescribed and had no problems. R1 also states they ask staff what medications they are taking most of the time. It was alleged that facility staff are not following the Infection Control Plan. The investigation determined the following: It was indicated that facility was not following infection control plan. R1 indicated facility did not clean and sanitized their room when they had scabies. Per staff and management interviewed, right when R1 indicated they might have scabies they immediately followed protocol to treat the scabies. All the staff that were interviewed said they cleaned R1’s room following the orders of ED Galicia. They steam clean to kill the scabies mites on curtains and furniture. Staff also indicated that they washed R1’s laundry and bedding with hot water and high temperatures and kept secured in bags away from other residents’ laundry. Staff also placed a PPE supply bin for staff to use when cleaning or interacting with R1. On the initial unannounced visit of the complaint investigation on January 14, 2025, LPA Tea observed a PPE supply bin outside by the door of R1’s room. LPA also observed the room to be clean and sanitized at the time of initial visit. Therefore, based on LPA Tea's observations and interviews conducted and records reviewed the allegations that facility staff has a scabies infestation, facility staff is not administering resident’s medication as prescribed, facility staff are not following the Infection Control Plan been determined to be unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies cited at this time and an exit interview was conducted with ED Carmen Galicia. A copy of the report and confidential names list was provided to the facility.