complaint·August 22, 2023

9099C-1... LPA received a completed LIC624 for resident (R4) on 8/15/23 noting resident was sent to the ER on 8/12/23 for signs of itching and a rash. R4 returned the same day with a prescription creme for scabies. R4's roommate was moved from the shared room upon R4 showing signs/symptoms of scabies. LPA and Administrator observed R1 and R2's lower arms on 8/22/23. R1 stated she still has some itching and needs another treatment; however, a staff stated that a nurse saw R1 yesterday and the rash has cleared and R1's arms commonly appear dry and red. R2 was observed to have a slight rash on her lower arms and was not able to state if her arms are itchy when asked. LPA and Administrator observed R3's room and observed an upholstered chair in the room. Administrator agreed to have the chair cleaned following the scabies outbreak. LPA observed R4's room to be clean and not contain any upholstered furniture. LPA asked (2) staff if they were aware of any staff contracting scabies recently, and both said they were not. One staff confirmed that all (4) residents received both doses of the prescription treatment creme, affected residents had their clothing washed immediately following the diagnosis, on the NOC shift, and carpets/flooring was cleaned also. The same staff stated that R1 and R2 were seen by a nurse yesterday and R2 will be receiving a third dose of medication, which is expected to arrive by tomorrow, since R2 still has some rash visible. Staff asserted that all staff have been careful, "very cautious" and wearing PPE as required. RCC confirmed there were (4) residents who contracted scabies in August 2023 and there have been no staff with this diagnosis. RCC confirmed all residents received two treatments of the prescription creme for scabies, she contacted local public health following each case and followed the facility's Infection Control Plan immediately following the first cases. LPA observed a quarantine sign to still be posted outside residents, R1 and R2's room. RCC indicated that all infected residents were quarantined in their room for the designated period and if the residents went in the common areas they were redirected back to their rooms. LPA reviewed the Medication Administration Record (MAR) where it's noted R1 and R2 were administered the initial dose of Permethrin creme on 8/11/23; R4 on 8/12/23 and R3 on 8/15/23. Administrator to remind staff to enter their initials every time a dosage is administered. Based on information obtained during the investigation, LPA finds this allegation to be UNFOUNDED-meaning that the allegation was false, could not have happened and/or is without reasonable basis. Exit interview. Copy of report provided to the Administrator.