complaint·November 29, 2022

LPA asked one of the residents what the rashes were. This resident had a rash on their legs and feet and said they were diagnosed with scabies. The resident told LPA they were receiving medical treatment for the scabies. The other resident had a rash on their arms hands and legs. This resident said the affected areas itched badly but they did not know where or how they received the condition. This resident said they were prescribed a medicated lotion but ran out. The resident said facility staff provides them with aloe vera lotion for the itching until the resident can get their prescription refilled. LPA’s observation of resident bedding and interviews did not reveal the presence of bed bugs or other insects. Following this visit, LPA contacted an outside source and obtained a statement regarding the former resident (R1) who had recently discharged from the facility. The outside source reviewed R1’s medical records during the interview with LPA. Records showed that R1 was admitted to the hospital on 7/27/21 to treat a rash caused by scabies, chronic dehydration and confusion. Per the outside source’s review of R1’s medical chart, the Administrator at Senior Care and Comfort Living had called the hospital numerous times in attempts to get R1 medical treatment. The notes indicated that facility staff also tried to contact R1’s relatives to ask them to assist as well. Per the notes, facility staff reported to the hospital that R1 had been increasingly confused and not taking care of themselves. The outside source records reflected that the facility administrator requested medical aid for R1. The outside source said R1 was demonstrating self-neglect caused by diagnosed dementia. The outside source said this is likely the reason for R1’s dehydration. When asked, the outside source said R1’s chart showed no record of abuse or neglect when they were admitted to the hospital on 7/27/21. Staff interviews and record reviews revealed that at least two former and present residents were diagnosed with scabies. Records and interviews confirmed that the residents received medical treatment for their conditions. As to the allegation that the facility did not address a scabies infestation, the Center for Disease Control (CDC) website describes Scabies as appearing with red rash-like markings https://www.cdc.gov/parasites/scabies/gen_info/faqs.html ). CDC also states, “the most common symptoms of scabies are intense itching and a pimple-like skin rash.” It should be noted that the CDC states that scabies is not controlled by a pest control treatment, but with an insecticidal lotion prescribed by a physician, along with laundering of bedding and clothing. Based upon interviews, the residents affected by scabies were receiving or awaiting refill of medication to address their conditions. Interviews also revealed that facility staff offered non-prescription lotion to residents for the itching upon request. The Department has investigated the allegations address a scabies infestation and did not seek medical care for a resident with scabies. Based on the information obtained during the course of this investigation, insufficient evidence was obtained to support the allegations. Therefore, the findings are determined to be Unsubstantiated. Although the allegations may have occurred or could be valid, there is not a preponderance of evidence to prove they occurred. An exit interview was conducted with Administrator Logalla and a copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) were provided and Mr. Logalla’s signature on this form confirms receipt of these reports.