Complaint·December 29, 2022

There is a housekeeper scheduled in the morning who cleans regularly. On 9/6/22 LPA Dulek took pictures of one of the bathroom floors which was observed to have black buildup in part of the grout near the toilet, sink and white buildup in the grout in the shower. On 12/7/22 LPA Olson observed R1’s living area to be clean and the bathrooms to be adequate. LPA Olson interviewed Staff 2 (S2) who is a housekeeper/ caregiver on 12/7/22. S2 stated that all bathrooms are cleaned twice per shift with a cleaning agent similar to Pine sol and Fabuloso. LPA interviewed R1’s Responsible Party on 12/21/22 who stated the film that was on the floor was dark and sticky and it had taken staff a while to finally remove it. LPA Olson interviewed multiple staff who mostly stated it is too much for one housekeeper to clean the facility and everyone needs to pitch in to do their part. Staff stated the facility could be better maintained and needs at least 2 people on shift to clean and to make ensure rooms are deep cleaned once a week. Many staff stated they don’t feel the facility is as clean as it should be and clean the resident rooms themselves. Based on observation and interviews, this allegation is deemed Substantiated at this time. Exit interview conducted, Deficiencies cited (9099-D), copy of Appeal rights and report emailed. Administrator stated they hired a Dermatologist to come observe residents’ skin every 6 months. A dermatologist had just come on 12/10/2022 and S1 stated residents got a new cream and are finally starting to improve. Interviews revealed that the facility recently had a resident with suspected Scabies and most residents were treated with cream. The only residents who were not treated were patients of a particular medical insurance group who did not approve the order of the treatment. LPA interviewed staff who stated that when a resident has suspected scabies, they remove all the linen and wash everything in hot water. LPA Olson interviewed Staff 2 (S2) on 12/7/22 who stated that they collected all resident’s bedding and clothes and took it to a local laundry mat and washed everything in hot water with hypoallergenic soap. Multiple staff interviewed stated they have been itchy and have dots on their body, but doctor’s have said it was dermatitis. Administrator and staff said the facility has done multiple things to try and decrease the rashes and itching such as test the water, the facility changed the laundry soap, changed companies that washes the bedding, and looked a into water softener. LPA Olson spoke with the Nurse Practitioner (NP) who oversees 10 residents who reside in the facility. NP stated that they had worked closely with the lead MedTech to try and remedy the situation. NP felt that the facility has tried everything and is willing to work to do anything to prevent the spread of scabies and fight the dermatitis. LPA Olson interviewed the Dermatologist (D1) who visited the facility on 12/10/2022 and saw 18 residents. The Dermatologist stated they did not observe any scabies and they had no concerns about the residents or their skin condition. D1 stated the residents looked healthy and well cared for and residents were diagnosed with senile atopic dermatitis which, according to D1, means that the resident’s skin is dry due to being older and not producing as much oil. D1 felt it was not due to anything that the facility did or didn’t do. Based on observation and record review the allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of the report was emailed.