Complaint·January 17, 2025

However, it was also stated that R1 and other members were seen by multiple doctors, including at least two (2) dermatologists, and that a biopsy of R1’s skin was collected, all of which did not result in a scabies diagnosis. It was further stated that R1’s skin condition differed from the other members and that R1’s skin condition began and ended on the same timeline as one of R1’s medications; responsible parties also speculate that R1’s condition could have been an allergic reaction to the medication used during the same time as the skin condition. Responsible parties further stated that not all visiting members contracted the skin condition that the three (3) members did and that it is still unclear what the skin condition could have been as there were no official diagnoses and scabies was never confirmed. During the initial visit, LPA observed and interviewed the three (3) residents at the facility who had varying skin conditions or rashes. LPA observed the resident’s rooms, checked mattresses, bed covers, and pillows, and observed residents’ skin. The rashes observed by LPA differed from each other and did not resemble R1’s skin condition. LPA did not observe any indications of bed bugs, lice, or other such parasitic insects in residents’ rooms. LPA interviewed staff who stated that at no point did they have symptoms of scabies or skin irritation after caring for residents and that no skin-related outbreaks have occurred at the facility. Online research states that scabies mites can be transmitted by direct skin-to-skin contact with an infected person, however, no staff members or other residents exhibited scabies symptoms or symptoms similar to R1. LPA also reviewed the facility’s infection control policy and interviewed the Licensee and Administrator who were knowledgeable in infectious disease prevention and control. No concerns were noted. The facility has handled recent unrelated outbreaks by following proper procedure and protocol. No evidence of past scabies or skin-related outbreaks were confirmed. Licensee and Administrator stated that a chemical sheet for the facility was pulled for review for possible irritants to R1, and that R1’s responsible parties were informed that alternative soaps, shampoos, detergents, and lotions could be provided for facility staff to use on R1, as there were concerns of irritants in the products. Per Licensee and Administrator, no staff or other residents contracted anything resembling scabies at any point. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation “Licensee does not ensure that infection control practices are maintained” is deemed UNSUBSTANTIATED at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.