Health inspection·May 28, 2025

F 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, and interview, the facility failed to maintain an effective pest control program. This affected three residents (#13, #22, and #30) of four residents reviewed and had the potential to affect 45 residents. The facility census was 73. Residents Affected - Few Findings include: 1. Record review revealed Resident #13 was admitted to the facility on [DATE] with diagnoses including muscle weakness, chronic kidney disease, and anxiety disorder. Review of a minimum data set (MDS) completed 05/02/25 revealed Resident #13's cognition remained intact, and she had other behaviors one to three days during the review period. Interview on 05/27/25 at 12:36 P.M. with Certified Nursing Assistant (CNA) #115 revealed Resident #13's room is really bad with gnats. CNA #115 stated she once opened the microwave in the kitchenette and gnats flew out at her. Interview on 05/27/25 at 1:00 P.M. with Resident #13 stated she would like to get rid of the gnats because they are everywhere and there isn't even food in my room. Resident #13 stated she was unable to lay in bed without gnats flying at her face. Resident #13 stated even in the dining room she had a hard time eating because she had to swat them away. Observation on 05/27/25 at 1:04 P.M. of Resident #13's room revealed when walking in the room, the doorway was next to the sink. While walking by the sink, three gnats flew into view. There were also gnats flying around Resident #13's bed. Resident #13's roommate was asleep in her recliner with her bedside table over her lap. She had two cups on the table in front of her and three gnats were on her cups. Observation on 05/27/25 at 2:04 P.M. with CNA #115 revealed a cart with three discarded meal trays in the hallway next too room [ROOM NUMBER] which had about 10 gnats swarming it. CNA #115 confirmed the observation. 2. Record review revealed Resident #22 was admitted to the facility on [DATE] with diagnoses including monoplegia of lower limb following cerebral infarction, dementia, and depression. Review of a MDS completed 04/02/25 revealed Resident #22's cognition is mildly impaired and she had no behaviors. Page 1 of 2 366001 366001 05/28/2025 Harmar Place Rehab & Extended Care 401 Harmar Street Marietta, OH 45750

F 0925 Interview on 05/27/25 at 1:19 P.M. with CNA #133 revealed Resident #22's room has a lot of gnats. Level of Harm - Minimal harm or potential for actual harm Observation on 05/27/25 at 1:47 P.M. revealed Resident #22 was sleeping in her bed. Two gnats were on her privacy curtain and one gnat was on her straw for her cup of water. Residents Affected - Few Observation on 05/27/25 at 1:49 P.M. in the hallway outside of Resident #22's room revealed a cart with three discarded lunch trays. Approximately eight gnats were noted to be flying around the food. Interview on 05/27/25 at 1:50 P.M. with CNA #150 confirmed the cart with three discarded lunch trays was swarmed by gnats and there were gnats in Resident #22's room. 3. Record review revealed Resident #30 was admitted to the facility on [DATE] with diagnoses including acute and chronic respiratory failure, chronic obstructive pulmonary disease, and emphysema. Review of a MDS completed 02/20/25 revealed Resident #30's cognition remains intact, and she had no behaviors. Interview and observation on 05/27/25 at 1:51 P.M. revealed Resident #30 was resting in bed. Resident #30 stated there are gnats and they are bothersome. Resident #30 stated the gnats were throughout the facility but there isn't much that could be done and they are God's creatures, too. While speaking, Resident #30 had a gnat circling her head. Review of an invoice dated 05/14/25 revealed the facility purchased six fruit fly traps from a local hardware store. Review of an undated signed statement by Human Resources #160 revealed on 05/15/25 approximately eight cups containing a gnat attractant were placed throughout the facility and the cups were being monitored by housekeeping who state they are being helpful in addressing the gnat issue. Review of a pest control invoice dated 05/21/25 revealed the facility received crack and crevice and bait station services to the kitchen area, exterior area, and break room area. During the services, mice activity was noted to the fire door introduction point. There were no documented sanitary concerns which could cause pest problems. Review of an undated policy titled Pest Control revealed the facility shall maintain an effective pest control program. This deficiency represents non-compliance investigated under Complaint Number OH00165703. 366001 Page 2 of 2